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HomeMy WebLinkAbout061-480-054—b5`� 61=48- 79-91B,P,E,M 61 48 T-_9"5,' DAMBERGER:,' ona- &,& . CherylDAMBERGER, Ronald Oj'240 Sunday -Dr', Oroville Bell -,Ranch Rd, Oroville � ,A °Exem tion` ! (new sf) �� ag stg &',Vfeed" house)` nt • s - i. R'� a. 61-48=54 61=48= / 5�} 91-166 "1 ermit#1764-92B(to cbmplete 79j91) DAMBERGER, Ronald & Cheryl 240 Sunday Dr, Orovi plle`' W. °�. 7 3 A. EXemnti (ag s g & feed house). 061-480-054 9=25-92 j USE PERMIT RONALD"& CHERYL DAMBERGER F i 51 - ei� Iumm es -- L V Department of Alcoholic Beverage Control State of California ZONING AFFIDAVIT %4 ARNOLD SCHWARZENEGGER, Governor %-G Instructions to the Applicant: Complete Items I - 14. Sign and date the form and submit it to ABC. 1. APPLICANT(S) NAME (Last, first, middle) m6ErzC-&4— �0�h�v �uG N� Dc4 MOfRC-1-IEP, I C NN 2. PREMISES ADDRESS (Street number and bame, city, zip code) 3. PARCEL NUMBER OF PROPERTY (Obtain from 940 SQM pfty County Assessor's Office) 4. TYPE OF LICENSEPPLIEDiFO�� � � 5. UPGRADE OF LICENSED PRIVILEGES - IfL"JIl IL�IJIN./ 6. CURRENT LICENSE TYPE AT THIS LOCATION, IF ANY 7. TYPE OF BUSINESS (i.e., restaurant, mini -mart, gas station, etc.) 8. ARE THE PREMISES INSIDE THS CITY LIMITS? []Yes ©tVo D ( @kE0Kr/45?" For answers to Questions 9 - 14, contact your oca city OR county p anning department (if inside the city limits, contact cwt planning; if outside, contact conn planning. 9. HOW ARE APPLICANT PREMISES ZONED? STATE TYPE (i.e., "C" commercial, "R" residential, etc.) DOES ZONING PERMIT INT DED USE? 11. IS A CONDITIONAL USE PERMIT (C.U.P.) NEEDED? (If yes, please attach copy of receipt or C.U.P.)i 12. IF YES, DATE YOU FILED APPLICATION FOR C.U.P. nn p -tlzo( /^ IzYes []No OYes �No i6V�%` 13. NAME OF PLANNER CONTACTED AT PLANNING DEPARTMENT zi-& ok 14. PLANNER'S PHONE NUMBER I(Sso) Under the penalty of perjury, I declare the information in this affidavit is true to the best of my knowledge. 15. APP/UCyAN7 S SIGNATURE (One siWrMrre wills'uffice/)/ 16. DATE SIGNED FOR DEPARTMENT USE ONLY GENERAL INFORMATION -Section 23790 of the Business and Professions Code says that ABCCmay not issue a retail license contrary to a valid zoning ordinance. This form will help us determine whether your proposed business is properly zoned for alcoholic beverage sales. •A conditional use permit (CUP) (Item 11) is a special zoning permit granted after an individual review of proposed land - use has been made. CUP's are used in situations where the proposed use may create hardships or hazards to neighbors and other community members who are likely to be affected by the proposed use. The ABC district office will not make a final recommendation on your license application until after the local CUP review process has been completed. If the local government denies the CUP, ABC must deny your license application. 23790. Zoning ordinances. No retail license shall be issued for any premises which are located in any territory where the exercise of the rights and privileges conferred by the license is contrary to a valid zoning ordinance of any county or city. ABC -255 (12/03) Premises which had been used in the exercise of those rights and privileges at a time prior to the effective date of the zoning ordinance may continue operation under the following conditions: (a) The premises retain the same type of retail liquor license within a license classification. (b) The licensed premises are operated continuously without substantial change in mode or character of operation. For purposes of this subdivision, a break in continuous operation does not include:. (1) A closure for not more than 30 days for purposes of repair, if that repair does not change the nature of the licensed premises and does not increase the square footage of the business used for the sale of alcoholic beverages. (2) The closure for restoration of premises rendered totally or partially inaccessible by an act of God or a toxic accident, if the restoration does not increase the square footage of the business used for the sale of alcoholic beverages. IF APPROVED, EFFECTIVE DATE FILE NUMBER nC.U.P. Approved DATE DENIED L�C.U.P. Denied GENERAL INFORMATION -Section 23790 of the Business and Professions Code says that ABCCmay not issue a retail license contrary to a valid zoning ordinance. This form will help us determine whether your proposed business is properly zoned for alcoholic beverage sales. •A conditional use permit (CUP) (Item 11) is a special zoning permit granted after an individual review of proposed land - use has been made. CUP's are used in situations where the proposed use may create hardships or hazards to neighbors and other community members who are likely to be affected by the proposed use. The ABC district office will not make a final recommendation on your license application until after the local CUP review process has been completed. If the local government denies the CUP, ABC must deny your license application. 23790. Zoning ordinances. No retail license shall be issued for any premises which are located in any territory where the exercise of the rights and privileges conferred by the license is contrary to a valid zoning ordinance of any county or city. ABC -255 (12/03) Premises which had been used in the exercise of those rights and privileges at a time prior to the effective date of the zoning ordinance may continue operation under the following conditions: (a) The premises retain the same type of retail liquor license within a license classification. (b) The licensed premises are operated continuously without substantial change in mode or character of operation. For purposes of this subdivision, a break in continuous operation does not include:. (1) A closure for not more than 30 days for purposes of repair, if that repair does not change the nature of the licensed premises and does not increase the square footage of the business used for the sale of alcoholic beverages. (2) The closure for restoration of premises rendered totally or partially inaccessible by an act of God or a toxic accident, if the restoration does not increase the square footage of the business used for the sale of alcoholic beverages. ' LAND OF NATURAL WEALTH AND 5EAUT" Department of Development Services PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE,.CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 September 25, 1992 Ronald & Cheryl Damberger 240 Sunday Drive Berry Creek, CA 95916 CERTIFIED MAIL Re: Use Permit, AP 061-480-054 Dear ,Mr. and Mrs. Damberger: Enclosed is your validated Use Permit No. 92-57 to allow a bed and breakfast inn for up to 12 person on property zoned "U" located at the end of Sunday Drive, Berry Creek. Should you have any questions regarding this matter, please contact this office between 10:00 a.m. and 3:00 p.m. Sincerely, B. A. Kircher Director of Planning BAK:lr. Enc. cc: Land Development D' ision Building Division Environmental Health Department of Forestry USE PERMIT BUTTE COUNTY PLANNING COMMISSION SEP 2 5 1992 DATE: (Certified Mail Rec.) . 92-57 PERMIT NO. AP 061-480-054 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Ronald and Cheryl Damberger is hereby granted a Use Permit in accordance with application filed: July 6, 1992 to allow a bed and breakfast inn for up to 12 persons on property zoned "U" located at the end of Sunday Drive, 0.6 mile north . of Bell Ranch Road, approximately 0.6 mile west of Oro Quincy Highway, Berry Creek. 1. Failure to comply with the conditions specified herein as the basis for approval of applicatipn and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-62. 2. Unless otherwise provided for in a special condition to this use permit, all conditions must be completed by the Permittee within 12 months of the delivery of the countersigned permit to the Permittee. 3. If any use for which a use permit has been granted is not established within, one year of the date of receipt of the countersigned permit by the Permittee, the permit shall become null and void and reapplication and a new permit shall be required to establish the use. 4. The terms and conditions . of this permit shall run with the land and shall be binding upon and be to the benefit of .the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. Guest events that generate more than 30 guest, a maximum of 125, shall be limited to no more than 12 events per year. Exemption may be granted by the Planning Division of the Department of Development Services. 2. The Bed and Breakfast Inn shall be limited to 6 guest rooms. 3. Food preparation shall be limited to that allowed by the Environmental Health department in a residential kitchen and shall be for the residents and overnight guests of the inn. 4. No more than 1 full time employee or equivalent may be allowed. 5. Provide a minimum of 9 parking spaces and make the circular. driveway at least 14 ft. wide to accommodate special event parking. 6. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. I hereby declare under penalty of perjury, that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. Butte County Planning Commission Chairman CC: Land Development Division Building Division Health Department Department of Forestry n" )fk Us[ BY &I -qv -G4 '77Z Darlene kolimapn Internal Internal Revenue Agent Revenue Service 555 Rio Lindo Avenue Suite F rat Chico, Ca. 95926 916-343-8258- Fax 916-343-2438 4 f a gff k 13 tiw��ADepartment of the Treasury tSummons- V1 Internal Revenue Service In the matter of RONALD E DAMBERGER AND CHERYL L DAMBERGER Internal Revenue District of -SACRAMENTO Periods 1990, '1991, 1992 The Commissioner of Internal'Revenue To / At xie You are hereby summoned and required to appear before D+ENE `HULLMANN an officer of the Internal Revenue Service, to give testimony and to bring with you and to produce for examination the following books, records, papers, and other data relating to the tax liability or the collection of the tax liability or for the purpose of inquiring into any offense connected with the administration or enforcement of the internal revenue laws concerning the person identified above for the periods shown. aZ "I hereby certify that Vhave examined and compared this copy of the summons with the original and that it is a true and correct copy of the original. Signature of IRS Official Serving the Summons Title Business address and telephone number of Internal Revenue Service officer named above: INTERNAL'REVEMM SERVICE, 555 Rio Lindo Ave., Suite F., Chico, -CA 95926, (916) 343-8258 Place and time for appearance: at 555 Rio Lindo Ave., Suite F, Chico, CA 95926 on the day of , 19,FtE at o'cIoc��n. Issued under authority of the Internal Revenue Code this day of -1 19�?6 ignature of Issuing Officer Title Signature of Approving Officer (if applicable) Title Part--A—To be given to person summoned Form'20391(Rev. 02-94) ,. , Provisions of the L R Internal Revenue Code Sec. 7602. Examination of books and witnesses eeR t� (a) Authority to Summon, Etc.