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Home My WebLink About061-520-004l} %/��'�'!� 1^�j' — — �R• ,ia �-� a t.v +yt ., r �-! _ •._ ROBERT _E. ROTfLLETT e NIS Gruber Lane, app 1100' E of ZD' Back Bloomer Rd, Permit#1137-81P,E (temp power pole 061-52-0-004 -�- MEYER, KEN &DEBORAH ~ 93-101 for well & futur . lot derv/ & water 85 CATALPA LN line) G,/- AGRICU BERRY CREEK � 61-52-04 LIVESTOCK FEED, EQUIP PERPII. NE�WNER: KENNETH MEYER85 n. , Berry Creek Permit #1372- MHuti7"j, ¢v� ELEq I<< 6 SUPPORT STRUCTURE REQ. COMPACTION TEST RE_ 61-52-04 Permit- 373 -88( -install MH) -- ISS 5- 6 �$g 61-52-04 1315-90B,P,E,M =` Meyer, Kenneth 85 Catalpa Ln, err Cr Q (new single fa i Y_� f 061-52-0-004 93-1716 BPEM MEYER, KENNETH 85 CATALPA LN, BERRY CREEK NEW SF I W l9l 0 ��' r � c� $' RESIDENTIAL 061-52-0-004 93-1716 BPEM -1 MEYER, KENNETH 85 CATALPA LN, BERRY CREEK NEW SF JOB FINALED (Date) r. ' Signature V=OK O=Not OK Not Applicable NotMOBILE HOMES Date/Initials 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 -Teat -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials 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-Breakere-Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements -2.-Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test l�� t V=OK (, O = Not OK'd a�'T - = Not Applicable , RESIDENTIAL = Not Ready Date/Initials UND FLOOR (Plans) OK except #'s 1 Zoning -Setbacks -Easements -Flood -Slope L21Ftg., Main; Soils-Elec.( .-/%ZFtg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth /.5!5temwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. ffie m -Fireplace Ftg.-Steel x•93 X. D.W.V.; Fall -Fitting -Test -2 Way C/O -SA ew r Test 10. UF. Gas Pipe; Size -Anchors Gard gas piping: size at 12. Electric; Underground 1 P ms ucts; Clearance -Materiel -Support -Ina. Af' Access & Ventilation 16. Insulation Date/Initials PLUMBING Permit OK except #'s Water Htr.; Vent -Access -Combustion Air -Baffle Water Pip Tes Anchor -Nail Protection j,IjL-,D:W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Tet Tub & Shower, Second Floor -Tub Access Gas Pipe; Size & Anchors Date/initials E CTRICAL Permit OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors /2_6ize. Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. i .269Equip. Ground made up w/Mach. Fastnem-Bond Gas & Water 2 Appliance Circuts in Kitchen & gonductor Size/GFI "26 ubfeed Wire Size fl3ga. Cu o A.C. Wire Size/ / ga. Cu or Al 29. Range Circ. & ga. Cu or&Vbven Circ. / / ga. or Al. Insulated Neblral ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect `uip. Clearances Panels -Motors -Mach. Equip. 4!2— thes Closet Light -Shower Light -Spa Light �33 Smoke Detector Date/Initials MECHANICAL Permit OK except #'s LAW-jk.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation ndensate Drain & Overflow; Size & Grade 7 urnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 0. ttic Access & Platform if Furnance in Attic Date/Initials FPJMING (Plans) OK except #'s K9. Sil , Proper Material & Anchors Its Studs -Nailing, Spacing & Bracing -Plates -Sound I-rBearing Wells over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fir Stops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) H pgers-Post Ceps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin=roof Bre -T use hthng g. ace Ties or Type A Flue -Fireplace Throat clearance 10VAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doom -Sill Hgt. & Dimensions rage Fire Protection Framing --b•1--Pr0p9Fiy .Lid Firewall & Openings Ext. Doom -One T -Check Garage -3rd Story, 2 Exits 53 1 ' -. Width -Headroom -Rise -Run -Landing -Fire Protection %Sr4- ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. iding-Nailing Veneer ,56-9tvaca-Mug"rip Screed -Fd. Vents-Underflr. Access L57-161-azing Area -Glass Protection -Skylights -Plastic 6prehear-Wells; Nailing -Bolts Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/initials Z Plans) OK except #'s Est. Steps -Door & Sidelight Protection -Landings /,k.Smoke Detector 1,6_3. urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection Comments & Bath Fixtures & Tub Access-_$ 6. c. Trim & Subpanel; Breaker Sizes els 67 i -& Rails 6 fireplace or Stove; Clearances -Hearth (69,El'q Outlets at Wood Panel; Int. & Ext. 479 Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance /7j,-Et6b. Outlets & Receptacles --at Kit. Counter .Z -D ct-in-Garage--ffa—mper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. in. ,mge;•Above Floor -Mach. Protection Ib., Elec. & Mech. Equip._Listed for Location c-Reoeptacles in era , d.F.I.)-Romex Protection r lation-Foam-Loo d in Attic ❑ Yes uard R ' & Deck Construction -Post Caps Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Y 80. Following instld.; Drive ❑ ❑(JJ ; Walks ❑ Yes ❑llo;r Planters ❑ Yea o est LowrL-F-IAish— A.C. Unit; Disconnect, Electrical, Plumbing CentAbove Roof; Plbg: Appliance -Fireplace. -Clearance to water Well; Disconnect, Electrical, Plumbing .xte iror Elec. Trim; G.F.I. Receptacle -Underground -- 68-V9ntlletion Throughout House 88. Cgved ions from Previous Inspections �a�Test-Meters Tagged; Gas -Electric r & Sewer Connected -C/O to Grade -HD ADDroval COUNTY OF BUTTE - DEPARTMENT OF PUBLIC07541 / 7 County Center Drive - Orovillq, Califgrnia 95965 - Telephone: APPLIdA' TION. AND PERMIT PERMIT NO. 9.3 PARCEL NUMBER 061-520-004 ZOtJING U BUILDING PERMIT OWNER Kenneth Meyer TELEPHONE 589-4741 SO. FT. OCC. BUILDING V LUATION OWNER'S MAILING ADDRESS P.O. Box 358 Berry Creek 95916 2,034 R 109,836,00 378. C 4,914.00 CONTRACTOR'S NAMETELEPHONE Unknown CONTRACTOR'S MAILING ADDRESS Fireplace A 1,500.00 CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 116 250,00 LENDER'S MAILING ADDRESS Filing Fee g $ 15.00 Permit Fee $ 657.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 328.50 Ener Plan Checking Energy g Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $1,020.50 PLUMBING PERMIT Filing Fee 15.00 85 Catalpa Lane. Berry Creek Each Trap 2 1 5.001 60.00 Solar or heat pump water heater 1 20.00 LOT NO. 1 SUBDIVISION NAME PARCEL MAP 81-68 Water piping 1 7.00 7.00 Each pas water heater or vent 1 7.00 7.00 USE OF STRUCTURE SF[M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 1 15.00 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New[]( AdditionLJ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: New 3 Bedroom Single Family Permit Fee $ 109.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service OR LESS 200A OR LESS 1 18.50 18.50 Main service 20CATO1000A) CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full 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 _37.50 NEW CONST. ( DWELLING OCCLn 3.6osq.ft. 71.15 ACDNS. ACC. BLDGS. NE NEW CONSTRESID, BRANCH@ 5.00 NON.R ESID BRANCH CIRC ITS /POWER APPARATUS &) (POWOUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20760 FIXED APLNS.❑ Ex. Occup. OUTLETS P(RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 104.65 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E] 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 15.00 Heating 119.00 1 9,00 Dual Pak Cooling 1 9.00 9.00 Hood 1 6.50 6.50 Ventilation Permit Fee $ 39,50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to 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 agai st aid County in consequence of the granting of this permit. �^ Date '? . /uH. c � 9 �3 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 S Energy Inspection Fee $ 40.00 OCC - cpy$r aTPE 9 TOTAL EE $ 1 313.65 HAz - DF S IMP --� FLO CDF -- PARCEL PD HD ISSUE - This permit is hereby issued under the applicable provi- P Y• PP � P � sions sions of the B e Cou Code and/or resolutions to do work indi a abo or which fees have been paid. R OF PUBLIC WORKS By ' Date Z/ PE EXPIRES Date Z [ Receipt No. 143958 WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD -APPLICANT COUNTY OF BUTTE. BUILDING DIVISIONI DEPARTMENT OF DEVELOPMENT SERVICES'' 1469 Humboldt Road, Chico, CA - '(9116) 891-2751.,: ,z< 7 County Center Drive, Oroville, CA - (916) 538-x/;541 747 Elliott Road, Paradise, CA - (916) 872-6307.y ;CORRECTION NOTICE 3 -7 T OWNER PERMIT NO. Y` A routine inspection indicates that the following violations of,Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please ontact this office immediately. 7 L ILCAk _ t y r t IC S �--J� G!_C-I-, r J- I Iu , p� ✓G 7C. - /o � ^ Gt �` a cu=e.. b/ a.� / 42,t Date i g Inspector Nill r: REV 10/ 2 rf`"�T°--i^'1�^`'4°" iiS.t`MC.^sir"'�e�'.'�'`Txcr"�`�.'c��"��`y�,�1,�^'•nic-�+s.+i�.r�.+.-�vr1^^R,�Z�'�hl .�'`eC.„��i�� COUNTY OF BUTTE .'BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES :s 1469 Humboldt Road, Chico, CA - (916) 891=2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE AIL q1 7/,A j OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is ted. Hyou have any questions pertaining to this matter, or need additional explanation, contact this office immediately. Ay pu Q } / l�- Date 2�i Inspector IR REV 1OW installation Certificate:- Residential CF -6R BUILDING PERMIT BUILDING OWNER • /�e.N w t �� Y e ✓' - BUILDING LOCATION:4 v vylff ' A 0. boy 3sy An installation certificate is required to be posted at the building'site orior to the issuance of the occupancy permit. This form may be used to meet these requirements. All aooliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Certified Actual Distribution Duct or Heating Load Heating Type (fumace, Manuf. Make & Efficiency Type and Piping Before Over- Equipment - heat oumc etc) Model Number. (AFUE etc.) Location R -Value Sizing (Btuh) Capacity (Btuh) rt�aa.u,:t� �tf,�► Rf.tbo7�J go �-�tl c 4.2 9 c,?lv ��, �o CEC Certified Cooling Equip. Compressor Unit" Actual Distribution Duct or - /' Type (air cond., Manuf. Make & Efficiency Type and Piping heat oumo etc) Model Number (SEER) Location R -Value - r+'t'1! L The building design heat loss and design heat gain rate have been determined using a method specified in Section 1S0(h) of the Energy Efficiencyy Standards, and are two of the criteria used for equipment sizing and selection. cv� �—Q7C LD ' Signature Date HVAC Subontractor (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS Energyt External Water Heating CEC Carttfled Rated' Tank Factor ort Tank Manuf. Make & Input (kW Capacity Recovery Standby Insulation (storage pas wc) Model Number - or Htuh) (gallons) Elflcfency Loss (%) R -Value For small gas storage trateo input 5 75.000 Etu/hrl, electric resistance and heat pump water heaters. list Energy Factor. For large gas storage water heaters iratea inout >75.000 Etwhn, list Rated Input. Recovery Efficiency ana Standby Lcss. For Instantaneous gas water heaters. list Ratea Inout ano Recovery E'ficency. For instantaneous electric water heaters, list Ratea Inout. FAUCETS & SHOWER HEADS All faucets and snowerneaas instailea are listed in the Commission's Directory of Candied Faucets and Showerheaas. pursuant to tile 24. Pan 6. Subcnacter 2. Secimn t 1 t. Signature Date Plumoing Subcontractor (Co. Name) or General Contractor or Owner THIS CERTIFIGA'7E MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL A?.'7 A COPY SHALL BE POSTED WITHIN TIE; BUILDING. JANUARY 1.993 L Insulation Certiiicato lc • aw►ea WSin.t Guy COM • tac rear Descttption of Installation ROOF -------------------------- Nsxl �tkt�ess (mac:) tAETC, 8rmd Na= 1%cmdl pAdwOw Gt•Vslue) bRQcBbnjdT. FIBERGLASS 8r&Mtjuw CERTAINTEED 1Mdu�essr ) 7b=nlRed==QtrVa1� Loosef'dlTM-INSIIL.SAFP. TTI BeodNsmt-MP- TMA rrn iCtOt'i 1�AitA{im ww q g sadfc= ddducti /S tib ld�futs�s'sio�tlodwd�D��mac5ei�es�Da�lR�a��Ysla) 3� . EXiEittOA WALL - � • UNUM `RF. nE�RGLASS . •dm F=R* • lbctw �pacbesj I TF B=dNama CERTAINTEED • '�btemslRestsaooa t�4•VaWa) W3ftOOi nrmdN&= Tama Realm "pt•YaluR) FGWATION WAIL NWW 7ikhess (Lxl�) Declaration DrmdNamt CERTAINTEED • 'flwuialRuimeroo Qt valve) ionugtt ttatlod 51 dte Dn!!d!a ti dfa saarc Ioadoa 6i�q Cauro�„& trWvcCo�►s ►r as e�naAaoo aaruaz4ot�o SPOW,,�.:• MA1iM .bib . KI1q t11nUS'i1ti�S. 2RC. rt1lS'!J1 trsnuTteu 630722 r 'r ......)t y.s M, r � COUNTYOFBUTTE- DEPARTMENT Of�LOPMENTSERVI. ES BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICAUCINPATA SHEET OWNER q hE F C- A. P No. Proposed Building Use Nei Building Inspector Date r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . .............. 2. Plot plans, 3/4 -sets, signed by preparer of plans. .�..1�.F ................ 3. Complete plans,ts, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . .................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . `Mo ' ehome data and manufacturer's installation instructions, 2 sets. ........... 0. es of $......................................... ..Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flo )�C,��i nia Engineer.. . 14. Sanitation and plot plan approval �ealth Department . ............ 15. City of Chico plumbing permit ..... . 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . QK19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre -inspection for required. .. o s�°iny �spg�� (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ...... 0 ................................. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ....+. 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... t. 29. Documentation of legal access . ..................... :... 0 .............. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. .... 0 .......... 31. Existing violations/expired permits . .................. 0 .................. . 32. PIaP chime dist. o.(` . .. C ` -- 33. G-FT1 t n Con rh'�n O1 34. Wh n you issue the c;,rr it, process as follows: Mail to owner. Mail to contractor. Telephone 1155 ``JJ and hold for pickup at ---Q eO L) ; office. Deliver with inspector. Other Parcel CreationTti ,� c / 9 Acreage Applicant Date 13 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by I? Y -'Date �0 21-43 Plans approved by � � Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r; r.n, Iu I'lul Plan AuuehEd Hour flim Mui6hed soll 141 I TO: Building Department FROM: Environmental Hcalth SUBJECT: Sanitation Clearance L7UNCT1f Owner . / Location V6e Plan Approved foLp, Sewage Disposaly Water Supply: I'ublic Clearance for o—kLc(roon I Cher .L IL/ `� /7 HolkP,iinal for: earance O.K. for: 2 Environmental Health' Speci4, Iist 8/92 AP{f . Private Well ate I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY- CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER E C- C ✓\ A.P. NO . 06 l - Sod O - 00 � PROPOSED BUILDING USE ✓Vr w S L DATE l Z/Z7,3 REC. # �1. School District Fees (�1i0 Vi n 16 //r / V ,S -r (paid at District Office) .......................... V►�12.. Sheriff Fees (paid at•Building Department) /�cjpCiCiPV Residential .......... l x =$31(a'u, unit amt. Commercial(per sq.ft.) % _$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X _$ # units amt. Commerical(per sq.ft.) R =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. .Drainage District Fees (Contact Land Development) 6. Other 7. Other DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICAN 4��c DATE V YY -.,t /9y-5 r ' COUNTY OF BUTTE-�DEPARTIMENT OF PUBLIC ''NORKS PERMIT NO. r `, 7 County Center Drive - Oroville, California 95965 - Telephone: 916 538-7541 r • APPLIGATIO' N AND PERMIT ASSESS R PARCEL NUMBS -� 57� 0Q ZONING BUILDING PERMIT OWNER �n�✓' � T ELePrrONE &�� SO. FT. OCC. BUILDING VALUATION 263 OW R'S MAILI ADDRESS CONr ACTOR' NAM h TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace l (( sDO CONSj/R}1C TION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ S D ARCHIT CT OR ./VENGINEER one' LICENSE NO. Plan Checking Fee $ ZZ Ener Plan Checking 9Y g Fee $ 0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NJ. NJ. SUBDIVISION NAME PARCEL MAP ) O Water piping 7.00 I Each qas water heater or vent 7.00P, 00 USE OF STRUCTURE SFK] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New V, Addition;_; Remodels tilities ❑ InstallationE. Other ❑ Describe work: .7 _ Permit Fee $ no Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOORLESS 18.50 -Q Main service 200A TO IOOOAI 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 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 OCCUPM OR ADDNS. l ACC. BLDGS. 3.64sq.ft. NEW CONSTF;L ULTI.OUTLET NO N.RESID BRANCH CIRCUITS @ 55.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED Ex. Occup. OUT LETS ( R RESID 1EA.) 1 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00 Misc. IYirin g 15.00 Permit Fee $ 0 1 6.cr — 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 Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling Hood 6.50 LM Ventilation Permit Fee - $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Cs normo' ❑ Agent ❑ An OSHA permit is required for excavations over S'0'' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ :Q CONST TYPE -� j%P1 TAL FEE $ rlAz OF IMP ^�' FL000 COF __- PARCIL PO HO ss_ u - This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 1S WHITE-D.P.W.. YELLOW-ASSCSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT l t f� ., - r RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) rE ing requirements: (sideyards and numberuation. P ans signed by designer. Proper description of work on application. 5—.--E"xisting violations on property. Bldg. Permit # 8/91 A. P. ; (�, f— SZ -O Plan Checker z, 1? 1.9:7, of permitted living units). L&. -.)Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). ;. -Recorded notice of violation. PLOT PLAN �.�omplete parcel size and dimensions. y' tbacks, sideyards, easements, etc. .Other buildings or structures. 4*.' grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and.foundations). FAU &.FAS road setback. (noise, CDF, fire sprinklers, non -comb 8 Building or utilities across lot lines (Record form). FLOOR PLAN 1. Complete to scale plan with dimensions. wired windows for light and ventilation (Sec. 1205). 3t� Required windows for second exit (Sec. 1204). sapter 34 & Sec. 5207). 5 n impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). _7 —6'FCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). -�igfixtures, switches, receptacles, and exterior receptacles for main - t ance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. ewall, door size, and closer (Sec. 503(d)(3)). 1 0" exterior exit door (sec. 3304 M. 1 rep ace and wood stove location, alcoves, and clearance. 1 S e detectors (Sec. 1210). 1 Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS ](. Standard bracing or engineered design (Table 25V) t�Sual shape, size, or split level 'house requiring lateral design. 3. ClerStory requiring balloon framing and/or engineering. -Eor e story building requiring engineered calculations and plans. i� ation plan complete enough to construct building. construction details complete enough to construct building. and wall construction details complete enougti.to-construct Roof construction details complete enough to construct building. ,pl ace construction details and calcs if necessary. 1(7-_,R, ter ties. or bearing ridge beam. 1rage door or porch header sizes. 12 .Stud heights.. 1Adobe soils - special foundation design. 1 .-Retaining walls requiring design. 1 Special Inspection required. building 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR IllStairwa details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). r- c c or stone veneer (Chapter 30) . plaster - weep screeds (Sec. 4706). "tt,erior o,er roof pitch for roof convering (Chapter 32). Z. oof covering type - (fire hazard). on - protection. 36" halls and stairways. 9,—I.' n area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1 n s on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1.�tti ccess and ventilation (Sec. 3205). 1 erfloor access and ventilation (Sec. 2516). 1 Combustion air for fuel burning appliances - L.P.G. requirements. requirements on duplexes. 1 . rgy design. 1' . ashing at all exterior openings. respons ble area requirements. f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916).538-7541 PERMIT NO. APPLICATION AND PERMIT : / 7 =� 0'`,/ - ASSESSOR PARCEL NUMBER 061-52-0-004 ZONING U BUILDING PERMIT OWNER t KENNETH IMEYER TELEPHONE 589-4741 SQ. FT.. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.0 Box 358 Berry Creek CA 95916 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTORS MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee i original 328.