—For the purpose of ascertaining the cor- rectness of any return, making a return where none has been made, deter- mining the liability of any person for any internal revenue tax or the liability at law or in equity of any transferee or fiduciary of any person in respect of any internal revenue tax, or collecting any such liability, the Secretary is authorized— (1) To examine any books, papers, records, or other data which may be relevant or material to such inquiry; (2) To summon the person liable for tax or required to perform the act, or any officer or employee of such person, or any person having possession, custody, or care of books of account containing entries relating to the business of the person liable for,tax or required to per- form the act, or any other person the Secretary may deem proper, to appear before the Secretary at a time and place named in the summons and to produce such books, papers, records, or other data, and to give such testimony, under oath, as may be relevant or material to such in- quiry; and (3) To take such testimony of the person concerned, under oath, as may be relevant or material to such inquiry. (b) Purpose May Include Inquiry Into Offense.—The purposes for which the Secretary may take any action described in paragraph (1), (2), or (3) of subsection (a) include the purpose of inquiring into any offense connected with the administration or enforcement of the internal revenue laws. (c) No Administrative Summons When There Is Justice Department,, Referral.— (1) Limitation of authority.—No summons may be issued under this title, and the Secretary may not begin any action under section 7604 to enforce any summons, with respect to any person if a Justice Depart- ment referral is in effect with respect to such person. (2) Justice Department referral in effect.—For purposes of this subsection— (A) In general.—A Justice Department referral is in effect with respect to any person if— (i) the Secretary has recommended to the Attorney General a grand jury investigation of, or the criminal pros- ecution of, such person for any offense connected with the administration or enforcement of the internal revenue laws, or (ii) any request is made under section 6103(h) (3)(B) for the disclosure of any return or return information (within the meaning of section 6103(b)) relating to such person. (B) Termination.—A Justice Department referral shall cease to be in effect with respect to a person when— - (i) the Attorney General notifies the Secretary, in writing, that— (1) he will not prosecute such person for any offense connected with the administration or en- forcement of the internal revenue laws, (II) he will not authorize a grand jury investiga- tion of such person with respect to such an offense, or (III) he will discontinue such a grand jury investigation, (ii) a final disposition has been made of any criminal proceeding pertaining to the enforcement of the internal revenue laws which was instituted by the Attorney General against such person, or (iii) the Attorney General notifies the Secretary, in writing, that he will not prosecute such person for any of- fense connected with the administration or enforcement of the internal revenue laws relating to the request de- scribed in subparagraph (A)(ii). (3) Taxable years, etc., treated separately.—For purposes of this subsection, each taxable period (or, if there is no taxable period, each taxable event) and each tax imposed by a separate chapter of this title shall be treated separately. Authority to examine books and witnesses is also provided under sec. 6420 (e)(2)—Gasoline used on farms; sec. 6421(8)(2)—Gasoline used for certain nonhighway purposes by local transit systems, or sold for certain exempt purposes; and sec. 6427(1)(2)—Fuels not used for taxable purposes. Sec. 7603. Service of summons A summons issued under section 6420(e)(2), 6421(8)(2), 6427(j)(2), or 7602 shall be served by the Secretary, by an attested copy delivered in hand to the person to whom it is directed, or left at his last and usual place of abode; and the certificate of service signed by -,the person serving the summons shall be evidence of the facts it states on the hearing of an application for the enforce- ment of the summons. When the summons requires the production of books, papers, records, or other data, it shall be sufficient if such books, papers, records, or other data are described with reasonable certainty. Sec. 7604. Enforcement of summons (a) Jurisdiction of District Court.—If any person is summoned under the internal revenue laws to appear, to testify, or to produce books, papers, records, or other data, the United States district court for the district in which such per- son resides or is found shall have jurisdiction by appropriate process to com- pel such attendance, testimony, or production of books, papers, records, or other data: - ' ' (b) Enforcement.—Whenever any person summoned under section 6420 (e) (2), 6421(g) (2), 6427 (j) (2), or 7602 neglects or refuses to obey such sum- mons, or to produce books, papers, records, or other data, or to give testimony, as required, the Secretary may apply to the judge of the district court or to a United States commissioner' for the district within which the person so sum- moned resides or is found for an attachment against him as for a contempt. It shall be the duty of the judge or commissioner' to hear the application, and, if satisfactory proof is made, to issue an attachment, directed to some proper officer, for the arrest of such person, and upon his being brought before him to proceed to a hearing of the case; and upon such hearing the judge or the United States commissioner' shall have power to make such order as he shall deem proper, not inconsistent with the law for the punishment of contempts, to enforce obedience to the requirements of the summons and to punish such person for his default or disobedience. Sec. 7605. Time and place of examination (a) Time and Place.—The time and place of examination pursuant to the provisions of section 6420 (e) (2), 6421 (g) (2), 6427 Q) (2), or 7602 shall be such time and place as may be fixed by the Secretary and as are reasonable under the circumstances. In the case of a summons under authority of paragraph (2) of section 7602, or under the corresponding authority of section 6420(e)(2), 6421(g)(2), or 6427(1)(2), the date fixed for appearance before the Secretary shall not be less than 10 days from the date of the summons. 'Or United States magistrate, pursuant to P.L. 90-578. Sec. 7610. Fees and costs for witnesses (a) In General.—The Secretary shall by regulations establish the rates and conditions under which payment may be made of— (1) fees and mileage to persons who are summoned to appear before the Secretary, and (2) reimbursement for such costs that are reasonably necessary which have been directly incurred in searching for, reproducing, or transporting books, papers, records, or other data required to be produced by summons. (b) Exceptions.—No payment may be made under paragraph (2) of subsec- tion (a) if— (1) the person with respect to whose liability the summons is issued has a proprietary interest in the books, papers, records or other data required to be produced, or (2) the person summoned is the person with respect to whose liability the summons is issued or an officer, employee, agent, accountant, or attorney of such person who, at the time the summons is served, is acting as such. (c) Summons to Which Section Applies.—This section applies with respect to any summons authorized under section 6420(e)(2), 6421(g)(2), 6427(j) (2), or 7602. Sec. 7210. Failure to obey summons Any person who, being duly summoned to appear to testify, or to appear and produce books, accounts, records. memoranda, or other papers, as required under sections 6420 (e) (2), 6421(g) (2), 6427 (j) (2), 7602, 7603, and 7604 (b), neglects to appear or to produce such books, accounts, records, memoranda, or other papers, shall, upon conviction thereof, be fined not more than $1,000, or imprisoned not more than 1 year, or both, together with costs of prosecution. Form 2039 (Rev. 02-94) NOTICE TO THIRD -PARTY RECIPIENT OF IRS SUMMONS As a third -party recipient of a summons, you. may be entitled to receive payment, fpr certain costs directly in- curfed-which-are reasonably necessary to search for, reproduce; or transport records in order to comply with a summons. This payment is made only at the rates established by the Internal Revenue Service to certain persons served with a summonstoproduce records or information in which the taxpayer does not have an ownership interest. The taxpayer to whose liability the summons relates and the taxpayer's officer, employee, agent, accountant, or attorney are not entitled to this payment. No payment will'be made for any costs which you have charged•or billed to other persons. The rate for search costs is $8.50 an hour or fraction . of an hour and is limited to the total amount of personnel time spent in locating and retrieving documents or infor- mation requested by the summons. Specific salaries of such persons may not be included in search costs. In ad- dition, search costs do not include salaries, fees, or similar costs for analysis of material or for managerial or legal ad- vice, expertise, research, or time spent for any of these ac- tivities. If itemized separately, search costs may include the actual costs of extracting information stored by computer in the format in which it is normally produced, based on computer time and necessary supplies; however, person- nel time for computer search may be paid for only at the Internal Revenue Service rate specified above. The rate for reproduction costs for making copies or duplicates of summoned documents, transcripts, and other similar material is 20 cents for each page. Photographs, films, and other material are reimbursed at cost. The rate for transportation costs is the same as the ac- tual cost necessary to transport personnel to locate and j: r retrieve summoned records or information, or costs incurred solely by the need to transport the summoned material to the place of examination. In addition to payment for,search, reproduction, and. transportation costs, persons who appear before an Inter- nal Revenue Service officer in response to a summons may request payment for authorized witness fees and mileage fees.- You may make this request by contacting the Inter- nal -Revenue Service officer or by claiming these costs separately on the itemized bill or invoice as explained below. Instructions For Requesting Payment After the summons is served, you should keep an ac- curate record of personnel search time, computer costs, number of reproductions made, and transportation costs. Upon satisfactory compliance, you may submit an itemized bill or invoice to the Internal Revenue Service officer before whom you. were summoned to appear, either in person or by mail to the address furnished by the Internal Revenue Service officer. Please write on the itemized bill or invoice the name of the taxpayer to whose liability the summons relates. If you wish, Form 6863 (Invoice and Authorization for Payment of Administrative Summons Expenses) may be used to request payment for search, reproduction, and transportation costs. Standard Form 1157 (Claims for Witness Attendance Fees, Travel, and Miscellaneous Expenses) may be used to request payment for authorized witness fees and mileage fees. These forms are available from the Internal Revenue Service Officer who issued the summons. If you have any questions about the payment, please contact the Internal Revenue Service officer before whom you were summoned to appear. Anyone submitting false claims for payment is subject to possible criminal prosecution. Part B — To be given to person summoned Form 2039 (Rev. 02-94) Sec. 7609. Special procedures for third -party summonses. (a) Notice— (1) In General.