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 358.20 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water Water piping 15.00 LOT NO.1 SUBDIVISION'S NAME PARCEL Each gas water heater or vent 15.00 USE OF STRUCTURE SF Of Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 ' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other RX Describe Work: 1St renewal/93-1716 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 11 OR LESS ) 23.00 NWA OR LESS Main Service ( 200A TO IOOGA ) 46.00 ' NEW CONST. DWELLING OCCUP.SO. OR ADDNS. ( & ACC. BLDS. 1 3.5C FT. •CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTIOUTLET .NON RESID. ( BRANCH CIRCUITS 1 @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) e00 20 1.00 Ex. Occup.FIXED APPS. OR - (OWUTLETS (RESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ORKER'S COMPENSATION INSURANCE 1 declare under pWnTafty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ` in consequence of the granting of this permit /Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ HAZ• I D. FEES I IMP I FLOOD CDF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 6/21/95 (Date) Receipt No. WHITE-D.D.S.. B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA.959w5 — TELEPHONE: (916) 538-7541 _ AGRICULTURAL BUILDING EXEMPTION PERMI /Y MIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural 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 PHONE NO. KENNETH & DEBORAH L MEYER (916)3i38XXXX1'589-4741 OWNER'S ADDRESS P*0'Box 358*B6rry Creek CA 95916 LOCATION OF BUILDING North end about"I'O'fo 20' N from 17 85'CAtqJpaJL I h, USE OF BUILDING To store livestock feed and equipment SIZE OF STRUCTURE 24 X 720 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME _ , STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE Masonite Composition Concrete ESTIMATED COST OF CONSTRUCTION $ $3000 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: SS S' $, r FRONT 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. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date = I PV z .)31, / V91 Permit Fee - w ,50 O 0 Receipt No. /:!�33%% Signature of Owner The above described AG Building is exempt from a building permit FLOOD I PARCEL P,.D/ I ROOF ISSU Manager Building Division By Date 'elf -T White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTY OF BUTTE •- EPARTM N O P BLIC WORKS 7 COUN Y CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-75+1 GRICU 'T B ILDI 'EXEMPTION PERMIT Agricultura u g is d as oll s: Agricu ral bui d' is a s re desig ed and coTstructed to house farm i elements, hay, grain, pout y, 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 I PARCEL 1. P.D. ROOFING OWNER R. u.�� (J e 4Qrcy4 PHONE NO. . OWNER'S ADDRESS 915' co .40tJ LOCATION OF BUILDING 9 Y°9T� � L e wui) c 'T AR—" 14e V -0. s USE OF BUILDING v 3fa,-4— Y47r F. Q��' e cei .11n e,.��`;;r SIZE OF STRUCTURE X_ ® S0. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE C'ca j ,'o yv e w e- �t {� ESTIMATE COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County ` Ordinances as follows: l FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septi 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 Ownerr�-- Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Director of Public Works By, Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant FLOOD I PARCEL 1. P.D. ROOFING I ISSUE Receipt No. Director of Public Works By, Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant � .�►q.�rr^=..-r a., ^^mow++.-,. . .r� ..r�.r. , �.-.,�}..y'l-'A,-r�.,...�.�r""`�'r.,.°'�r"..+,�r..`'r'v�>•.m�"*^rW"t�-.. ;.n m, COUNTYOF BUTTE - DEPARTME14TOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIX,95965 - TELEPHONE (916) 538-7541 V , `t"PERMITAPPLICATION DATA SHEET _ Date At time of permit application, I was advised the followidg data must be submitted prior to permit processing and/or issuance: 1 r DATE RECEIVED BY 1., All.items'have been submitted. R: . 2:' Plot plans, 5M sets,; sign.ed`by-preparer�of plans. �. 3. Complete plans, 3/4 sets, sigrieii°fiy'preparer of plans. .4. Engineered plans and calcs, 3/4 setd,' with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings . ................... %. . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets .. .......... . ,10. Fees of $ ...................................... . 1,11. Impact fees as shown on attached `schedule . ....................... .... . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department. ...... ; .... . 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for required. . to e�°,d g Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........ .................. . 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy off Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . ......................................... - 29. Documentation of legal access.......................:...........I. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and,(B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at 1-1office. Deliver with inspector. Other , Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. . Other- ---- Date By The following data must be submitted, prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). r Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by ,,` Date Sets of plans on hold in'�, File cabinet AP folder Copy - Department of Public Works �r w ,r �i::.i l 'N 't n • .>� �--. ,'v ..k ,fjy�:r• .<:L: „yrt w } (. }.. � t / b& �.. 0 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District r�1'O Vt Y1 Yl It Building Department No. A.P. Number 061-5) Jurisdiction City 0 County 1� - c.►� Property'Owner •• n r1 _ " Property Location/Address G ✓1 F / / ✓r^C Subdivison Lot No. Residential Development Sq. Footage No. of Living MHI . Addition �I(Group R). Units �r►O-'0 Commercial/Industrial Sq. dotage New': Addition(Including Exterior Roofed Areas) Building DepartrWhNepresentative # t (Floor Plans reviewed by School District Personnel) Date District Identification No:"i'r 0 7 4 9 a Schgol District certifies that I ' r' t` `;� aar � � . { •(Applicant) YDS• .. . -�K4 (Street Address) *- /j . , J � ` , � (Phone Number) (State) (City) has complied with the requirements of Resolution No. % S 70 representing a D square feet. School'District Repr% (Zip by payment of $ �o �ayl q3 Date i0 Paid by Check Number's Remarks: 0 Bank Number �,.'j 4 11 4 Paid by Cash t7 4 tf If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fuliv mitigate its impact on the school district's schools. '✓ White (applicant), Yellow (building department), Pink (school district) feeformmkt (4/92) XUMV, OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Kenneth Meyer ADDRESS: P.O. Box 358 CITY & STATE: tserry t✓reeK- UA ` pylb IMPORTANT: DATE OF CLAIM: August 12, 1991 SEE INSTRUCTIONSON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) ; AMOUNT Owner has decided not to do work. Permit #1315-90B,P,E,M, AP#61-52-04, Receipt #64234, dated 4/30/90. I i I -I iTotal Permit Fees Paid------- $1049.50 Retain Plan Checking Fee --------------------- $266.50 —' Retain Energy -Plan -Checking Fee-------------- 15.00 Retain Building Permit Filing Fee------------ 10.00 Retain Plumbing Permit Filing Fee------------ 10.00i Retain Electrical Permit Filing Fee---------- 10.00 Retain Mechanical Permit Filing Fee---- ------ 10.00, Total Permit Fees Retained---------------------------- 321.50 i -------------------------------------- i i I � i i I k I � I i I F TOTAL$728 100 i _ I,the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .........1 .... ............... day of..�u.19/f.............. / Calif. J7�1r1�r�— �.✓ ........... // Signature of Claimant t I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation O or Specific Board Approval F) (Check one) for the same. Dated this 12th day of August 1991 at Oroville Calif........ .............................. . ....�i....ent Head or Authorized De ut Dept. Exp. Code 440-002 C de 4210500 PAYABLE FROM COnSt. ermits FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I i h7 L(N G p Q T(i q e Q` A s✓ / 1 ni ry CF u y �7 T �vJ e. 4 r°Yv S,40 Joe Ow I'h ,l / 1 / C/ er �/ S B / r f/ 40 %a v rt T 4.ti-�>•� /� POVwR��► eyPi- zoy ee-1y Cr.ee&/ BUTTE COUNTY ORDINANCE 2922 INFORMATIONAL HANDOUT This ordnance passed�by the Butte County Board of Supervisors�on April 2., 1991 requires that applicants for the building permits for living units or commercial buildings° on\ lots or parcels or portions of lots 'or,�' parcels created by subdivision maps prior to July 1, 1949 (unless lot is 504acres or larger) shall comply with ..tlljollowing: 1. Legal ru If parcel does not front on or have direct access to a publicly maintained road, a report or letter from a title company or a Cali- fornia licensed surveyor or engineer must be submitted attesting to the fact that there is legal access from the parcel to a publicly maintained road. 2. Road Improvement Standards A. Parcel Fronts a Publ:dcly Maintained Road Parcel frontage for the area. i 3. Parcel Does Not improved to current subdivision standards ntained Road A. Parcel frontage must be improved to current subdivision standards for the area; and B. Parcel access must be improved from\parcel to publicly maintained roa/d to RS -B -LD -IV for lots or parcels within an Urban Area and to RS -B -LD -III for lots or parcels \Within a Rural area. 4. Imprgvement Plans Fclr improvements required by items 2 & 3 above improvement plans joust be submitted to the Department of Public Works for approval prior to issuance of the building permit. improvements must be completed, inspected and approved prior to occupancy o:f the facility and before final approval of the work authorized by\the building permit. \\ ShVld you have any questions concerning the road improvement standards and re,uirements, please contact Stu Edell or John Mendonsa of the Department of Pd blic Works Land Development Section at (916)538-7266. 22�2� JFG:ds J lander ief Building Inspector COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS �. 7 County Center Driv6- Orovil{,p, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. SO .� v ASSESSOR PARCEL NUMBER 61-52-04 ZONING U I BUILDING PERMIT OWNER Kenneth Me er TELEPHONE, - .SQ. FT. OCC.1 BUILDING VALUATION 3338 R 133,520 OWNER'S MAILING ADD ESS P.O. Box 358 Berry Creek 95916 485 14COV 4,850 CONTRACTOR'S NAME owne TELEPHONE 200 open 1,000 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 139,370 Filing Fee $ 10_00 LENDER'S MAILING ADDRESS Permit Fee $ 533.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 266.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 824.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL//MAP 16� Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF aX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New U Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 3 Br _ Permit Fee $ 56.