—If— (A) any summons described in subsection (c) is served on any per- son who is a third -party recordkeeper, and (B) the summons requires the production of any portion of records made or kept of the business transactions or affairs of any person (other than the person summoned) who is identified in the description of the records contained in the summons, then notice of the summons shall be given to any person so identified within 3 days of the day on which such service is made, but no later than the 23rd day before the day fixed in the summons as the day upon which such records are to be examined. Such notice shall be accompanied by a copy of the sum- mons which has been served and shall contain an explanation of the right under subsection (b) (2) to bring a proceeding to quash the summons. (2) Sufficiency of notice.—Such notice shall be sufficient if, on or before such third day, such notice is served in the manner provided in section 7603 (relating to service of summons) upon the person entitled to notice, or is mailed by certified or registered mail to the last known address of such person, or, in the absence of a last known address, is left with the person summoned. If such notice is mailed, it shall be sufficient if mailed to the last known ad- dress of the person entitled to notice or, in the case of notice to the Secretary under section 6903 of the existence of a fiduciary relationship, to the last known address of the fiduciary of such person, even if such person or fiduciary is then deceased, under a legal disability, or no longer in existence. (3) Third -party recordkeeper defined.—For purposes of this subsection, the term "third -party recordkeeper" means— (A) any mutual savings bank, cooperative bank, domestic building and loan association, or other savings institution chartered and super- vised as a savings and loan or similar association under Federal or State law, any bank (as defined in section 581), or any credit union (within the meaning of section 501 (c) (14) (A)); (8) any consumer reporting agency (as defined under section 603 (d) of the Fair Credit Reporting Act (15 U.S.C. 1681 a (f))); (C) any person extending credit through the use of credit cards or similar devices; (D) any broker (as defined in section 3 (a) (4) of the Securities Ex- change Act of 1934 (15 U.S.C. 78c (a) (4))); (E) any attorney; (F) any accountant; (G) any barter exchange (as defined in section 6045(c)(3)); and (H) any regulated investment company (as defined in section 851) and any agent of such regulated investment company when acting as an agent thereof. (4) Exceptions.—Paragraph (1) shall not apply to any summons— (A) served on the person with respect to whose liability the sum- mons is issued, or any officer or employee of such person, (B) to determine whether or not records of the business transactions or affairs of an identified person have been made or kept, or (C) described in subsection (f). (5) Nature of summons.—Any summons to which this subsection ap- plies (and any summons in aid of collection described in subsection (c) (2) (B)) shall identify the taxpayer to whom the summons relates or the other person to whom the records pertain and shall provide such other information as will enable the person summoned to locate the records required under the. summons. (b) Right to Intervene: Right to Proceeding to Quash.— (1) Intervention.— Notwithstanding any other law or rule of law, any person who is entitled to notice of a summons under subsection (a) shall have the right to intervene in any proceeding with respect to the enforcement of such summons under section 7604. (2) Proceeding to quash.— (A) In general.—Notwithstanding any other law or rule of law, any person who is entitled to notice of a summons under subsection (a) shall have the right to begin a proceeding to quash such summons not later than the 20th day after the day such notice is given in the manner pro- vided in subsection (a) (2). In any such proceeding, the Secretary may seek to compel compliance with the summons. (B) Requirement of notice to person summoned and to secretary.—If any person begins a proceeding under subparagraph (A) with respect to any summons, not later than the close of the 20 -day period referred to in subparagraph (A) such person shall mail by registered or certified mail a copy of the petition to the person summoned and to such office as the Secretary may direct in the notice referred to in subsection (a) (1). (C) Intervention; etc.—Notwithstanding any other law or rule of law, the person summoned shall have the right to intervene in any proceeding under subparagraph (A). Such person shall be bound by the decision in such proceeding (whether or not the person intervenes in such proceeding). (c) Summons to Which Section Applies.— (1) In General.—Except as provided in paragraph (2), a summons is described in this subsection if it is issued under paragraph (2) of section 7602 (a) or under section 6420 (e) (2), 6421(9)(2), or 6427 (j) (2) (or 6427 (i) (2) for gasoline removed before January 1, 1988) and requires the production of records. (2) Exceptions.—A summons shall not be treated as described in this subsection if— (A) it is solely to determine the identity of any person having a numbered account (or similar arrangement) with a bank or other institu- tion described in subsection (a)(3)(A), or (B) it is in aid of the collection of— . . (i) the liability of any person against whom an assessment has been made or judgment rendered, or (ii) the liability at law or in equity of any transferee or fiduciary of any person referred to in clause (i). (3) Records; Certain ReIate6Tes1irhoi`J.—For purposes of this section— (A) the term "records" includes books, papers, or other data, and (B) a summons requiring the giving of testimony relating to records shall be treated as a summons requiring the production of such records. (d) Restriction on Examination of Records.—No examination of any records required to be produced under a summons as to which notice is required under subsection (a) may be made— (1) before the close of the 23rd day after the day notice with respect to the summons is given in the manner provided in subsection (a) (2), or (2) where a proceeding under subsection (b) (2) (A) was begun within the 20 -day period referred to in such subsection and the requirements of subsec- tion (b) (2) (B) have been met, except in accordance with an order of the court having jurisdiction of such proceeding or with the consent of the person begin- ning the proceeding to quash. (e) Suspension of Statute of Limitations.— (1) Subsection (b) Action.—If any person takes any action as provided in subsection (b) and such person is the person with respect to whose liability the summons is issued (or is the agent, nominee, or other person acting under the direction or control of such person), then the running of any period of limita- tions under section 6501 (relating to the assessment and collection of tax) or under section 6531 (relating to criminal prosecutions) with respect to such per- son shall be suspended for the period during which a proceeding, and appeals therein, with respect to the enforcement of such summons is pending. (2) Suspension after 6 months of service of summons.—In the absence of the resolution of the third -party recordkeeper's response to the summons described in subsection (c), or the summoned party's response to a summons described in subsection (f), the running of any period of limitations under section 6501 or under section 6531 with respect to any person with respect to whose liability the summons is issued other (other than a person taking action as provided in subsection (b)) shall be suspended for the period— (A) beginning on the date which is 6 months after the service of such summons, and (B) ending with the final resolution of such response. (f) Additional Requirement in the Case of a John Doe Summons.— Any summons described in subsection (c) which does not identify the person with respect to whose liability the summons is issued may be served only after a court proceeding in which the Secretary establishes that— (1) the summons relates to the investigation of a particular person or ascer- tainable group or class of persons, (2) there is a reasonable basis for believing that such person or group or class of persons may fail or may have failed to comply with any provision of any internal revenue law, and (3) the information sought to be obtained from the examination of the records (and the identity of the person or persons with respect to whose liability the summons is issued) is not readily available from other sources. (g) Special Exception for Certain Summonses.—In the case of any sum- mons described in subsection (c), the provisions of subsections (a) (1) and (b) shall not apply if, upon petition by the Secretary, the court determines, on the basis of the facts and circumstances alleged, that there is reasonable cause to believe the giving of notice may lead to attempts to conceal, destroy, or alter records relevant to the'examination, to prevent the communication of infor- mation from other persons through intimidation, bribery, or collusion, or to flee to avoid prosecution, testifying, or production of records. (h) Jurisdiction of District Court; Etc.— (1) Jurisdiction.—The United States district court for the district within which the person to be summoned resides or is found shall have jurisdiction to hear and determine any proceedings brought under subsection (b) (2), (f), or (g). An order denying the petition shall be deemed a final order which may be appealed. (2) Special rule for proceedings under subsections (f) and (g).—The deter- minations required to be made under subsections (f) and (g) shall be made ex parte and shall be made solely on the petition and supporting affidavits. (i) Duty of Third -Party Recordkeeper.— (1) Recordkeeper must assemble records and be prepared to produce records.— On receipt of a summons described in subsection (c), the third -party recordkeeper shall proceed to assemble the records requested, or such por- tion thereof as the Secretary may prescribe, and shall be prepared to produce the records pursuant to the summons on the day on which the records are to be examined. (2) Secretary may give recordkeeper certificate.—The Secretary may issue a certificate to the third -party recordkeeper that the period prescribed for begin- ning a proceeding to quash a summons has expired and that no such pro- ceeding began within such period, or that the taxpayer consents to the examination. (3) Protection to recordkeeper who discloses.