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 1 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty perjury p y of p er l y (check one): ❑ l am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(CUP.° OR ADDNS. DWELLING oCACC. BLDGS. I 2A0sgft $3.45 NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex.Occup(OUTLETSOR FIXTURES 2AL@C °Lo30 FIXED Ex. Occup. OUTLETS P(RESID IREA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 109-99 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 70,0004 6.00 HEAT PUMP Cooling 6T 11.00 Hood 3.00 1 3,00 Ventilation 1 3.001 3.00 Permit Fee $ 33.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue!/ again said County in consequence of the granting of this permit. 3_ 'Ad. Date;W4&- Signature of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for exc vations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 occ f ^_S ST TYPE TOTAL FEE $ 10 9.50 HAz `-- CUA "- PARK SCHL FLD PA�PD Isall This permit is nereby issued under the applicable provi- of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR R OF IC WORKS By �nDlate' A PERMIT EXPIRES to A-�/ Receipt No. 64234 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO _ Euildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance tt & / _�� 2�2y Owner Location AP# Plan Approved for: Hold final for: Final clearance O.K. for: -Clearance for droc NOTE-*** 17 �- ar3ian Sewage Disposal home . " � Other Hater Supply Water Supply Water Supply WILDING DIVISION 7 COUNTY CENTER DRIVEr ORd' g. CALIFORNIA 959657 TELEPHONE: 916/538-7541 PERMIT APPLICA'T'ION DATA SHEET 1 .4 .1 Permit No. OWNER A25AI AMA ' � 2 r A. P. No. 6 /-5.2-04. Proposed Building Use Xl--4th SIS Building Inspector Date �U 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 $ ........................ e 11. Chico Urban Area fees paid ....................................... 4 12. Park fees paid .................................................... 7: 13. School District fees paid .............. 1 Sanitation approval from �7t�� Health Department 15. City of Chico plumbing permit ................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to ' Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter of signature uthorization 26 S E -E P/,c /V9�S ............................... . 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 1599 -1'?I and hold for pickup at _cW office. Deliver w./inspector. Other Appl icat�ii Date ib Copy of Haz-Mat form.sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent ' Health Dept. Fire Dept. Other Date By The following data must be submitted prior tikpejAit issuance:-(Circle/hew item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, design owner, as advised of above required data by_phone�naiI-counter b� ..date Contractor, designer owner, was advised of above required data by -phone -ma II -counter by date Plans checked by ��- Date S''��-9�o Plans approved by .��►l /.0 S Date Z -Sets of plans on hold in mile cabinet AP folder +� Copy -DPW COUNTY OF BUTTE - Department of Public Works .7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has"been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) '. 2. I (have/have not) Qr, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property, Ownerz:,n�/15K� Social Security Number 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. 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 1 51,5 — q o OWNER � E N 04.6 A.P. # 61— 5Z -2!j -- GENERAL 4 Zoning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. 4 Energy Design and Compliance. Existing violations on property. 6. Items on data sheet. 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 or compliance document. FAU & FAS road setback. OOR PLAN Complete -to ,scale plan with dimensions. Required 'windows for light and ventilation (Sec. 1205). Required'windows for second exit (Sec. 1204). Skylights (Chapter 34'& Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). . 1 - 3'0" exterior exit door (Sec. 3304(e)). . Fireplace and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210). URAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). uardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances. Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. on garage side - 1716). Unusual shape, size, or split level house requiring lateral design. Flashing at all exterior openings. h COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541__� 1 i APPLICATION AND PERMIT 411-7 ASSESSOR PARCEL NUMBER (per - 9 0' +h rIWIN )I ZON NG � � BUILDING PERMIT OWNER, 'Rln0 E P 0 TELEPH-ONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MA LNG ADDRESS ,�-,S A 1 ver S M I Aar! �S" CONTRACTOR'S NAME TELEPHONE -- CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER e. UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ { Penalty y $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS Al l S C r12 %a 0 a PLUMBING PERMIT Filing Fee 10.00 nIn ol V, RIC4 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[-] Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑,,Remodel ❑ Utilities [IInstallation❑ Other Describe work: r., 44 J 1 to �o 1- �t I t? t Permit Fee $ / ,ot) Contractor ELECTRICAL PERMIT Filing Fee 10.00 -Main service s0ov OR LESS 100 AMP OR LESS 5.00 J Main service EA. ADD'L 100 AMP 2.50NEW CONST. ODWELING R ADDNS. (ACCLBLDGS.CCUP.y) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON-RESID. 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 , 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 NNEW CO ID R. BRANCH CIRETON.REITg 2.50 ea NEW CONSTR. / POWER APPARATUS 9 %SINGLE OUTLET CIR, / EX. Occup(OUTLETS OR FIXTURES BALM IXED APPLNS. OR n Ex. Occup.(OUTLETS (RESID.) EA.) t-'2.00 n'OO Temporary service 10,00 Tem%f3.n0 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ r l� Contractor MECHANICAL PERMIT Filing Fee 10.00 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. I 1 shall not employ any person in any manner so as to become subject r 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. t k 1.51--e- X - .r ; �. ; 1C_ -e-. Date"". " Signoture of Applicant - Owner ❑ Contractor ❑ Agent ®,...•�+ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heighV r�� Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 41q, occu P�GROUP PEOF CONST, PARCEL Pv TID I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OR OF PUBLIC ,. By `;� . PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / �-/b' Receipt No. J V �� / �'�-s r. WNITE-D.P.W., YELCCO -SqSaFPIN'INSPECTOR, GOL eNROD-APPLICANT I%l 1 I' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS APIT7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 / APPLICATION AND PERMIT ASS SSOR PARCEL NUMB RR s (J I ZON NG BUILDING PERMIT IV OWNE TEL P ONE SQ. FT. OCC. BUILDING VAL ATION OWNER'S MKILING ADPRESSI 1 CONTI TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ S BUILDIN ADORE / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping < LOT N . [SUBDIVISION NAME PARCEL MAP S7 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Install ' n ❑ Other Fle Describe work: re o 1 Permit Fee $ 100 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50NEW CONST. ODWELING R ADDNS. �ACCLBL GS.CCUP.y) 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID, I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. icense No. Classification 61/1'. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON.RESID R BRA ' lO ciRCTIrS 2.50 ea NEW CONSTR. / POWER APPARATUS 6) \SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES_ BAL@1 02 IXED APPLNS. OR r Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 -0 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of, Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid County in consequence o the granting of this permit. �r _ i� X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent L�_ An OSHA Permit is required for excavat'ons over 5'0" dee and demolition Or construct- ,anctures over 3 stories in Neigh of stru1h S Mobile Home Installation Fee $ TOTAL PERMIT FEE occUP. GROUP I TYPE OF CONST. JPAZ:JPD D I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. .— WHITE-D.P.W., r L S , PI -INSPECT R, GO D ROD -APPLICANT J PERMIT NO. X372-88AE(MH) PERMIT EXPIRES' OWNER KENNETH R. MEYER cnNTA OWNER ASSESSOR PARCEL 61-52-04 LOCATION 85 Gruber Ln., Berry Creek Temp. Power Pole Cal Temp. I Cal Temp. i Cal 'JOB FII Sig =OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable NotReady UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation _ Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 55. Siding -Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts _ 59.Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -81 Date Card -131 Date Card -61 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88.'Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) r = OK 0 = Not OK ' = Not ReadyMOBILE HOMES MISCELLANEOUS Date MOJWLE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)(5K excgnt #'s Zo 'hg Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements o' ; Special MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel e r; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails r; Location-Test-Easement Need Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing EI ricity; Location-Clearances- d.- Amp-Concrete i as; Location-Test-Wrap: / P1 ft. / /"Nat. or/ /"L" ft./ /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors ility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-B1 P593 DateS_—_/,2 —X Card-B1 Date 10. Roof; Shthg-Roofing Card-B1 - Date Card-61 Date 11. Ext.; Steps-Doors-Landings Date MOB HOME INSTALLATION (Plans) OK except #'s kTI-2-91rrilng Requirements-Setbacks-Easements Card-B1 Date Card-B1 Date Ze"fo tings; Size-Spacing-Marriage Line Card-131 Date Card-131 Date G ; MH Test-Demand-Valve-Connect ctricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s Dr in; MH Test-Fall-Flex Connector ; 1. Setbacks-Easements at ; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability r and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining and Electricity Tagged Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI VIOC'ert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater 8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes-Enclosures-Panel boards-Ins. to Main in Conduit Card-B1 Dat Card-B1 Date Card-131 Date — Card-81 Date 9. Health Department Approval 4,r 10. Plumb.; Cir. Test-Water Supply Test Card-B1 Date Card-B1 Date Card-B1 Date Card-81 Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 r PERMIT N0. 7.) �F Address or location of mobilehome Owner's name r r Owner's address , � f ,t' , Insignia or hud number g Manufacturer's name Serial number of V.I.N. C D Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION 4` ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE r MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE IIT 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. Inspector Date—K ti /+^ : r }A.T,','•/,_" " '" "•�• �� is w nz� OUIVV- , -bg'BUTTE D41PARTIVIENV-0h,12-WBILIC WORKS 196 Memorial Way,,.Chtijao — Phone: 891-2751 7 County Center Drive,.,Orovi�le:- Phone: 538-7.541 74id, Paradise--,,Plfohe: 872-630T, ` ,E I I-O"iVR a -CORRECTION NOTICE 1141 iW—NER PERMIT NO" 'erc A"routini Ingo' flon Indic7ates tKat the tollowi`ng�violgtioins of,County Ordinance ieiOst at tt4'9b9`ve'a*ddress-a*nd 'sho6ld be corrected.' Please, notify this office, when correc ' tion-of-woirk'is compiet ed.- If you have any question pertaining to this rftlter,-or n;d'd*add**itIonaI Oxilanation, please contact this office'immediately. I ,, I . 44-- - , - <--; !ax � w — LW lit A:. 4 , 4—. mpeAir Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville„Califorr4la 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT ASSESSO P�RCEL NUMBE ZO NfA BUILDING PERMIT OWN R y�— TELEPHONE 1j �\ SQ. FT. OCC. BUILDING V T' OWNER' M ILIN DDRESS _ CONTRACTOR'S NAME f I ft1J 1164 - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ `01QB. LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $(10a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS T/ j' Permit fee $ 6. (D PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �^ Nu I(., Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME PARCEL MAP Y�- 6 Water piping 5.00 Each qas water heater or vent 5.00 USEOF RUCTURE SF ❑ Duplex[]Mobilehome[VOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ' Installation❑ Other ❑ Describe work: Permit Fee $ L4 0 • (iii Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ 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 oR CONST. (DWELLIN GSCCUP.y) 1/20sgft , NEW cONSTR. U TI.OUTLET 2,50 ea NON,RESID .BRA CH CIRC TS POWER APPARATUS &) (SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES eA 0330 FIXED APPLES. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 .L70 Misc. Wiring 15.00 Permit Fee $ , 05 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ,� _ Date �'/ay2r, /g40 Signature of Applicant — Owner Contractor E]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 $ _ TOTAL PERMIT FEE $ou1 OCCUP. CONST.TYPC SCHOOL PLDO X.- PAM PD HD 59yE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which I DIR T R OF PUBLIC By I PERMIT EXPIRES Date — the applicable provi- resolutions to do fees have been paid. WORKS Date 'IN K8— ` Receipt No. l WHIT[-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD-AP►LI CANT TO Buildinv Department -- FROM: Environmental Health SUBJECT: Sanitation Clearance 0 �=�s 8��2 u �� -tea N wner ati ! r AP# Plan Approved for: Hold final for: Final clearance O.K. for: .n Sewage Disposal Water Supply Water Supply Water Supply _ , _ •—y�,. Y%+►'y.:,.r1t.. �� ...f .. � .r--r.r�—r..•v... -. 5. .—s '•r•IIwsY".4:y'ynsi 'i r • c a N S COUNTY OF BUTTE - DEP ARTMEN" If a - PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 e PERMIT APPLICATION DATA SHEET 1 s �n Permit No. OWNER �hn f / 1� P�t� A. P. No. G( �� r Proposed Building Usem Building Inspector Date OU At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: 4 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ f , . , , , , , 9. Letter of signature authorization. _ ',0. Sanitation approval from Health Dept.. . , �S 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . , . . , , , , . , 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Required, Building Inspector Pre -Ins ec. request to (Date) Recorded copy of Agricultural Acknowledgment Statement. .j �%Q P 7)"-< 19. Driveway Permit. 20. Plot plan approval from city of �. 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit p ocess as follows: Mail to owner, Mail to contractor. Telephone "�� and hold for pickup at -off ice, Del iver w/inspector. Other A p p I i c a n Date Copy.of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior tope it *s ance: (Circle new item not checked above). 1. Index permit for above items No. 0 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—naiI—counter by date' Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date &Jv"oo Sets of plans on hold in Copy—DPW File cabinet AP folder 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) 1 2. I (have/have not) b 4[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: ff Name AM - Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, super `'ise, and provide the major work: Name�— 4 Address City Phone Contractors License No. 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 %L Social Security Number 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. �it etal'n to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8:1 of the' Butte r.equi.res this acknowledgement prior to issuance of a building Cou'nty Code ' be recorded permit. , 011 �'i'1 16, 9 fid' I'he property described herein is adjacent to land or included within an area zoned � .or agricultural purposes, and residents tf this property may be subject to incon- it, l ,eniences or discomfort arising from the -'-- se of agricultural chemicals, including, � ��I Grubbs, Clerk.Recorder )ut not limited to herbicides, pesticides, ,nd fertilizers; and from the pursuit )f agricultural operations including, )ut not limited to cultivation, plowing, spraying, pruning, and harvesting which_ sccas:i.onally generate dust, smoke, noise, and odor. Butte County has established agr•icul-- .ural. zones which have as a priority use for productive agricultural. purposes, and residrnl s ,ri th.in said zones and on adjacent property should be prepared to accept such i.nconvrn i rnc(, .)r'd-isconcorm from normal, necessary farm operations. Ill that real property situate in the County of Butte, State of California, described ,is 4 NOT (OMPAF CL,ViENT )ate: l�" , S / �J �S� PROPERTY OWNERS: F 3Latr-_ of Co Agoiil ) On this the day of dd'%ey , 1988 before mt" ) SS. the undersigned Notary Public, personally appeared -ounty of �) , He- 4Ad &1oeAA ,C. /'?ev��? RICHARD FEUERSTEIN personally known to me. ® Proved to me on the basis NOTARYunty PUBLIC -CALIFORNIA of satisfactory evidence. MY MyCommhmionFxpfresJan. 24,isas OL o be the person(s) whose name(s) �S succonsommocco omanum ubscribed to the within instrument and acknowledged that Ze executed the same for the purposes therein contained. .1 WT'I P;SS WHEREOF, I hereunto set -my hand and official seal.. Peesi?nt A.P. No. Obl -SJ -0- 001 -0 oi�^'Z' '7 J..:..,, ��..,.,, « 7'a"�e$�r.s 3�t�,i,�rwi*.A'� ��'�*.� ° y��4 •�`�� P r. a:. l ```'� r� r. •P�t .•►+yw. k rT �i.7s , t) •tvv r y e: e ri Mev i red . . •=,�`� I4' �•�• �.ra+ ! C.•;� si;t�'h-�."'P' '.�' t •� .�; �G1.F i',a�r`�til� f . -ORDERN00'6xp7499917A9{ DESCRIf, PT P ION f1 i Ci'�.'.."'" ." _;F � . f y •r•6+. i'.1:, . ALL THAT CERTAIN REAL ' 1PROPERTY SITUATE IN THE, %;STATE OF' s CALIFORNIA, COUNTY OF BUTTE,! DESCRIBED AS FOLLOWS: PARCEL I: xPARCEL*'l, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "BEING A PORTION OF THE N 1/2 N 1/2 NW 1/4, SECTION 29, T.21N., R.5E., M.D.M.111 SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 4, il981, - IN BOOK 81 OF MAPS, AT PAGE(S) 68. PARCEL I1 • A NON—EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITIES OVER PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "BEING A PORTION OF THE N 1/2 N 1/2 NW 1/4, SECTION 29, T.21N., R.5E., M.D.M.11, SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF ' CALIFORNIA, ON FEBRUARY 4, 1981, IN BOOK 81 OF MAPS, AT PAGE(S) 68. PARCEL III: A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSES OVER GRUBER LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "BEING A PORTION OF THE N 1/2. N 1/2 NW 1/4 SEC. 29, T.21N., R.5E., M.D.M.'1, SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 27, 1976, IN BOOK 57 OF MAPS, AT PAGE(S) 8 AND 9. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS•OF PARCEL I, DESCRIBED ABOVE. PARCEL IV: A RIGHT OF WAY OVER THAT PORTION OF THE SOUTH 60 FEET.' OF THE NORTH HALF OF THE NORTH HALF OF THE NORTHWEST -QUARTER OF SECTION 29, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL V: ARIGHT OF WAY OVER THE OLD BLOOMER MOUNTAIN ROAD TO THE EXISTING COUNTY ROAD. PAGE 5 i OWNER Mel PERMIT 9k 37.2 - MH 7.2MH UTIL.CLEARANCE DATE INSPECTORl%/G�'' ELECTRIC GAS Support Struc. Compaction Test -Req. vice Other Pipe YESj NO YES NO Load Type Size Length V r _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESS R �PAR EL NU ER _y zo," G1 BUILDING PERMIT OWNER' f� n_ __EP E / SO. FT. OCC. BUILDING VAL ATION OWNER'S MAIJ,.ING tDDRESS` WV CONT�RAC`TwOR• S NAME U � TELEPH NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee 1$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSIA Permit fee $ , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �n 'ee'IL. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeEf"""Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK ,�, � New ❑ Addition Re odel ❑ Utilities ❑ Installation Vf Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LE LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER 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 LIN CCUP.a` '/Z¢sgft oa ADDNST DWELGS / NEW CONSTR.U TI -OUTLET NON-RESID .BRA CH CIRC ITS 2,50 ea / APPARATUS e (SINGLE OUTLET CIR. / EX. Occup(OUTLETS OR FIXTURES ezoesoe AL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. (ql I shall not employ any person in any manner so as to become subject `t 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X -�ra��rZl}os Date2 Signature of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresrover 3 in height. Mobile Home Installation Fee $ ,(JV Energy Inspection Fee $ TOTAL PERMIT FEE $ - no occu P- CONST.TYPE 7C140OL I FLOO ✓� PARCEL L/ PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RECTO O PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date - stories p I G 5 ! 5 . Receipt No. WHITE-D.P.W.. YELLOW -ASS Ee SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT - ''� .r .. ..-„,..�,��. ice+ yi? Z c � i ;T . ; �-.-„ :# .,..-.,:......-t�,,,,� •,i,.rr.»