—Any third -party record - keeper, or agent or employee thereof, making a disclosure of records pursuant to this section in good -faith reliance on the certificate of the Secretary or an order of a court requiring production of records shall not be liable to any customer or other person for such disclosure. (4) Notice of suspension of statute of limitations in the case of a John Doe summons.—In the case of a summons described in subsection (f) with respect to which any period of limitations has been suspended under subsec- tion (e)(2), the summoned party shall provide notice of such suspension to any person described in subsection (f). Form 2039 (Rev. 02-94) i I e 1ESIDENTIaL k� 61-48-50 79-91B,P,E,M DAMBERGER, Ronald o�v ^� Bell Ranch Rd, Oroville I (new sf ) / l9Z w' i2 i Flo , w e,� oto.,/ J 1 OFFICE COPY Address GAS Meter By Date i • i __OFFICFIa"Jr-�— ----•- rJ Addressko-r GAS V� Meter By -1 y Date. ELECTRIC Date( Meter By — JOB FINALE Signature 4, i I e 1ESIDENTIaL k� 61-48-50 79-91B,P,E,M DAMBERGER, Ronald o�v ^� Bell Ranch Rd, Oroville I (new sf ) / l9Z w' i2 i Flo , w e,� oto.,/ J 1 OFFICE COPY Address GAS Meter By Date i • i __OFFICFIa"Jr-�— ----•- rJ Addressko-r GAS V� Meter By -1 y Date. ELECTRIC Date( Meter By — JOB FINALE Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 .f 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road,. Paradise— Phone: 872-6307 CORRECTION NOTICE OWMER _ ! PERMIT NO A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. =�a Date Inspector , V 4 4g Date Inspector , V �;rw' .. . �•. .. sG}1:'y,�i;'`Y.:T.'-�'.:ti.v.r.-"7..-a�!"�•r.� �..r4 ti ` 'r''r+!", • , __ ` .- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE PNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above add_ressfiand 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. /01 r Date Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE R T 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 matte; or need additional explanation, please contact this office immediately. Date_ ,� �6 ` ( Inspector /7 //— It , ✓=OK O = Not OK - = Not Applicable Not Ready r RESIDENTIAL (Shigle tl* Duplex) ' = Date UNDERFLOOR (Plans) OK except #'s Zoning -Setbacks -Easements- lood-Slope Ftg., Main; Soils-Ele .-//,,7;�-Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. FW., Porches & Decks; Soils -Steel-/ /Ftg. Depth Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8 iers-Fireplace Ftg.-Steel 9 V.; Fall-Fittin - est -2 Way C/ ewer Test Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground :�J.�P(enums & Ducts; ClearanZMaterial-Supgpff-Ins. loll. Gird -Sills-Anchor BiAfsJots<-VentAfripples 15. Insulation Datk Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING Per it OK except #'s CW`Wa1er'Htr.; Vent -Access -Combustion Air -Baffle er Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection Shower Pan; Test, FiLsi Floor -Tub Access 20. e t Tub & Sh er, S a-F)Fer-Tu Access Gas Pipe; Size & Anchors Date cg/ Card B-1 Date Card B-1 Date �� Card B-1 G Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2Z, & Transformer Clearance -Ins. Protection 3. Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled mex Installed Close to Edge of Studs & C.J. q ip. Ground made up w/Mech. Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfee ire Size /// ga. Cu or C,Wire Size// ga. Cu or AI 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / a. Cu or Insulated Neutral 0 Yes Ar No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. Ducts Insulation & Support 5. Ve .Fan; Exhaust above insulation -arcondensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA"G (Plans) OK except #'s Si s, Proper Material & Anchors W IIs Studs -Nailing, Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing 2. Draft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub I.A< Headers & Beam -Size & Bearing Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors L415—CIng. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 4 . replace Ties or Type A Flue -Fir t ce Throat clearance is Access; Size Ro rotec n -Draft Stop -Ins. Baffles /49�drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 56zGwege-Fire-Prote'Ction Framing �pperty Line Firewall & Openings t.&2 -Ext. Doors -One T -Check Garage -3rd Story, 2 Exits tairs; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers X55. Siding-Nailinq Veneer 56r-gh7c ro Mesh -Drip Screed -Fd. Vents-Underflr. Access C51—Glazing Area -Glass Protection -Skylights -Plastic 5 IIs; Nailing -Bolts Insulation -Walls -Ceilings — 60. Infiltration -Walls -Windows Datec-f" /' %�/ Card B-1 t/ ,0 . _ Date Card B-1 Date Card B-1_t7,odV-- Date Card B-1 ffeT.)Ext._S1eps-Door & Sidelight Protection -Landings moke Detector 6 urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection / edroom Exiting 65. G & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes & Labels 24dtqjRails 1AWfireplace or Stove; Clearance art 69. Elec. Outlets at Wood Panel; Int. & rxt. it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance lec, Outlets & Receptacles at Kit. Counter e Fire Door; Swing -Landing -Closer C. D ct in Garage -Damper J.wWt—r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In rage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location Garage; (G.F.I.)-Romex Protection 177 s l^tinn-Foam-Looked in Attic 13 Yes Guard_Rails & Deck Congtruction-Post Caps r n Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Flooy O Yes �^ 80. Following instid.; Drive- es 0 No; Walks O Yes No; Planters C1 Yes 61 o rown-Finish A. nit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to L8. W010`Well; Disconnect, Electrical, Plumbing 2,06.7 Exterior Elec. Trim; G.F.I. Receptacle -Underground L,W. Vent' tion Throughout House mss Protection _Qgrrections from Previous Inspections W. Gas Test -Meters Tagged; Gas -Electric Lar ewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date b' , 1 Card B-1 W Date Card B-1 Date () Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) v=Ok 0 = Not OK Not1 = Not Readyable Y 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: / P L" ft. / P'Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEO S , Date DECJK COVERS,.CARPORT , GARAGES, PI s OK except #'s JX Zo ' aquirements-Setbac - ents Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.;.Steps-Doors-Landings Dates _ Card B-1 Date Card B-1 Date I Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7.Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - QQARTA4ENT OF PUBLIC WORKS 7 County Center Drive - Orov!Pe; �9fornia 65965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RMIT NP. ASSESSOR PARCEL NUMBER - 61-48-50 ZONING .. " U BUILDING PERMIT OWNER Ronald Camber er TELEPHONE- 589-4761 - SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADD ESS 538 Silverleaf Oroville CA 95966 46 R 187 960 576 M 8,064 CONTRACTOR'S NAME Ownpr TELEPHONE 1461 COV 14,610 CONTRACTOR'S MAILING ADDRESS Fireplace 2 -'tot' 2000 s CONSTRUCTION LENDER o UNKNOWN Total Valuation $ 212,634 LENDER'S MAILING DDRESS Filin F g Fee $ 10.00 Permit Fee $ 715.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 357.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 15.00 Penalty $ BUILDING ADDRESS Bell Rch. Rd., Oroville Permit fee $ 1098.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 60.00 Solar or heat pump water heater 20.00 60.00 LOT NO SUBDIVISION NAME PARCEL MAP f// Water piping 5.00 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New pg Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 6 BR Permit Fee $ 140.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR L 00 AMP ORSL Arn, 10.00 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. 1� Icense No. Classification REx. 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 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP" , OR ACDNS. � ACC. BLDGS. 2/2QSgft NEW CONST R. ULTI.OUTL NO N.R E SID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &� \SINGLE OUTLET CIR. /0 200s0a Ex. Occup( p( UTLETS OR FIXTURES SAL@30 FIXED Occup. OUTLETS PIRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 159).35 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 2 1 12.00 heat pump Cooling g 2 @ 4T. 2 11.00 22.00 Hood 3,00 1 3.00 Ventilation8 3.00 24.00 P Permit Fee $ 71.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating building construction, and hereby authorize representatives of the Countyof 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 agaiU�_aid County 'n consequen a of the granting of this permit. X .�%���r�� ,� , Date Signature of Applicant - Owner V Co tractor ❑ Agent ❑ An OSHA permit is required For excavations ov r 5'0" deep a demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $W30.to cButte TOTAL EE Hnz cuA PARK sc F PAR This permit is Hereby issued under sions of the Butte County Code and/or work indicated abov�-fo which fees D E TOR QF UBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date- 1 Receipt NO. 83906(-�412.75// 1 WHITE-D.P.W., YELLOW- S'sOk�Ib- NSPECTO GOLDENROD -APPLICANT ry Nit � `y, r • t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Orovllle, California 95965 - Telephone: APPLICATION ANk.PERMIT WORKS PERMIT N0. 916,'538.7541 / ASSESSOR PARCEL NUMBER 061-480-50 PORT ZONING r 1111 BUILDING PERMIT OWNER RONALD DAMBERGER TELEPHONE 589-4761 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 240 SUNDAY DROVE BERRY CREEK 95916 CONTRACTOR'S OWNER O 1Y ER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD 240 SUNDAY DRIVE BERRY CREEK Permit fee $ 30.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 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 ►] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ AdditionEl Remodel ❑ Utilities ❑ InstallationC Other ❑ Describe work: PERMIT TO COMPIM DECK AND SHOWER PAN FOR B.P. # 79-91 Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h ( ACC, BLDGS. OR ADDNS, _37.50 3.6asq.ft. NEW •UTLET NONRESID. BRANCH CIRC ITS @5.00 APPARATUS 61 SINGLE OUTLET cIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED Ex. Occup. OUTLETS P(RESID )LINIS REA7 I 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): 17 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 f Consent to Self -Insure. R ' 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 Coolin g 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 ` `r �'/ IL ^—$.-0 J ~ 1� -"L—Date � ZG 9 Z— Signature of Applicant - owner jam/ 9 pp L� Co tractor CJ 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 5O OO • HAz 1 DFEES I IMP I FLOOo I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi sions of the Butte Courcy Code and/or resolutions to do � � work�incdlicaldlab�ov for which fees have been paid. �' IR CTOR OF PUBLIC WORKS By pate f ?14�,t PE MIT EXPIRES Date X9'3 Receipt No. 116810 WHITE -D. P. W., YELLOW-ASSlSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V/ / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT 140. v 7 County Center Drive - Orovllle.:Calieornla 95965 - Telephone: 916,'538-75419r� APPLICATION:AND PERMIT ASSESSOR PARCEL NUMBER -TONING 061-480-1* -P@" BUILDING PERMIT OWNER TELEPHONE RONALD DAMBERGER 589-4761 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 240 SUNDAY DROVE BERRY CREEK 95916 CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 40SUNDAY DRIVE BERRY CREEK Permit tee $ 30.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 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 SFP Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New lI Addition D Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: PERMIT TO COMPLETE DECK AND SHOWER PAIS FOR B.P. # 79-91 a I I Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 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 .Jo. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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.&\ OR ADONS. 1 ACC. BLDGS. II 3.6a sq.ft. NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e� SINGLE OUTLET CIR, Ex. p OUTLETS OR FIXTURES 20 761 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID .)OR EA.) I 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 �f Consent to Self -Insure. LrJ 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 g 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 ag aid County An sequence of the granting of this permit. X x �� Date .( -2- 6 ' ! -- ^/ Signature of Applicant — Owner lam/ Co tractor ❑ 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 S Energy Inspection Fee $ OCC E CONST TYPE TOTAL FEE $ 50.00 HAz DFEES IMP FL000 CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Co u y Code and/or resolutions to do Work Indic a e or which fees have been paid. I T OF PUBLIC WORKS By ate 2� PE EXPIRES Date :Z6 Receipt No. 116810 .P. WHITE -DW., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 7.✓1�" M d�J'���P,7fYYi' ,,. •" 9 "�l.i:,,;�`:_7` _. �� J. lY - '1'• c _.•ri''..j..,i,�ps .b COUNTY OF BUTTE - DEPARTMEj PU kIC WdAKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROpVILLE; ,41FORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICAT19 f DATA SHEET ---�-- �� Permit No. JT OWNER O Q' C{ C 1^ e ��"+ ;,'. t, A Proposed Building Use LAJ Building Inspector. Date L f /.r 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. WI 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 ......... 44tatement of Intent for Non -Heated and AC Buildings .............. ngineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installa'Con instructions Q fir{'' 10. Fees of � 0 V ............................ 11. Chico Urban Area fees paid ....................................... 112. Parkf s paid ............�................................. 3. r© � I 0 hoot Distri j lees paid .............. Sanitation approval from t^ © V t �` C 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: ...... -AA.Improvements may be required. Contact Land Development Section DPW ��1'g9 0lrlveway permit (construction""' pproval 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 ... It I wO2. Certificate of Workmans Compensation Insurance .................. 23' wner-Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... �- 25. Letter of signature authorization ........... .................... . 216. r 27. Whin you issue the pe t, pr c as follows: M t owner. Mail to contractor. Telephoned ^��� and hold for pickup at �� office. Deliver w/inspector. A Other r' Applicant ate 719~19/ CO Dy Of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date �J Copy of plans sent _Health Dept. Fire Dept.. Other Date By The following data must be submitted prior to ermtt,j�i anc'. � it new item not checked above). 1. Index permit for above items No. _ ��g %)(Y�/ n i/1� 2. Additional items req rec Cortractor, designer, owner, was Plans checked by Contractor, designer, owner, was advised of above required data by—phone _mall_counttRr by date Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy—DPW Date TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner V Location AP# Plan Approved for: Hold final for: Sewaqe Disposal Water Supply Le'/ yinal clearance O.E. for: Clearance for 2 bedroom mobile home. Other NOTE Water Supply Water Supply fl -11 lle —_ l Sanintariaate COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: . An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) (,Pi 2. I (have/have not) 6Vier 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, s ervise, and provide the major work: -Name x iii, 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 Securit Numb!e Date % ; NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California.Health and Safety Code,., This verification must be completed and returned to our office before we are per- mitted to issue the permit: ... .. .a ,.F...rrrwr'C�r`••rif !'sf'n2f:- 7+K:J'7.r "+aT "RY7aaY"i .1" ♦ i"�' n�` ti' x.: 1170, , n� oh v a,. 133-ep�,I 'BUTTE`COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION -FORM r I 4 fo - ASIO Form per: Building ­) Number ~' �'� (�? Building' DepJartmen,t No . School Districtc2ro f1k, 1, p V1 City,[:]( County `j' ` Jurisdiction Property Owner Project Location/Address Subdivision 6 Lot Number Residential Development: Sq. # of Living MHI Addition Units Commercial/Industrial: r+ ,Jt ` rdUill(� Footage p (Group R) Sq. Footage New Addition (Including Exterior ' Roofed Area's) t 1 r IBu'Idi-ing Department Representative. Date (Floor Plans reviewed by School District Personnel) District Id No. q l 0 1 a A ©X0ruUt.-I School District certifies that (Applicant Name) I (Phone Number) ` -�- a Iv e /v Lei (Street Address) ®P-6 V gidi-. �a- (city) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ 114 representing 4, �OQ9 square feet. 9 91 School District Representative V Date' PAID BY CHECK NO. REMARKS: } BANK NO PAID BY. CASH f n � white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) • J 61 COUNTY OF BUTTE - PEPARTMENT OF PUBLIC WORKS PERMIT N0. V 7 County Center Drive •- Groville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT A SS ES)p R PAR5J OBER ��(( - —�— ZpNI Vv . _BU,ILDING—P_.ERMIT _ OWNE1 Q lC TP _ SO. FT.� OCC. BUILDING VALUATION ON( R -S MAI NG ADDRE S 63 )I I VC, 1� roe' R 96`966 CORAC TOR'S NAME TELEPHONE C - t✓p tdr 6 CONTRACTOR'S MAILING ADDRESS CO TRUCTION L DER - UNKNOWN QL Fireplace_ t �r Total Valuation $ LENOER'S MAILING ADDRESS - ARC T�EC^T OR ENGINEER LICENSE No. Filing Fee $ 10 00 Permit Fee Plan Checking Fee $ S $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS % e l Or. v ` Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 d 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;C Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Q Mobile Home S I G I W I h0-00ea TYPE OF WORK New Addition❑ Remodel . 2i2f Installation❑ Other ❑ Describe work: 9 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6100001 oSS 100 AMPR OLRELE 10.0 10,00 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. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCU OR AODNS. ( ACC, BLDGS. NEW CONSTR ULTI.OUTLET NON.RES10 BRANCH CIRC ITS ,/2Csgft 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 20@50¢ eAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc.'lyirin 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 1 10.00 Heating Cooling / D Hood 3.00 Ventilation k3, Q Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or 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. XTh;s Date Signature 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 TOTAL FEE $ (c> HA2 CUA [PARK SCHL FLD PAR PO HD ISSUE permit is hereby issued under sions of 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. ._ t 'WNITE-D.P.W.. YELLOW AS Oe,, P& T R .1111 ENROD-APPLICANT r / o Rett n to DPW AGRICULTURAL STATEa`M- OF ACKNOWLEDGEMPANT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded — prior to issuance of a building permit. 91-003999 9 103999 Ree Fee 7'.`00 The property described herein is adjacent ..Check to land or included within an area zoned Recorded ,._7.00 for agricultural purposes, and residents Official Records. ;X1. of this property may be subject to incon- County of L veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs': �. but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 12:46pm 31 -Jan -91 XX ,.2,, of agricultural operations including, but not limited to cultivation, plowing, _ _ �•., spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that .redl..p-operty..-situate in.the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date: JAN. 31, 1991 State of CA ) ) SS. County of BUTTE • • • • e • • • • o • • • • o • • • • • OFFICIAL SEAL o ® ANGELA -O. MASTELOTTO ® NOTARY PUBLIC -CALIFORNIA • • Principal Olflce In BUTTE County • • 69y Commission Expires SEPT. 14,19 • o • • ERTY .OWNI ERS : G X2a-..- On this the 31 day of JAN. 19 91 , before me, the undersigned Notary Public, personally appeared RONALD DAMBERGER AND CHERYL L. DAMBERGER************ ® Personally known to me. 0 Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) 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. �Z III otary Public �. �. ...0�6 ORDER NO. BU -117844-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 15, 1988, IN BOOK 111 OF MAPS, AT PAGE(S) 60, 61, 62, 63 AND 64. PARCEL II: A 60.00 FOOT NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES OVER BELL RANCH ROAD AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 15, 19881 IN BOOK 111 OF MAPS, AT PAGE(S) 60, 61, 62, 63 AND 64. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A 60.00 FOOT NON-EXCLUSIVE EASEMENT. FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 15, 1988, IN BOOK 111 OF MAPS, AT PAGES) 60, 61, 62, 63 AND 64. PARCEL IV: A NON-EXCLUSIVE EASEMENT 60 FEET IN WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES, INCLUDING BUT NOT LIMITED TO EASEMENTS TO PACIFIC GAS AND ELECTRIC COMPANY AND PACIFIC TELEPHONE AND TELEGRAPH FOR SERVICES TO THE GENERAL PUBLIC, THE RIGHT• FROM TIME TO TIME TO INSTALL, MAINTAIN, OPERATE AND USE SUCH GAS AND ELECTRIC FACILITIES BOTH ABOVE GROUND AND UNDER GROUND, AS IT MAY DEEM NECESSARY OVER, UNDER ABOVE AND WITHIN THE STRIP, AS SHOWN ON PARCEL 3 OF THAT CERTAIN PARCEL MAP, BEING` A PORTION OF THE SOUTHWEST -QUARTER OF SECTION 8, TOWNSHIP 20 NORTH; RANGE 3 EAST, M.D.B. & M., RECORDED IN THE OFFICE OP THE RECORDER, COUNTY OF BUTTE, STATE OF CALIFORNIA ON NOVEMBER 6, 1978 IN. BOOK 68 OF MAPS, AT PAGE 66. CONTINUED EN® OF ®®CUMVNrt nk/-c• A 12/90 RESIDENTIAL`PLAN CHECKING GUIDE MISC ANEOUS-ITEMS TO LOOK OUT FOR e�S irway details: landings, rise and run, head clearance,.handrails I�k-G ap-i.ay Sec. 3306). v� a.r3 Guardrail details (Sec. 1711 & 3306(j). r Brick or stone veneer (Chapter 30). Exterior plaster,: -.weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). >t Foam insulation - protection. "1-,. 36" halls and stairways. Living area over garage - complete 1 -hour sep ration required on garage side including supporting walls and posts, etc. 42e-rgc."'' Twoe is on three-story dwellings (sec. 3303 & see Mezannines - 1716). `! Att' access and ventilation (Sec. 3205). 1�,- derfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. . Noise requirements on duplexes.. Energy design. �f. lashing at all exterior openings. CDF responsible area requirements. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX &'MISC. ONLY) Bldg. Permit # OWNER 49 e ,- A.P.•4 11,71 GENERAL — Plan Checker Zoning requirements: (sideyards and ng�of permitted living units). 2. Valuation. /��• ye 1 P ans signed by designer. J Proper description of work on application. Existing violations on .property. 6. Items on data sheet. (W.C., fees, Health, Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. 12/90 Developer Fees, License law, etc). (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot -lines (Record form). FT,nnR PLAN / Complete to scale plan with dimensions. ;2• Required windows for light and ventilation (Sec. 1205). 'Required windows for second exit (Sec. 1204)._ l kylights (Chapter 34 & Sec. 5207). 3�iuman impact glass (Sec. 5406). equired room sizes, ceiling heights (Sec. 1207). FCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. age firewall, door size, and closer (Sec. 503(d)(3)). 1 3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stove location, alcoves, and clearance. lmoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS St dard bracing or engineered design (Table 25V) nusual,shape, size, or split level house requiring lateral design. ation plan complete enough to construct building. Floor c truction details complete enough to construct building. ations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fire lace construction details and calcs if necessary. ter ties or bearing ridge beam. Garage door or porch header sizes. . Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. building. of k An'1_�J 0A/ p J � 6.+ i r.►n �.( -�•,� t �^►� t JlH 7M� s Pu a a r a �9�1 / 1 f � 7Y r v �• --rK,o c�lay y n• h , b.c • �o �� P ��i�S -fit c� � � d • � p r� � �� y1� r h s�� Kr•.tha�. � �� su�h. S�anQ �i���� -- --. -�.K �.� o �V�S - -S Gt i/�tA� � 7 � �•� o sou/ ,>py ... .�,,7..o .Yd,T e7o.t 1 tsv o,lj .....ram 7 7 � yy►a � � y/a� ,,a til add ......... , ,,,,, N,J ��.....,a - �........._._.........__.._._......__ . J P .t raw// MORJ02ST SPAR 40LBS/SQ.F?. LIVE LOAD 25 -T -J-6 CrILIRG JOIST SPAR 10LBS/SQ.FT: LIVR LEAD On -wall Cetlinv " ,pT� �;; t<3 n v 'P D > ' dt n o 12 0 0_2 10-11 11--c 2x6- 1 7-0 -11 10-2 24 0 0 8- 8-10 12.0 12-1 14- 14-8 2x8 to e'.: 10-7 13-1 1 - 24.0 < U 11- ti -.9 12.0 1 s-` _J-1 1- 1x10 1F 0 1 - I -6_0_ 17-0 2�0-0-'' 14-4 14-11 12 08- 3?.- 22-10 2x12 1 05-10 20-a 20-' 24.0 17-5 18-1 AL:.tliAlt S? A11 STL'r; SPA.^.T'. 1R 02 D P at D.?. 12..0 -_ 12-8 12-11 2xb 16.0 - 11-6 11- 2 .0 100=0 10- ! 12.0 - 1 -11 20-3 2X6 1by0 - 18-,1 18-5 24.0 - 1 15- 16-1 _9 0 2x8 2x10 t F 0 -�i ?3_.. 2 - _.0 -7 I 20.-x_ 21-2 17.,0 b -u , �_-- 4-1 16 0 - 0- 1-0 _ 24.0 20-8 2 -0 27-1 25-:-R-1 L0 i/ OR HIGH SLOPE RATERS 20LBS/SQ.FT. LIVE LOAD SU7DortinR all Ceiling) 25 -T -R-7 LOW SLOPE RAFTERSt3:12 OR LESS 20LBS/SQ.FT, LIVE LOAD Unfinished Ceilin a1::??i 1A LF SPAN _LU. La 'SIZE S?ACTNG N' D ? 42 D.?. 1N,4D.F. 0 Iii -0 1 -4 15-11 '7.E 2x6 S'AC:NG �� D P D Py at D ° 12.0 12-0 15-8 1 16.0 10-5 1 -11 4-4 2x6 6 U 11- 14-2 14- _I 2:.0 -2 12-4. 12-8 0 A-- 11- 1-8 12 C iL 1 20- 20-11 ; 2x8 12. 15-10 U 20-8 1 .0 1 -8 - 18-11 2x8 1F�0 _14-10 tA.- 1R� 24._0 12-1 1673 16-8 120 21-10 l 25_10 26-8 _f 2d.0 t 2 :1 -0 t5- 2210 2x1 2z-4 2 t6 0' t _h -1 2210 6 0 18-11 j 23-11 2.4"11 24 14- 2 1 -8 24- 2- 2.-0 2x12 2.t.0 115 I 2 -8 21- _--1-2.0 16.0 21- 28-6 9-4 16.0 2 0 24.0 17-4 25-2 25-70 25-4-R-10 HIGH•SW?E RAFTERS OVER 3:12 20LBS/S-Q.FT. LIVE LOAD CrILr,)' Heavv Roof Covering) R-13 RICH SLOPE RAFTERS OVER 31,12 (TYPICAL) 20LBS/SQ,FT. LIVE LOAD Light Roof Coveri>�) _- p,FTFR AL 'OWAit.:: Sc -:1 b. A T.rrh) A . S1 pri an g2 D ° I 017,77'.SiSF: S'.4CTNG I bLance 1 42 ry p1 e1 D 2x4 12.6 - 10_6 10- 12.0 - 11-0 11-0 2z4 16.0 - 9_70 10-1 2e.0 - 1 8- 1 :0 - -1 -1 24.0 2x6 1 n - 16-1. 16-7 _ 12.0 1 -/ 17-: 17-3 .0 - is 1 1 2x6 LZ2A.0 - -0• 13-m4 1r, C - 13-11 14-4 24.0 -7 11- 11-8 2x8 12.0 - 21- 21-10 12.0 - 23-. 22-9 2x9 16.0 -1, 20-4 20-11 24_. 0 - 17-1 17-7 16.0 1 n-7 --'.3-5 1 °-11 21 0. - 15=C 15-5 2x10 12 G - 211 27-10 12.0 - 2 -1 29-1 2210 160, _ 2 -tt 26-8 F-221.0 2- 1 21-tu 22-5 1 .•J- 24-1 24.: t I" 19-2 19-8 11'- _ - 25 -T -R-14 HIGH SLOPE RAFTERS OVER 3:12 30LBS/SQ.FT..I,ITE LOAD LiPht Roof Co-reri ml pA :� ALi:anf) nS 25-T-11-11 HIGH SLOPE RAFTERS OVER 3:12 30LP.S/SQ.FT. LIVE LOAD Neavr Roc' Covering) A !)WARL.', t'A�� a $T7 2x4 2x6' 2x8 `•?�i?':, I a•�7n d7 D ;nt �.� 12.0 - -. _ .. 15.0 11-09-8 8-1� ;.1/•" \ 2x4 2x6 2x8 :j ?li:'T�:G d 7 trZ 'J L' (.'1 D, 12 G b_y^ _ 9- 1 ,.C; -10 8 -Qi 8-0 2.4.0 1.4-. '5-3 2Lk-.0 4_9 1 6--;'7 6-7 1^ 0 t�_0 -1-5 td 12.0 - 2-9 --1 16 0 8-8 1t- t2 -n - _ 24.0 - -� I )'- t 0 - =b 20- 24_0 7-I i -5 10-4 12.0 'd3-3" 17-8 ta_3 15.0 - t -10 18-4 16.o 11- - . 5-3 116-8 _-41 oa.0 ti -O 5-0 2d.0 1 1 �'' 7�� 2210 12.0: - =�- 2x10 '.< q 16-11 22- 24-6 15_0 -1`-4-11 -_19- 121-3 1n 0 - I 21-0 22-1G^ 24.0 1 10-9 I 17-7 1 19-2 24.0 I 11-11 1 15-1 -".117-4 -. TABLE NO. 25,40-MAtUM6 5CH[OULE TAIIlE H0.3ia-(Contlnwdl )1 - - ' . - • • • .. . r ta•G11M W1.�. Y•n.cl.b•.r.t:a Wall SMN11 it. 1.•,,,In[I: ads Joel to SO a nldo. ro• ".I W- 6J' tl:i •n[ pm. to•'ii•.: -ch end T.BA _ \'.1••• EJa 6to .obS.- a."w ••.h prat. F•.. n•J !-0d Ylt"fOd:' ' Kd•, Nan V ..d"w to ~b>ubAob p-sw. Inca n•:!. - .::•M brbbrr, ,00l •wd -aG aM.d,io� (b 6an.i..Q1 Z- tu1,Go,v to tort w un!c,, bond and (an nut 1.161 k. %, and Iw 5d- %x_aI'' td'a Mt' at -A I&I • IE" o.c&1'5.+ pl•s to pnt Tv tv;,a W owd..nd i-J1-ILI + 104 m M• 4.&1'•r��'I'�•' �L -- M1 0 Pq F m qvqMM1MM EMERSON ka" MA, i. Jai► 7i -��:. ,� - 19 np 00\21s ftft 91 LVA41 'off ir Won; �1�,\ its . , �..!`a11,•.��_ _ � Wzkvo � Chi ` �`!�! �� `' ..`_ -`►. ' ` .. 1iM��_C :�� �l r. - Ll\itl� Lill. Iv. N111L, AA ik, AL LN MAL *NM 0).Z 1,r- 992 017 or 71� or /Jim ro ro -� � � _ _ f/ �. Lr C C ! � �l� � � S� _ j �� ,/ """"'�Z� ��'/��� ��''✓� 11 �'�- .;���.,-��� A -�, �� � � f ��, I j ,. �. 1 - t .. - �. �� s� ``� � ' � � c . . 1 rr `, , Owner `✓ L"rlft6ef L ��M-9E,,eC&V _/Z- Permit No. E N E R G Y Bell Ranch Road, Oroville, ca. LOCATION ROOF . Material Thickness(inches) ET( IFICATION DESCRIPTION OF INSULATION EXTERIOR WALL Material FIBERGLASS BATTS Thickness(inches) 64" CEILING A. P. No. Brand Name Thermal Resistance (R Value) Brand Name OWENS-CORNING Thermal Resistance(R Value) R19 Batt or Blanket Type_fTBERGLASS BATTS Brand Name OWENS-CORNING Thickness(inches) 9;" 'Thermal Resistance(R Value) R30 Loose Fill Type FIBERGLASS Brand Name OWENS-CORNING Minimum Thicknesi(Inches) . 16" Number of Bags 81 Wt. per bag 35 lb. Area covered(ft. ) 4040 Thermal Resistance(R Value) R38 FLOOR, ELEVATED Material FIBERGLASS BATTS Brand Name Thickness(inches) 6/11 Thermal FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thicknes$(inches) Brand Name iThermal OWENS-CORNING Resistance(R Value) R19 Resistance(R Value) Brand Name. . Thermal Resietance(R Value)_,F,_,� I hereby certify that the above insulation was.installed in the above building in conformance with the State of Californ4 NuorEy Requirements, LOERKE INSULATION CO., INC. 499150 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. .r November 11, 1991 v, SIG URE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachinents have been installed as required by the State of California Energy Requirements. All equipment, devices and materials.are of the quality prescribed or are specifically approved by the State of California. lkollf*eg z &r8�f6 e/� , - FIRM NAME/OWNER (Please print) SIGNATURE OF GENERAL CONTRACTOR OWNER 3N y/ 7 STATE CONTRACTOR'S LICENSE NO 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 \ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7531 AGRICULTURAL BUILDING EXEMPTION PERMIT MI �y4. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER 4LOiU�GY. G/t�Ele �M,c°E�G��L PHONE NO. /(o — �� 9 —S/ 7 G/ OWNER'S ADDRESS J0441 1h S3 S, s/L C71cfi& EAJ= -Suo,4.Dte. LOCATION OF BUILDING as00 oT 14 P %1a suN•b,+(l 412 USE OF BUILDING SIZE OF STRUCTURE �� /�0 �0 X �' SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ,D4)0 ROOF COVERING i co�lPasir-io�l- C�'�S FLOOR TYPE ONGTI� ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows- ollows: �� �'�'^' �_ FRONT_rD SIDES -15 REAR FRONT AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date �/ Signature of Owner Permit Fee - $25-86 The above described AG Building is exempt from a building permit. Receipt No. Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant FLOOD PARCEL P.D. ROOFING ISSUE I I I Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7511 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural buildin-g is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. D J _ Qom\ J ZONING OWNER PHONE N0. OA) tb q- 916 —,519 4/ 7 to OWNER'S ADDRESS 01.at ( hyo S��(f �.I" b4, ,3s, S/1vea" r ,D/L,L q LOCATION OF BUILDING 00 FY W10 N9o/t,D ob,,w D USE OF BUILDING SIZE OF STRUCTURE 144 O0' X 149-67-- SQ. FT. TYPE OF CONSTRUCT ON: WOOD FRAME {// STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING,y l �LOOR TYPE %� GO oS iTioA) --� ' GoAlC4r— 7-1,r, ESTIMATED COST OF CONSTRUCTION $ :5-00 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT.' `�✓o..+ SIDES( REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner Permit Fee - $25-66 57000 Receipt No. 4609-1 The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant Director of Public Works By -- Date i FLOOD PARCEL P.D. ROOFING ISSUE Go (____ J Director of Public Works By -- Date i • .ti�7 ` � 1 .r .���a•� :.'v . j (`..."1! r �Y.f . w .}Y {' ..".e � r{" � } ,.ti.. Y. .c . s _ ♦ {: -.l' •, :t.. .t ..a�.;/ „ . , �• �. COUNTY OF BUTTE - DEPAUMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - VILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT Opt TION DATA SHEET Per bt No. OWNER 46-C 11 E/zG.E/l A. . No. Co �— _/F_ DSO Proposed Building Use Z ` 4 6 - C687MBuilding Inspector �0 Date At time of permit application, I was,advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required 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• 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) q 20. Pre -inspection for required Pre-Inspe°. 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 ......... 25. Letter of signature authorization ...................... .......... . 26. I_ 27. 538.5-/ycw e.4,4 62o 9s�cd When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other 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 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 requited data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date .BSM. • .�, 161-461 �,� 612 I 33.24 Sdd.r7 •-A -,, 53 I • l ac: 2 4 J . u - % 6 !' 1. ✓ 20.3 1 �C 2f,OaC f�/ Z1.82AC i m PM93- f — — — =� — — — —•�.3f . — — -- - +379._ 5ti 1078.75d 9 ,ch 2 13 0Q 6 9 1 ' •. Tdc.' -69 \ PM981 j �• �� ��e �sy5., i 140.,7� 4 ,RS47-!! p �: t�••- _ • RS47-4 I I C/41 '150 aC 15 Z-:64.07 158.40AC F613 r147.Z6 2685.93 \ d1r°i � - t�Z?� AO 55(V% 115.76 G a CA •c e j ;•' 163.40AC \ 160«C 1340, 2 j .. 