-t,'st zf-r<..a � �w I COUNTY OF BUTTE - DEPARTMENT.OF;Pt1BLC W IORKS BUILDING DIVISION OWNER 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541--r” PERMIT APPLICATION DATA SHEET rn N er - : , Permit No. A. P. No. ��— Proposed Building Use IV"t-T• Building Inspector" 1JDate 5(�I D b At time -of permit application, I was advised the following data must be submitted prior to permit processing andlor 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . 9. 10. 11. 12. 13. 14. 17. 18. 19. 20. 21. 22 Letter of signature authorization. . . . . . . . . . . Sanitation approval from Health Dept. . . Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) • Owner -Builder Verification (Given to owner0, Mail to ownerEl Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data. . . ... . . . . . `. Pre-Inspec. request to Pre -Inspection for Required, Building Inspector Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of Engineered trusses in duplicate (required prior to plan check). When yy issue the permit_ rocess as follows: Mail to owner, �. !S&i l to contractor. Telephone _�33 �� and hold for pickup at—off ice, Deliver w/inspector. Other Applican_ Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone __nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date gyp/ Plans checked by Date Plans approved by Date 0 0 Sets of plans on hold in File cabinet AP folder Copy—DPW r 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) T S 2. -I (have/have not) b Cit- t 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 A-) / Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person. to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date 117gu ?, /99 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. I � I !r•� I is s of lansi and 'spec rirctc+ ons USS be n awful to «p on ,0 t„ wf� ou'i i -npl an cljr= .r.Cs r It he C' n ar#me of F'ublly I armi. sior� rom p , ori n � werig, Bc tt .ole V 01 I �-ship, Shall Bo to Accordance with Recognized; •�'otd Practicos and Of a qualAyprescri' for t a SPL-Zifie : USO In +1118��iforrn Building, Plbnli g ech6nicol C;Odes and - ,; NGticinal Electrical � i I I Util ty c nec ionsShall lbe ithin 4 ft{ of the m b+lekome ither y`g dirdctly behind or wvit the, rear i hal of the roydside `eft) of fhe j W aok ► I + mobilehbme.1 �A� i " Set k b� I I i 7• t J Cha \ire a ,oac\ o� +' ,v Into the eon ttolswr e oc wd1 i rL� E• � \ J�y�r r►^ t �6 I r I 0� I I7 i. 1 t r. I � I !r•� I is s of lansi and 'spec rirctc+ ons USS be n awful to «p on ,0 t„ wf� ou'i i -npl an cljr= .r.Cs r It he C' n ar#me of F'ublly I armi. sior� rom p , ori n � werig, Bc tt .ole V 01 I �-ship, Shall Bo to Accordance with Recognized; •�'otd Practicos and Of a qualAyprescri' for t a SPL-Zifie : USO In +1118��iforrn Building, Plbnli g ech6nicol C;Odes and - ,; NGticinal Electrical � i I I Util ty c nec ionsShall lbe ithin 4 ft{ of the m b+lekome ither y`g dirdctly behind or wvit the, rear i hal of the roydside `eft) of fhe j W aok ► I + mobilehbme.1 �A� i " Set k b� I I i 7• t J Cha \ire a ,oac\ o� +' ,v Into the eon ttolswr e oc wd1 i rL� E• � \ J�y�r r►^ t �6 I r I 0� I I7 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,-CA`'`' PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 8Y 2. Installer's Name: 0 3. Is the'site currently under permit? Yes No (If yes, furnish permit number ) OR r Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes FV] No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- 2oo Amps 7. What is the mobilehome site circuit breaker rating? ----- 17 Amps 8. Is there any other electric load to be served by the -------------------------------- mobilehome site service? Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- �_ (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 35 (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) MOBILEHOME.SUPPORT DATA If other than single wide, Mobilehome Mfr.furnish Setup Model No. Width___ (ft.) Box Length Ip((ft.) Tagalong or Expando Size Year ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)n 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations Llne 1 Piers: SINGLE -WIDE MULTI -WIDE Main Beams Line 2 — -- ' -- — — -- — — — — — —Line Z Main Beams:: — — — — — • — — — � — — — — t Line 2 Tag or Triple — — — — — — — — — — — r— Line 4 111 Line 1 Size -Min. --------- ___ x Spacing -Max. -•-------- _ b Fran finds -Max. ------- Line 1 Openings: Size -Min. ------------------ "X Each Side of Openings With Width over --------- Line Z Piers: I Line J Piers: (Under Bearing Wall Only) Size-Min•Size-Min------------------- "x "x Spacing -Max. --------- !' �_ �� 'Spacing -Max -------------- — From Ends -Max.------- t''_ ^ From Ends -Max -------------- IJne 'i Roof loads: Size -Min .----------- 1. - "x "x 11"x 1."x 1."x "x I. "x "ic Location (From Front) Lfne 4 tiers: Line 5 Piers: (Under Bearing Walls Only) Size -Min------------- Size -Min.------------------ ,x x SpacJog-Max ----------- Spacing -Max.--------------- .� from Ends -Max.------- �_ �� From Ends -Max.------------- Line 5 Koof (nada: Y� Gpus Size -Mi u.--.._-_______ location (From Front) 11"x "x " "x "x h Certificate of Compliance: Residential =1 = - =Climate Zone 11 �— Mandatory Measures Checklist: Residential MF -1R -- - Pro eet Title t , NOTE: Lowrisc residential buildings subj= e the Standards must contain these measures reof the corn lance J I �I�� approach used. Items marked with an asterisk (•) may be superseded by more suing= CO regardless requirements listed 8 CA PA Building Permit r r' on the Certificate of Compliance. Wben tltis chockhst is incorporated into the permit documents, the features toted shall Protect Address �`� �'Q �O I. be considered by all panics as binding minimum component performance speafirstions for the mandatory measures w whether they are shown elsewhere in the documents or on this checklist only. f�EIN� Y C.ItfiE� iG. e3edtea By/ Date � ; . Documentation Author fTelephone Enforcement Astencv Use Only , DESCrusmoN DEstCxF3t ENFORCEMENT BUILDING DATA Glass Type North Glass Area % Glass 1.9 Conditioned Floor Area 3 �' Number of Stories Z East �5 SlaFloor Number of .Units �_ South _ 7_2.2 Single Family Detached (SED) [ ] Addition.Alone Wit 2r� G•�• ] Single Family Attached (SFA) [ ] Existing Building Skylight p [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total 919 1W.9 BUILDING SHELL INSULATION Component Insulation L=af or /Comme:xts Type R -Value (attic, to garage, ripi.t:l, etc.),:" Wall .............. R,49 exr. W^LLS Wall .............. Roof ............. R— 30 —>A -Tr a C Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Orientation (SO (single, doubt, NorthNo Output l Earth 64East (SE, SEER,HSPF) (attic, etc.) R -Value tuh *►T PI�«�P,� South ( of �s So X53 _ South ( ) West r West ( ) Skylight....... 0_ THERMAL MASS Type/Covering Area (slab/exposed, tile, etc.) (sf) Interior Exterior Overhang Framing Type Thickness HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output conditioner, heat um) (SE, SEER,HSPF) (attic, etc.) R -Value tuh *►T PI�«�P,� s,i So X53 A e. r Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Manufacturer / Model # Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(bY. Loose fill insulation manufacturers labeled R -value. ' §2.5352(c): Minimum wall insulation in framed walls R• I l weighted average (does not apply to exterior mass walls). §2.5352(k} Stab edge insulation • water absorption tate no greater than 03%, water vapor transmission rate no greater than 2.0 pmW=h. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards Indicate type and form. §2.5352(1): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltm6on/Exfiltration Controls a. Door and windows between conditioned and unconditioned spaces designed to limit au leakage b. Doors and windows ccrtirwA c. Doors and windows weatherstripped: all joints and pence anions caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards §2.5352(d): Installation of Fut:ptaces 1. Masonry and factory -built fireplaces have: L Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2.5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2.5352(h) and 2.5315: Setback thcrmostat on all applicable heating system.:. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2-5316ft Exhaust systems have damper controls. §2-5314(c): Gas -rued space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerhcads and faucets entified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greats) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Excep6on 1): Pipe insulation on steam and steam condensate return k recirculating piping. §2-5319(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. It. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. - 5. Directional water inlet. Lighting and Appliance Measures t §2-5352(1): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms. 12-5314(c): Gas fu -,d appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerate rr krefrigerator-freezm. freezers and fluorescent lamp ballasts certified by the CEC. Indicac and model number. COMPLIANCE S" fATEMFNT This certificate of Compliance lists tlr. building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chaptrr 2. Subcbapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual Mitt overall design responsibility and the building owner, who shall retain a copy of it and transmit dhe certificate to any subsequent purdtaser of the building. Designer Nam= T-We/Ftsm: Address: Tekphorne tic. 0: (signature) Documentation Author Name: TidcJFtzrn: Address: (date) Building Owner Nath ThIc/Firm: Address: Tckphonc (signature) (date) Enforcement Agency Name; Autry: Telephone 4 . r 1. Ceiling Insulation -14 , -69 Number of stories -144 R -value One Two Three R-0 -103 -49 32 - : R-19 -8 -4 -2 R-30 -2 -1 -1;.: R38 0 0 0 .: U -value -5 0.08 -11 0.50 -176 -84 .54- 1 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 .4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 -4 -4 3 2. Wall Insolation .2 -2 -2 Single- Single - -2 -2 Family Family Multi - 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 6 3 i F2 factor 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 0.06 9 7 5 0.04 14 11 7 • 0.02 19 .14 10 0.00 24 18 12 8 12 17 3. Raised Floor Insulation -20 0 Insulation in"Floor 9 13 Number of stories 15 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 1 R-30 3 1 1 U -value -14 -48 -69 --_.0.60 . -144 -70 -46 i^ 0.50 -120 -58 38 0.40 -95 -46 30 - 0.30 -69 34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 3 -4 t - 0.06 -6 -3 .2 0.04 -1 0 0 ' 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -58 -20 Number of stories -3 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 -2 -2 R-19 i -1 -2 -2 4. Slab Edge Insulation 7 14 25 -06 -14 ----" 0 Numt of glories 14 R -value One Two Three ' R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 i F2 factor 3 3 9 0.90 -4 3 .1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 - 4 - S. Inriltration (Air Leakage) Specifxawn Points Standard 0 6. Glass Heat Loss Total -14 -48 -69 --Effective U value 16 Percent -42 (percent Plast x SC) .