'S �_0 n; \ s; NOTE; These parcels are for asse53mer 2 �G and may nat zonsritute .e of :a1 1 3 1=O / 1;15.01 ( Y 9 ` (, , 1_ 0 0.12AC,�� : �5'L� ' < `l 3214.56 _ ' 0 -573 .6 L_ �. � � /" � t-•/�O (3��`•'\ S ;ecu '�7' Q ~ � .G.', p �\ ' �tf4'I.SI�� _ CAE=K - `� = •f ♦ i � P �� f � o► 2 a \ z �. P!A11l-6 2 a 417.0; C<: 42.30AC 24.2'.3C, 8578-2� opi ^ \�" RS69-o b PM93-ti ;•: `' 20AC 1 770 034.32 97: ^11.i0 y/7 ;r• 1 �ssesserts Map No. E • 4 COUNY of Butte, 6i-49 • YE:`t5c;�: 3-91 n September 25, 1992 Ronald & Cheryl Damberger 240 Sunday Drive Berry Creek, CA 95916 CERTIFIED MAIL �lltte COIL L A N D O F N A T U R A L W E A L T H A N D B E A U T Y Department of Development Services PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 0OUNT11 OF CU7-PC BUILDING DEPT SEP 2 4 1992 Re: Use Permit, AP 061-480-054 Dear Mr. and Mrs. Damberger: Enclosed is your validated Use Permit No. 92-57 to allow a bed and breakfast inn for up to 12 person on property zoned "U" located at the end of Sunday Drive, Berry Creek. Should you have any questions regarding this matter, please contact this office between 10:00 a.m. and 3:00 p.m. Sincerely, B. A. Kircher Director of Planning BAK:lr Enc. cc: Land Development71i sion Building Division Environmental Health Department of Forestry USE PERMIT SEP 2 51992 BUTTE COUNTY PLANNING COMMISSION DATE: (Certified Mail Rec.) 92-57 PERMIT NO. AP 061-480-054 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Ronald and Cheryl Damberger is hereby granted a Use '1 Permit in accordance with application filed: July 6, 1992 to allow a bed and (breakfast inn for up to 12 persons on property zoned "U" located at the end of Sunday Drive, 0.6 mile north of Bell Ranch Road, approximately 0.6 mile west of Oro. Quincy Highway, Berry Creek. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-62. 2. Unless otherwise provided for in a special condition to this use permit, all conditions must be completed by the Permittee within 12 months of the delivery of the countersigned permit to the Permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the Permittee, the permit shall become null and void and reapplication and a new permit shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. Guest events that generate more than 30 guest, a maximum of 125, shall be limited to no more than 12 events per year. Exemption may be granted by the Planning Division of the Department of Development Services. 2. 1, The Bed and Breakfast Inn shall be limited to 6 guest rooms. 3. Food preparation shall be limited to that allowed by the Environmental Health department in a residential kitchen and shall be for the residents and overnight guests of the inn. 4. No more than 1 full time employee or equivalent may be allowed. 5. Provide a minimum of 9 parking spaces and make the circular driveway at least 14A wide to accommodate special event parking. 6. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this !use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and'!Health Department permits before starting construction, nor does it waive any other requirements. Butte County Planning Commission Chairman CC:'', Land Development Division Building Division Health Department Department of Forestry I LE AC- 14 F i CL 0 APPROVE nFILOPMENT PLAN SES .13E�ouJ '2 c oto- PA -t k i, 7- rz-- 13 E /) qF 13 ez,4,xg, 6 R -value Number of stories Family R -value One Two Three R-0 -103 -49 -02 R-19 -8 -4 .2 R30 .2 .1 -1 H-36 0 n 0 0.80 -153 -114 -76 ____....0.50 ...._...... _196: -91. -68 -46 0.30 -102 _A9 32 0.10 -26 -13 -8 0.08 -18 -9 -6. O.C6 -11 -5 -4 O.C4 -4 -2 -1 0.02 4 2 1 ! 0.100 11 5 3 3. Raised Floor Insulation 2. wall Insulation .9 Insulation in Flour Single- Single - Number of stories Family Family Muld- 6 R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 12 8 4 0.80 -153 -114 -76 0.50 -91. -68 -46 0.30 .47 -36 -24 0.10 0 0 0 0.08 4 3 2 O.C6 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation -19 .9 Insulation in Flour 10 30 Number of stories -13 R -value One Two Three R-0 -17 -8 .5 R-11 3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -52 -17 -9 0.60. .144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -Q -21 -14 0.10 '-17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 A. 2 1 O.CO 10 . 5 3 Controlled Ventilation Crawispace 34 .7 Number of stories 4 R -value One Two Three R-0 -11 -7 -5 R-5 -t -4 3 R-11 -2 .2 -2 R-19 -1 -2 -2 .1. Slab Edge Insulation 2 7 -- Number of Stories 16 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 . 3 F2 factor 0.90 -4 3 -1 0.80 -i -1 0 0.10 2 _- ' 2• i 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 a.tntiurauon,(Air..Leakage) ---- - - 7. Shading (Shade Open) -48 Specification -42 ---Efrective Points na na 14 Standard (percent &lass x SC) -50 0 na 6 Glass1ieat-I.0M_1___,,___ a - -_ East South :West " ramr..............:...... 18 5 txvafuai.._. ...... Percent 4 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 124 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 .9 1 10 30 -61 -21 -13 -t 4 12 29 -58 -20 .12 -3 5 12 28 -55 .18 -10 .2 5 13 27 -52 -17 -9 .2' 6 13 26 -49 .15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 .12 -5 1 8 14 23 -40 -11 d 2 8 15 22 37 .9 3 3 9 15 21 34 .7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 .1 3 8 12 17 16 -20 0 4 9 13 17 15 .17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) -48 .12 -42 ---Efrective Pes cestt Clxu na na 14 -10 (percent &lass x SC) -50 Effective na 12 a %Glass North East South :West Skylight 18 5 1 • 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na it 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 •: 2 3 5: 2 2 7., 1 3 4 2 2 6 1 3 4'. 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 i 0 3 1 -1 .1 -1 -1 2 0 -1 -2 -4 .2 0 na = not allowed 1 -4 & Shading (Shade Closed) 2 3 4 Erfedlve Pei cestt Giaas 0 8.0 7 10 11 13 (percent &Lasa x SC) 14 Effective 10 12 13 14 15 %Glass 18 North East S*A West 14 69 $1 ay6;M 16 .12 -42 -59 -55 na na 14 -10 -35 -50 -46 na 12 a .29 --t0 -37 na it -7 .26 -36 -33 na 10 -6 -23 31 -29 -74 9 -5 .20 -27 -25 -65 8 - -5 -17 -23 -21 -56 7 -1 .14 -19 -18 -47 6 .3 -11 -15 .14 -38 5 .2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 5.0 4 n -4 -5 -4 -16 2 1 -1 .2 .1 .9 1 1 1 1 1 -4 0 2 3 4 3 0 na • not alkmed 9. Interior Thermal Mass or interior Slab floor Raised Floa . Macs Sbries Stories One /CFA One Tvm Three One Two Three 0.0 .8 -5 -4 -2 .1 -1 0.1 -6 .5 3 -1 0 0 0.3 -14' .12 -10 --8 5 -4 _ 8.5 -9 .7 -6 -5. _. 0.9 .5 1 0 2 3 3 1.1 -4 .1 1 3 4 4 . 1.3 -3 0 2 3 4 5 1.5 .3 1 2 4 5 5 20 -1 2 4 15 6 7 25 0 3 5 7 7 8 3.0 1 4 6 -8 8 - 9• 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 1313 more 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass 16 14 12 9 Exterior Single- Single. 10.0 22 19 16 13 Wall Family Family Multi 26 23 19 15 Mass Detached Anadw Fam4 0.00 0 0 0 13.0 0.20 3 2 1 -9 0.40 5 4 3 10 8 7 6 0.60 8 6 4 No Cooling System Installed 0.80 10 8 5 7 1.00 13 10 7 2 1.20 13 12 8 2_ 1.40. 12 13 9 IE 1.60 10 13 11 . 1.80 10 12 12 Solar 200 10 11 13 i 11. Heating System 17 3.9 POU -10 SE or RSPF -5 -4 (assumes ducts In attic) 52 Multa-Family (individual _ Sum of 15 units) 09 1.1 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8, 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 0 EfTective SE or HSPF Solar (SE or HSPF x duct eflMaency) 7 Effective -25 or -24 to -14 b 1 to +610 16 or SE HSPF fess -15 -5 +5 +i5 more 0.30 275 -73 -64 -56 -47 38 -30 na 3.41 -45 .39 .34 .29 .24 .18 0.40 3.67 -34 -30 -26 .22 .18 .14 0.50 4.58 -10 .9 -8 -7 -5 d 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System or SEER R -value 191 U -value [0.0371 " One (ascumet ducts in attic) -4 -4 Stm of 7-10 -2 -2 Two + 25 or, 24 to r 14 b 410 +6 to 16 or SEE 8.0 -14' .12 -10 --8 5 -4 _ 8.5 -9 .7 -6 -5. -4 3 8.9 -5 d -4 3 .2 -2 9.0 -4 3 -3 -2 .2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5? 4 3 -»;z,,2 11.0 10 9 7 P`7-6"- 4 =_4x-3 . =- 120 15 13 11 9 7 5 13.0 23 17 14 12 9 6 0 0 or Solar 12 Elredlre SEER 6 5 1 4 (SEER )fdud ci clency) HWR 8 Sun of 7-10 4 3 Effective -25 or -24 to -14Io -4 b +610 16 or SEER lass -15 5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 .9 -7 5 -4 6.6 -5 d -4 3 .. -2 .2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 -9 Zonal Control Adjustment .6 IG 10 8 7 6 4 3 -2 No Cooling System Installed .2 i -Stories or R -value 191 U -value [0.0371 " One -5 -4 -4 3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Iktaehed and Attached Type [doublel U -value 10.651 90 Total Glass (161 Unit Size (s0. Water ; Mg 1200 1700 2200 2700 Heater Cx9dat or b to to or Type. Type less 0699 2199 2699 more SG None 0' 1 0 0 0 0 or Solar 12 " 8 6 5 1 4 HP HWR 8 5 4 3 3 5% WS8 5 3 3 2 2 40% POU 8_ 5 4 3 3 SE None 37 -24 -18 -15 -12 - .._ - 2 0.4 "'0.6'` Solar -i -1 -1 0 0 ND. r L OR HVIR -18 -12 -9 -7 -6 Zonal Control? ( Y / N) WS8 -25 -16 -12 -10" -8 HSPF (0.56/5.151 POU --1 18 ' _ -12 -9 -7 .6 IG None -5 .3 -2 -2 .2 Type' (SG1 Credit (none] . Solar 7 5 4 3 2 .... 4.6. POU 3 2_ 1 1 1 IE None -28 -19 .14 -11 .9 22 24 Solar 8 5 4 3 3 17 3.9 POU -10 -6 -5 -4 .3 , 52 Multa-Family (individual 40Y. units) 09 1.1 1.3 1.5 n (s 1.9 Water 24 699 700 1200 1700 2200 Heater Cr6dd or b toto 4.5 4.7 or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9- 5 3 2 2 S.5 WS8 9 4 3 2 2 1.4 POU 9 5 3 2 2 SE None -45 -23 -i5 -11 -9 4.J Solar 2 1 1 0 0 5.8 HWR -23 -12 -8 -6 -5 1.7 1.7 Wsa •25 -13 -8 -s -5 11 12 POU -23 =12.- �8 5 -5 IG None -8 -4 -3 .2 -2 6.1 Solar 6 3 2 1 1 2 rou 10 27 0 0 u IE' None 30 _ 15 -t0 -8 S 4.9 S Solar 18 9 6 4 4 64 POU . -8 -4 -3 .2 .2 r01nE .system Summary: Lllmate Gone n SCORE CARD Measures " -" --- " Point Scores 1. Ceiling Insulation or -•a, R -value (381 U -value 10.0301 2. Wall Insulation _ or R-valuc ( lj U-valuc 10.0981..'. 3. Raised Floor Insulation or R -value 191 U -value [0.0371 " 4. Slab Edge Insulation or Interior MassICFA F2 factor 10.77] 5. Infiltration Standard 6. Glass Heat Loss G.�/�f Type [doublel U -value 10.651 90 Total Glass (161 7. Shading (Shade Open) _ % Glass SC' Eff. % Grass a. No -0, X _ C3 b. East 17 X = /• `7 c. c. South. 3r 9e X = RiG d. West I i.7wtwc•.. �, tc.rv.a.a .1.e1 e. Skylight x = 8. Shading (Shade Closed) l rYP6 1 MASS (VtMC b 4.2, nes exposed Slab) SC Eff. % Glass a. North x = 1, 71e b. East x _ 0% 5% 10% 1S% 2076 2576 30% Z% 40% • 45Y.50% X 55% M% 0;-0;-70% 75X. 80% 8571. 90% 95% 1007: 105Y. 110% 115Y. 120% 125• 8..117:-_._0_-0. - .._ - 2 0.4 "'0.6'` 0.6.,,.0.6=-a.t__LI_-..1.5_._1.7: TYPi 2 MASS AREA 3 F• -.1.9--21-_..23,:.2i--2.7.__29�-.:J2.�:.14..::.1.8_". ND. r L OR AREA 11. Heating System C,. -C x Zonal Control? ( Y / N) ."•. _" "`. - .:._ (0.7716.61 HSPF (0.56/5.151 12. Cooling System::x __-(.2 - - ..'__QJ ' 0.4" 0.6' '0.8'' ` 0.8 : .. 1 _1.._.1.2 :-.. t.4 ., i.d :..1.9....2t:._23'....25....21.::29.. Type' (SG1 Credit (none] . 11:.: a3 .:. as .:: ar _.._ ... .... . 4 4.2 . 4.4. .... 4.6. 