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 .10 4 40 -90 37 -26 .14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 .4 4 12 29 -58 -20 -12 -3 5- 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 .2 6 13 26 -49 -15 -8 .1 7 14 25 -06 -14 -7 0 7 14 24 -43 -12 .5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 -34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 ' 17 20 8 2 - 12 14 16 18 20 7: Shading (Shade Open) -14 -48 -69 --Effective Percent Glass 16 -12 -42 (percent Plast x SC) -55 na Effective -10 -35 -50 -46 %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na,_ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 10. Exterior Wall Thermal Mass 2.9 Exterior �B. Shading (Shade Closed) Efrectlyc Percent Glass (percent Alas x SC) Effective %Glass NoM East South West SlgVu 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 36 .33 na 10 3 -23 31 -29 -74 ' 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 .1 -2 -1 -9 1 1 •1 1 .. _ 1 -4 0'* 2- 3 4 3 0 he . not allowed 9. Interior Thermal Massa .. _ . Interior Slab Floc - Raised Fbor - Mass Stories Stories - : /CFA One Two Three Otte Two Three 0.0 -8 -5 -4 .2 -1 -1 0.1 " -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 " 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 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 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6' 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 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 2.9 Exterior Simla- Sinple- -24 to -1410 -410 Wall Family Family Mule less Mass Detached Attached Family 0.00 0 0 0 -25 -21 0.20 3 2 1 6.0 0.40 5 4 3 -6 0.60 8 6 4 4 -4 0.80 10 8 5 . . 1.00 13 10 7 ; 1.20 13 12 8 8 6 1.40 12 13 9 9.0 1.60 10 13 : 11... 7 1.80 10 12 12 19 16 2-00 10 11 13 11.0 11. Heating System 23 19 15 12 SE or 13SPF 12.0 30 (assumes ducts In attic) 18 14 9 Sum oft _ 29 24 20 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 . +5 +15 more r 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 3- 2 Errective SE or HSPF 2 (SE or HSPF x duct efricieney)-- 3.2 Effective -25 or -24 to -14 to -4 to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 4.3 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 j 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 - HP System Type 8 5 4 3 Resistance 10 9 7 6 4 3' Other 6 5 4 3 2 2 12. Cooling Sysvm Climate Zone 11 , SCORE CARD ..Eff. % Glass a. SEER x �-7 7 = Measures b. 1. (assumes ducts In attic) c. Interior Mass/CFA ' St m of 7-10 U -value [0.030] 2. WallInsu]ation R. or -25 or -24 to 1-t4 to -4 to +6 to 16 or SEER less .15 i -6 +5 +15 more 8.0 -14 -12 -10 3 3 -4 . 8.5 -9 -7 -6 -5 -4 3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 =- 120 15 13 11 9 7 5 _13.0 20 17 ., 14 12 9 6: 0.2 0.4 EffeW eSEER 0.8 1.1 1.3 (SEER xduct eMclenc7) 1.9 21 23 Sun of 7-10 2.7 2.9 3.2 Effective -25 or -24 to -1410 -410 +6 b 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 4 6.6 -5 4 -4 3 -2 -2 7.0 0 0 0 0 0. 0 1, 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 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 1.8 Zonal Control Adjustment 22 24 26 28 10 8 7 6 4 3 4.1 No Cooling System Installed 4.7 = =-Stories 5.1 5.3 . 56 53 40% One -5 -4 -4 3 -2 -2 Two + 3 3- 2 2 2 1 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 Single -Family Detached and Attached 5.9 50% a Unit Size (sq 1.1 Water 15 11,99 '1200 "1700 2200 2700 Heater Credit or • to to to or Type Type less ,1699 2199 2699 more SG None 0` r. 0 0 0 0 or Solar 12 '' 8 6 5 4 - HP -HWR 8 5 4 3 3 32 WSB 5 3 3 2 2 4.5 POU 8 5 4 3 3 SE None -37 -24 18 -15 -12 1.4 Solar -1 -1 -1 0 0 2.7 HWR -18 -12 -9 -7 -6 4 WSB.. -25 -16 -12 -10' -8 - POU -18 _ -12 -9 -7. -6 IG None '-5 -3 .2 .2 -2 22 Solar 7 5 4 3 2 3.4 POU 3_ 2 1 1 1 IE None -28 19 -14 -11 .9 5.9 Solar 8 5 4 3 3 1.6 POU -10 3 -5 -4 _3 2.9 Multi -Family (Individual units) 3.3 3.5 3.7 Unit Size is F 4.1 4.3 Water 4.8 699 700 1200 1700 2200 Heater credit or '. to to b or Type Type less ;1199 1699 219p more SG None 0 0 0 0 0: or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 6.5 WS8 9 4 3 2" 2 22 POU 9 5 3 2 2 SE None 45 .--23 -15 -11 -9 4.7 Solar 2 1 1 0 0 6 HWR '-23" -12 -8 -6 '.5 1.7 WSB .25 -13 .8 -6 .5 29 3.1 -12 -8 -6 -5 IG -None -8 f -4 -3 -2 -2 " 54 Solar .' 6 .. 13 2 1 - 65 67 POU _ POU 1 0 0 00.. 2.2 :..E None : •30 -15 .10 _ =:3 ..._ 6 3.4 18 _ _ 9 6 4 4 POU ;': 8 __.. -4 : - -3 '-2 -2 Point System Summary: Climate Zone 11 , SCORE CARD ..Eff. % Glass a. North x �-7 7 = Measures b. 1. Ceiling Insulation or c. Interior Mass/CFA ' R -value 38] U -value [0.030] 2. WallInsu]ation R. or e. Skylight 4TM t MASS R -value [ U -value [0.098] 3. Raised Floor Insulation ROM T or 9. Interior Thermal Mass _ R -value [191 U -value [0.037] 4. Slab Edge Insulation or COND. FLOOR TYPE 2 MASS AREA AREA O R -value 101 F2 factor [0.77] S. Infiltration Standard = g 6. Glass Heat Loss �gr,. r� • 11.7roLC Ic.ry.tM .:..I.b) 71 AREA Type [double] U -value [0.65) % Total Glass [ 16] 7. Shading (Shade Open) Zonal Control? ( Y / N) I TYPE 1 KASS'(UIMC 4,2, ie: exposed Slab) Duct Efficiency [0.78] - _ 12. Cooling System [0.72/6.6] t� x t _ • HSPF 10.5615. 151 = to ,94 Zonal Control? ( Y / N) SEER [9S] 0% 5% 10% 15% 20% 25% 30% 35% 40% 45Y. SK SS% 60% 6Sf. 70% 75% 80% 85% 90% 95% 100% 105% 110y. 115% 120% 125- 0% 0 0.2 0.4 0.8 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1. 23 25 27 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 52 54 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 22 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3' 4.5 4.8 5 52 5.4 56 30% O.S 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 32 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 . 56 53 40% 0.7 09 1.1 1.3 1.5 1.7 1.9 22 24 28 28 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5:7 5.9 50% 0.9 1.1 1.3 15 1.7 1.9 21 23 2-5 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 SS% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 56 5.8 6: 62' 60% 1 12 1.4 1.7 1.9 21 2.3 25 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 15 1.7 1.9 21 23 25 27 3 3.2 a4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 WY. 1.4 1.6 1.8 2 22 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.S 4.7 4.0 5.1 5.4 5.6 5.8 6 62 64 6 6 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 29 3.1 3.3 3.S 3.1 4 4.2 4.4 4.6 4.8 5 52 54 56 59 6.1 63 65 67 WY.' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.1 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 67 69 100% 1.7 19 21 23 25 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 66 So 7 1101/. 1.9 21 2.3 2.5 27 29 3.1 3.3 36 38 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 22 24 2.6 2.83 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 S.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 23 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% 21 23 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 , SCORE CARD ..Eff. % Glass a. North x �-7 7 = Measures b. 1. Ceiling Insulation or c. South ' R -value 38] U -value [0.030] 2. WallInsu]ation R. or e. Skylight p x �- = R -value [ U -value [0.098] 3. Raised Floor Insulation ROM T or 9. Interior Thermal Mass _ R -value [191 U -value [0.037] 4. Slab Edge Insulation or COND. FLOOR TYPE 2 MASS AREA AREA O R -value 101 F2 factor [0.77] S. Infiltration Standard = g 6. Glass Heat Loss �gr,. r� • ND. L OR AREA Type [double] U -value [0.65) % Total Glass [ 16] 7. Shading (Shade Open) 8. Shading (Shade Closed) % Glass % Glass SC ..Eff. % Glass a. North x �-7 7 = 1 b. East X= -�7 c. South 7.2 X = FA4 d. West -6.4 x = 4,92- ,92e. e. Skylight p x �- = t'7 8. Shading (Shade Closed) Point Scores -r 0 0 11 T 07 Sum 1.6 N Point Total: Z' % Glass SC Eff. % Glass a. North x 1, z S- b. East b. 4 1 x c. South 2.2 x d. West r. 4 x e. Skylight _ 0 x = C7 9. Interior Thermal Mass O TYPE 1 MASS AREA = 0% InteriorN-tss/CFA COND. FLOOR TYPE 2 MASS AREA AREA O 10. Exterior Wall Mass Q- = g _ Exterior Wall Mass ND. L OR AREA 11. Heating System 6o-42-- x Zonal Control? ( Y / N) SE - HSPF Duct Efficiency [0.78] Effective SE or _ 12. Cooling System [0.72/6.6] t� x t _ • HSPF 10.5615. 151 = to ,94 Zonal Control? ( Y / N) SEER [9S] Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating 7 6-- O _ _ __....... TyPe [SG] Credit [none] Point Scores -r 0 0 11 T 07 Sum 1.6 N Point Total: Z' Mandatory Measures:uhecklist: Residential MF -1R NOTE: Lownse resioential buildings subject to the Standards must contain these measure, regardless of the compliance approach used. Items marked with an asterisk (') may be suoetseded by more stringent compliance requirements hsteo on the Certificate of Compliance. When this checklist is incciTorat�,d into the permit documents, the features noteo shall be considered by all paries as binding minimum component per!ormance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT I Building Envelope Measures • §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manuta=rer's labeled 8 -Value. • §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). • §150(d): Minimum n•13 raised floor insulation in Named fioors: minimum R-8 in concrete raised floors. §150(1): Stab epos insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater tnan 2.0 oernvinch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116-11: Fenestration Products, Exterior Doors and InfiltrabordExfiltration Controls a_ Doors ants winnows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value. and infiltration certification. c. Exterior doors and windows weatnerstripped; all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(1): Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110-13: HVAC eauioment water heaters. showerheatis and faucets certified by the Commission. §150(i): Setoack thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation 1. Inarrect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or areater) or combined intenonextehor insulation (8-16 or greater). 