4-U-5--52"'54, 30% 0.5 V 0.9 1.1 1.2 1.4 1.4 1.6 1.6 1.8 1.8 2 2 22 22 24 24 26 27 28 29 3 3.1 3.2 3.3 3.5 15 17 17 3.9 19 4.1 4.3 4.5 4.8 5 52 5.4 56 40Y. 117 09 1.1 1.3 1.5 1.7 1.9 22 24 26 28 3 12 3.4 3.6 3.8 4 4.1 4.3 4.3 4.S 4.5 4.7 4.7 4.9 - 4.9 5.1 S.1 5.3- 5.3 5.6 So 50% 49 1.1 1.3 1S 1.7 1.9 21 23 2S 2r 3 12 14 a6 a8 4 42 4.4 4.5 4.8 5.1 5.3 S.5 5.5 5.7 5.7 5.9 5 9 6.1 5% 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 32 15 3.7 19 4.1 4.J 4.5 4.7 4.9 5.1 S.3 5.6 5.8 6 6 2 M% 65% 1 1.1 1.2 1.3 1.4 1.5 1.7 1.7 1.9 1.9 21 22 23 24 25 26 it 28 29 3 11 12 3.3 14 IS 3.6 4 4.2 4.4 4.5 4.8 S 5.2 5.4 56 5.9 6.1 63 70'4 1.2 1.4 1.6 1.8 2 22 2S 27 29 11 13 15 36 17 3.8 3.9 4 4.1 4.3 4.3 4.5 4.6 4.7 4.8 4.9 S 5.1 53 5 S 5.7 5.9 6.1 64 75% 1.3 as 1.7 1.9 21 23 25 it 3 12 14 16 16 4 .4.2 4.4 4.6 4.8 5.1 52 5.3 5.4 SS 5.6 So 6 62 64 5.7 5.9 6.1 6.3 6.5 607: 1.4 1.5 1.8 2 22 24 28 28 3 13 1S 17 19 4.1 4.3 4.5 4.7 4.9 5.1 54 56 S.8 6 6Z 85% 1.4 1.7 1.9 tt 2.3 25 2.7 29 11 3.3 3.5 18 4 4.2 4.4 4.6 4.8 S 52 54 5.6 S9 6.1 tit 66 90Y.' 1.5 1.7 2 22 24 26 28 3 3.2 14 15 18 ll 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 62 63- 64 65 67 95Y. 100% 1.6 1.7 1.8 1.9 2 21 22 2.3 25 2S 27 28 29 3 11 12 33 15 16 17 19 4.1 4.3 4.5 4.8 5 5.2 5.4 5.6 5.6 6 6.2 6.4 se 67 68 69 3.4 18 4 42 4.4 4.6 4.9 5.1 5.3 SS 5.7 5.9 6.1 &3 6.5 6.7 7 105% 1.8 2 22 2.4 26 28 3 13 3.5 17 3.9 4.1 4.3 4.S 4.7 4.9 S.t 5.4 5 6 5.8 6 6.2 6.4 6 6 6 8 7 1107. 115% 1.9 2 21 2.2 23 24 2.5 2.6 27 283 29 11 3.2 13 14 3.6 3.8 4 4.2 4.4 4.5 4.8 5 5.2 5.4 5.7 5.9 6.1 5.3 6.5 6.7 69 7.1 120% 2 2.3 2S 2.1 29 3.1 3.3 15 3.6 3.7 3.8 3.9 4.1 4.1 4.3 4.4 4.5 4.6 4.7 4.8 4.9 S 5.1 5.2 5.3 5.5 5.7 5.9 6.2 6.4 6.5 6.8 7 7 2 125% 21 23 25 28 3 3.2 14 3.8 18 4 4.2 4.4 4.6 4.9 5.1 4.3 5.4 SS 5.6 5.T S 8 5.9 6 6.1 6.2 63 6.5 65 6.7 67 6.9 7.1' 1 ] 7 7.2.1.4 r01nE .system Summary: Lllmate Gone n SCORE CARD Measures " -" --- " Point Scores 1. Ceiling Insulation or -•a, R -value (381 U -value 10.0301 2. Wall Insulation _ or R-valuc ( lj U-valuc 10.0981..'. 3. Raised Floor Insulation or R -value 191 U -value [0.0371 " 4. Slab Edge Insulation or R -value [01 F2 factor 10.77] 5. Infiltration Standard 6. Glass Heat Loss G.�/�f Type [doublel U -value 10.651 90 Total Glass (161 7. Shading (Shade Open) _ % Glass SC' Eff. % Grass a. No -0, X _ C3 b. East 17 X = /• `7 c. c. South. 3r 9e X = RiG d. West /, 2- x e. Skylight x = 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North x = 1, 71e b. East x _ / ; 4 :1 C. South X = a, io2 d. West x = �. e. Skylight X = 9. Interior Thermal Mass TYPE 1 KASS AREA B InteriorNnss/CFA COND. FLOOR AREA , 10. Exterior Wall Mass TYPi 2 MASS AREA 3 _ Exterior Wad Mass ND. r L OR AREA 11. Heating System C,. -C x Zonal Control? ( Y / N) SE or HSPF Duct Efficiency (0.781 Effective SE or (0.7716.61 HSPF (0.56/5.151 12. Cooling System::x Zonal Control? ( Y / N) SEER [9.51 Duct Efficiency 10.741 Effective,SEER (7.031 13. Water Heating ' ' Type' (SG1 Credit (none] . Sum lb Sum 7.10 Point Total: 4 Certificate of Compliance: Residential 7 1 A --- ---- - ProjectTILle 0. Documentation Author Telephone BUILDING DATA Conditioned Floor Area lgtabfRaised Floor Single Family Detached (SFD) Single Family Attached (SFA) Multi -Family QvIF) Climate Zone 11 ell - crMit. 0 xeck ed 15 y / Mt Fmfor=ncnt Glass Area acy Use only % Glass 16, North Number of Stories Fast Number of .Units South Addition - Alone West Existing Building Skylight Existing -Plus -Addition Total Climate Zone 11 ell - crMit. 0 xeck ed 15 y / Mt Fmfor=ncnt Glass Area acy Use only % Glass 16, 14o'rr-h NO rth 'East 70777 East SouLh South West West Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Locacion/Dcscripcion (kitchert, bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace.:, air Efficiency Location Duct Output Manufacturer / Model # conditioner, hent pump)- (SF— SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) 4 Co nfc yty 774c - Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gm. etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -IR NOTE. Lowrisc residential buildings subject Loft Standards must contain the= mcaturci regardless of the compliance approach used Items marked with an asterisk (')may be superseded by mom stAngaucompliance requircments listed • on the Certificate of compliance. When this checklist is incorporated into the permit docunw--lu, the futures noted shalt --be-corua-dicre4l'by-alt PuTics as-binding-mirtimurniiramporiEnj performance specificadorts (Cir the trundalery m6istirci-�--71 - DESCRIPTION DESIGNER ENMRCEMENr Building En -elope Measures 12-5352(a)- Minimum ceiling insulation R-19-0 cighted avenge j2-5352(b)r Loose rill insulation manufactuict's Labeled R-Vahjc. 12.5352(c): Minimum wall insulation in framed walls R. I I weighted average (does not apply to caLenor mass walls). 12.5352(k): Slab edge insulation - water absorption rate no greater than 0J%. water vapor transmission rate no greater than 2.0 p=Wuich. 12-5311: Insulation specified or installed mecca California Energy Commission (CEC) quality swwdards. Indicate type and form 12-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infilb2tion/ExtiltrationControls a. Doors and windows between conditioned and unconditioned spaces designed to Limit air leakage. b. Doors and windows certified. c. Doors and windows -cadscrstripped- all joints and penetrations sulked and settled 12-5352(c)* Special infiltration barrier installed to comply with §2-5351 mwA& CEC quality standards. 12.5352(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 7- No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures 12-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. 47-5352(h)and 2-5315: Setback thernios=cnalt applicable heating systems. 42-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC J2.5316(b): Exhaust system have damper controls. §2-5314(c): Gas-ruttl space heating equipment has intermittent ignition devices. 12-5314* RV AC equipmcnit, water heatemshowcrheads and fauccu certified bythe CEC §2.5352()- Water beater insulation blanket (R-12orgreater) orcombined interior/exterior insulation (R-16 or greater): fust 5 feet ofpipesclosest to tank insulated (R-3orgreaLer). §2.5312(Fxccption 1): Pipe insulation on steam and steam condensate rcmm, A recirculating piping. J2.5318(d): Swimming Pool Heating 1. System has: a. ONoff switch onhcater. b. Weatherproof instruction plate on haw: c. Plumbed to allow for solar. Z. 75 percent thermal efficiency. 3. Pool cove. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 12-53520). Lighting - 25 lumcns/watt or greater for general fighting in kitchens and bathrooms. 12.5314(c): Gas rued appliances equipped with intermittent ignition devices. J2.5314(a): Rchigerators. refrigerator-treezers• freezers and fluorescent Lamp ballasts certified by the CEC Indicate make and model number. COMIPLIANCESTATTANEENT This certificate of compliance lists tb,-, building features and performance specifications needed to comply with 'Title 24, Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and CX building owner. who shall retain a copy of it and ti-aristrift die Certificate to my Subsequent purdiaser of the building. Designer Building Owner Name: Name 7 ukjFt= Tide/Firrm Adder: Address: TckpSorlc: 7-1 'Tc1ophonc: �i%it P C j .. 7 (signature) 0490 (date) Docurneritation Author Enforcement Agency Name: Agency:; t Address: CU -Y - Address: Tckphonc BUILDING SHELL INSULATION. Component Insulation Locafiory/Comments Typo-, R -Value (aide, :a gmgd, =ica aw-5: –Wall .............. y— WaU .............. -Roof .............. : -_'" . -^ -Roof............. • Floor............. Floor ............. Slab Edge...:. GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (singkdoubie) (Zoller blind, etc.) (shade=em etc.) (yes/no) (metal/wood) 14o'rr-h NO rth 'East 70777 East SouLh South West West Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Locacion/Dcscripcion (kitchert, bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace.:, air Efficiency Location Duct Output Manufacturer / Model # conditioner, hent pump)- (SF— SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) 4 Co nfc yty 774c - Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gm. etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -IR NOTE. Lowrisc residential buildings subject Loft Standards must contain the= mcaturci regardless of the compliance approach used Items marked with an asterisk (')may be superseded by mom stAngaucompliance requircments listed • on the Certificate of compliance. When this checklist is incorporated into the permit docunw--lu, the futures noted shalt --be-corua-dicre4l'by-alt PuTics as-binding-mirtimurniiramporiEnj performance specificadorts (Cir the trundalery m6istirci-�--71 - DESCRIPTION DESIGNER ENMRCEMENr Building En -elope Measures 12-5352(a)- Minimum ceiling insulation R-19-0 cighted avenge j2-5352(b)r Loose rill insulation manufactuict's Labeled R-Vahjc. 12.5352(c): Minimum wall insulation in framed walls R. I I weighted average (does not apply to caLenor mass walls). 12.5352(k): Slab edge insulation - water absorption rate no greater than 0J%. water vapor transmission rate no greater than 2.0 p=Wuich. 12-5311: Insulation specified or installed mecca California Energy Commission (CEC) quality swwdards. Indicate type and form 12-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infilb2tion/ExtiltrationControls a. Doors and windows between conditioned and unconditioned spaces designed to Limit air leakage. b. Doors and windows certified. c. Doors and windows -cadscrstripped- all joints and penetrations sulked and settled 12-5352(c)* Special infiltration barrier installed to comply with §2-5351 mwA& CEC quality standards. 12.5352(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 7- No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures 12-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. 47-5352(h)and 2-5315: Setback thernios=cnalt applicable heating systems. 42-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC J2.5316(b): Exhaust system have damper controls. §2-5314(c): Gas-ruttl space heating equipment has intermittent ignition devices. 12-5314* RV AC equipmcnit, water heatemshowcrheads and fauccu certified bythe CEC §2.5352()- Water beater insulation blanket (R-12orgreater) orcombined interior/exterior insulation (R-16 or greater): fust 5 feet ofpipesclosest to tank insulated (R-3orgreaLer). §2.5312(Fxccption 1): Pipe insulation on steam and steam condensate rcmm, A recirculating piping. J2.5318(d): Swimming Pool Heating 1. System has: a. ONoff switch onhcater. b. Weatherproof instruction plate on haw: c. Plumbed to allow for solar. Z. 75 percent thermal efficiency. 3. Pool cove. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 12-53520). Lighting - 25 lumcns/watt or greater for general fighting in kitchens and bathrooms. 12.5314(c): Gas rued appliances equipped with intermittent ignition devices. J2.5314(a): Rchigerators. refrigerator-treezers• freezers and fluorescent Lamp ballasts certified by the CEC Indicate make and model number. COMIPLIANCESTATTANEENT This certificate of compliance lists tb,-, building features and performance specifications needed to comply with 'Title 24, Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and CX building owner. who shall retain a copy of it and ti-aristrift die Certificate to my Subsequent purdiaser of the building. Designer Building Owner Name: Name 7 ukjFt= Tide/Firrm Adder: Address: TckpSorlc: 7-1 'Tc1ophonc: �i%it P C j .. 7 (signature) 0490 (date) Docurneritation Author Enforcement Agency Name: Agency:; t Address: CU -Y - Address: Tckphonc