2. First 5 feet of pipes closest to water heater tank non -recirculating systems. insulated (R-4 or greater). 3. All buried or exposea piping insulated in recirculating sections of hot water system. 4. Cooling system piping Detow 5VF insulated. 5. Piping insulated between heating source and indirect hot water tank. §150(ml: Ducts and Fans 1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: duan insulated to a minimum installed value of R-4.2 or ducts encloseo entirely within conditioned space. 2. Exhaust tan systems nave oackdrah or automatic dampers 3. Gravity venuiatino systems serving conditioneo space have either automatic or readily accessible. manually operated oamoers.. §114: Pool and Soa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions. no eiecuic resistance neauna and no odot light. 2. System is installed with: a. At least 36' cioe oetween filter and heater for future solar heating. b. Cover for outdoor owls or out000r spa. 3. Pool system nas cirectionai inlets ants a circulation Pump time switch. §115: Gas -tired central lurnace. pool neater, spa neater or housenold cookino appliance have no continuousiv ounno phot light. (Exception: Non-vecmcal cooking appliance with pilot < 150 Stu/hr.) Ughting Measures §1 501k): 40 lumenswatl cr ereater for general lighting in kitchens and rooms with water closets: and recesseo ceiimo uxtures IC iinsuiation coven approved. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to compy'with Title 24, Pans 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate las been signed by tete individual with overall design responsibility. When this certificate of compliance is submitted for a single buffs ing pian to be built in multiple orientations, any shading feature that is varied is indicated in the Special FeattrreslRematks section Designer or Owner (par cutin" a Prolmsions code) Name: ride/Firm: Address: Telephone: Lia, (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: tsignaturwstampl (date) Documentation Author Name: Tide/Firm: Address: Telephone: • (signature) Ids) Certificate of Compliance: Residential Climate Zone 11 C_;� Documentation Author Telephone r - BUILDING DATA Conditioned Floor Area 20 34- 'Slab/Raised ¢'Slab/Raised Floor . , D ,M5, Single Family Detached (SFD) (] Single Family Attached (SFA) (] Multi -Family (MF) R3 - 17 1(,2_ Building Pcmit 0 1z K- (0-21 4Z Checked By/ Date Enforce nett Attmey Use Only B UILDING SHELL INSULATION Component Insulation Loeafionf Comme.6ts t Tvne R -Value (Suit. to ettirare. bvice2, i Roof .............- Roof..........». r'=-�---- Wall ......... .. •• Floor ............. Floor ............. Slab Edge...., FENESTRATION Shading Devitt -Ee.nestration Area Type Interior Exterior Ovetfiang Framing Type i Orientation (sf) (single. double) LlIa blind, ere.) _ (sh+de>creen, etc.) (yea/tto) (metal/wood) I Nonni ( ) �. DAL North ( ) East East ( ) South ( ) South ( ) West ( ) West ( ) Skylight....... _ THERMAL IViASS�" C NS Type/Covering Area Thickness (slab/exposed. tile, etc) S inches Location/DCSCri ath. etc.) ENT IiVAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Location Duct Heat Pump conditioner. hent nuinv) CAF UC, SEER.HSPF) (attic, etc.) R -Value Thermostat Tyne (split t or nkg) r , IIOT WATER SYSTEMS Tank R Value System Type (storage gas. etc.) Capacity Number Energy Factor Ext - Tank In& _ Di cirri h. -vi .s SPECIAL FEATURES/REMARKS Area Number of Stories North Number of East_ _Units [ ] Addition Alone South West 7 [ ] Existing Building Skylight [ ] Existing -Plus -Addition Total 2/7_ B UILDING SHELL INSULATION Component Insulation Loeafionf Comme.6ts t Tvne R -Value (Suit. to ettirare. bvice2, i Roof .............- Roof..........». r'=-�---- Wall ......... .. •• Floor ............. Floor ............. Slab Edge...., FENESTRATION Shading Devitt -Ee.nestration Area Type Interior Exterior Ovetfiang Framing Type i Orientation (sf) (single. double) LlIa blind, ere.) _ (sh+de>creen, etc.) (yea/tto) (metal/wood) I Nonni ( ) �. DAL North ( ) East East ( ) South ( ) South ( ) West ( ) West ( ) Skylight....... _ THERMAL IViASS�" C NS Type/Covering Area Thickness (slab/exposed. tile, etc) S inches Location/DCSCri ath. etc.) ENT IiVAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Location Duct Heat Pump conditioner. hent nuinv) CAF UC, SEER.HSPF) (attic, etc.) R -Value Thermostat Tyne (split t or nkg) r , IIOT WATER SYSTEMS Tank R Value System Type (storage gas. etc.) Capacity Number Energy Factor Ext - Tank In& _ Di cirri h. -vi .s SPECIAL FEATURES/REMARKS Point System Summary: Climate Zone 11 Point Scores . Ceiling Insulation or SCShade open Eff. % Fenes. North /, _9_ x _?� R -value 381 U -value 10.0281 East sit x 2. Wall Insulation or South x = Zt ?/ R -value 9J U -value [0.065] 2t 3. Raised Floor Insulation or d Overhangs? ( Y / N ) 0.81: 2+ story: 0.871 R -value ( 9J U -value 10.0371 or 4. Slab Edge Insulation or % Exp. Slab 1201 Int MasVCFA r z- R -value (01 F2 factor (0.751 Energy Factor 5. Infiltration Any Ducts in Ur=nd[tioned Space? ( Y / N) [Y] (SGS01 6. Fenestration Heat Loss _ 0,6 /D •4- S; S .25 Type U -value (0.651 Total % Fenes.1161 Sum 1.6 7. Fenestration Heat Gain -,? 'Wo x ; &I • = % Fenestration SCShade open Eff. % Fenes. North /, _9_ x 77 = / j L-" East sit x = I I sa South x = Zt ?/ West x = 2t Skylight fo!7 x ---- = d Overhangs? ( Y / N ) 0.81: 2+ story: 0.871 R-30 S. Interior Thermal Mass or .0 R-7 7 4 % Exp. Slab 1201 Int MasVCFA 9. Exterior Wall Mass Ext Wal Mass Shade Eff. Ratio 10. Heating System -,? 'Wo x ; &I • = !^:;- -72 -57 AFUE or HSPF Duct Etfic. (1 -story: Effeeave AFUE R -value [78% or 6.81 0.83: 2+ story: 0.881 or HSPF 11. Cooling System / 0 x , 46 ( = $ , -27 SEER 110.01 Duct Effie. I story: Eftecwe SEER ; -4 . i .2 0.81: 2+ story: 0.871 R-30 12. Water Heating �" ,-1 .0 R-7 7 4 System 1 ,S �, 0-573 r z- ° He�ater Tye Energy Factor Ext Ins. R -value Auwiiary Inout (SGS01 [0.531 [121 (None[ System 2 .25 .22 .19 Heater Type (Novel Energy Factor Ext Ins. R -value Auxrtiary Input 1. Ceiling Insulation �'` -ir ' ' Detached Attacneo 4. Slab Edge Insulation R-0 -72 -57 Number of stones , Number of Stones R -value one -5 -4 Three` R -value One Two R-0 -74 -48 -27 R-0 0 0 R•19 -5 ; -4 . i .2 R-5 6 4 R-30 .1 �" ,-1 .0 R-7 7 4 R-38 0 0 ° 6. Fenestration Heat Loss 2. Wall Insulation Singte- Sirve- Famdy Family Mu1111- R-value Detached Attacneo Fame R-0 -72 -57 -43 R-11 -7 -6 -4 R-13 -5 -4 -3 R-15 -4 .3 .2 R-19 0 0 0 R-21 1 1 1 3. Raised Floor Insulation -38 .34 Itzwiation in Floor .27 .24 Number of stones -17 R-0 -14 -9 -5 R-11 -3 .2 -1 R-19 0 0 0 R-30 2 1 1 sS t - Dism iii � Distnouoon Point Total: ares ° 5. Infiltration (Duct Air Leakage) 2 Ducts in Uncorldd oned Space 0 2 No Duos in Unconortwiled Soace 3 Tow 1.31 Percent or mestrwon more _ 1.11 to 1.20 Sum 7-9 .91 to 1.00 .81 to .90 Zonal Control LAzue .71 .66 to to .75 70 Adjustment (01 .56 to 60 .51 to 55 .46 to .50 .41 to 45 .36 to 40 r )�Control 507. sS t - Dism iii � Distnouoon Point Total: ares ° 5. Infiltration (Duct Air Leakage) 2 Ducts in Uncorldd oned Space 0 2 No Duos in Unconortwiled Soace 3 Tow 1.31 Percent or mestrwon more 1,21 to 130 1.11 to 1.20 1.01 to 1.10 .91 to 1.00 .81 to .90 .76 to .80 LAzue .71 .66 to to .75 70 .61 to 65 .56 to 60 .51 to 55 .46 to .50 .41 to 45 .36 to 40 .35 or less 507. -100 .76 -69 -62 -55 -48 -41 -38 .34 •31 .27 .24 .20 -17 -13 -10 407. -77 -58 -52 -47 -41 -36 -30 .27 .25 .22 .19 -16 -13 -11 -8 -5 35% -66 49 -td -39 -34 -29 -25 -22 .20 .17 •15 -12 -10 -7 -5 .3 3011. -54 -40 -36 -31 -27 -23 -19 .17 -15 -13 -11 -8 -6 -4 .2 0 287. -50 -36 -32 -28 -25 -21 -17 -15 -13 -11 .9 -7 -5 -3 -1 1 267. -45 -33 -29 -25 -22 -18 -14 •13 .11 -9 -1 -5 -4 -2 0 2 24% 41 -29 -26 -22 -19 -16 -12 -11 -9 -7 -6 -t -2 -1 1 3 22% -36 -25 -22 -19 -16 -13 -10 -8 -7 -5 -t -2 •1 1 2 4 20% -31 -22 •19 -16 -13 -11 .8 -6 -5 -4 -2 .1 1 2 3 5 18% -27 -18 -16 -13 -11 -8 -6 -t -3 -2 -1 1 2 3 4 6 16% -22 -14 -12 -10 -8 -6 -3 -2 -1 0 1 2 3 4 6 7 14% -18 -11 -9 -7 -5 -3 -1 0 1 2 3 4 5 6 7 8 12% .13 -7 -6 .4 -2 -1 1 2 3 4 4 5 6 7 8 9 1011. -6 -i -2 -1 1 2 3 4 5 •7 6 7 8 8 9 10 8% -t 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 7. Fenestration Heat Gain (baseo on shoe Ettecvveness Rano) Elf North -4 EastSotto -2 -21 West -15 Slgllpnt % .87 .67 .52 I .51 .87 .67 .52 .51 I .87 .67 52 .51 .87 .67 .52 .51 .67 .66 Fen- or to to or or to to or or to to or or to to or or or ttstra- more .86 .66 less more .86 .66 less more .86 .66 less more .86 .66 less more less 118% -5 -4 .3 -2 -21 -20 -15 -12 -26 -23 •16 -12 -36 .32 .23 •16 .75 -50 16. -4 -4 .2 •1 -18 -16 -13 .10 -21 -19 -13 -9 -31 -27 •19 -14 -65 -44 14% -4 -3 .2 -1 -14 -13 .11 -8 -16 .14 •10 -7 -26 -23 -16 -11 .55 -38 12% -3 -2 -1 •1 -11 -10 -8 -6 -12 -10 -7 -4 -21 •18 •13 .8 .46 .31 11% -2 -2 -1 0 -10 -9 •7 .6 .10 -8 -5 .3 -19 -16 -11 .7 •41 -28 10% -2 -2 -1 0 -8 -8 -6 .5 -8 -7 -4 -2 -16 .14 .9 -6 .37 .25 9% '.2 -1 •1 0 -7 •7 -5 .4 -6 -5 -3 -1 -14 -12 -8 .5 -32 -22 8% .1 .1 .1 0 -6 -5 -4 .4 -4 -4 -2 0 •11 -10 -6 .4 .28 -19 7% .1 •1 0 0 -5 -4 .4 •3 .3 .3 -1 0 -10 -8 -5 -3 -24 -17 6% -1 •1 0 0 -4 -4 -3 -2 -2 -2 -1 0 -8 -7 -4 -2 -20 -14 5% •1 0 0 0 -3 -3 -2 -2 -2 -1 0 0 -6 -5 -3 -1 -16 -12 4% 0 0 0 0 -2 -2 •1 -1 •1 -1 0 1 .4 4 -2 0 -12 -10 3% 0 0 0 0 -1 -1 -1 0 0 0 0 1 -2 17 0 1 -9 •7 2% 0 40 50% 1 0 -24 0 0 0 0 1 1 00 5.1 1 2 -6 -5 1% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 -3 -2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3 0 0 8. Interior Thermal Mass Houses with Ducts (R-4-2) Exton or Single- Netbod A (Slato.-on-grade Construction Only) Patt:erd Family one Mass Two Three Examed Ston 0 Stones Stories 0 3 .3 2 .2 7 .1 4 10 9 -2 6 .1 12 .1 7 20 14 0 9 0 17 0 10 30 18 1 11 1 21 1 13 40 23 3 14 2 24 1 14 50 - 4 85% 3 7.2. 2 4 60 2 5 1 3 7.8 2 8 7D 5 6 3 4 95% 2 &0 so 9 8 5 5 2 3 8.7 90 13 9 9 6 4 3 .4 to 100 Effective AFUE or HSPF 10 AC 6 (AFUE or HSPF x duct efficiency) 4 Effective +15 more Method B Gas Int Pkg Slab Floor -24 Raised Floor -4 Mass 16 Stories HP HP Stones to to iCFA one Two Three 7.0 Two Three 0.0 -11 -8 .6 One Story House •1 7.8 0 0.1 -10 -7 -6 0 0 -62- 0 0.3 -9 -6 •5 1 1 3.4 1 0.5 -8 .5 -4 2 2 4.4 2 1.0 -6 -3 .1 4 4 60% 5 1.5 -4 .1 1 6 6 -1 6 2.0 -2 2 4 8 8 0 8 2.5 1 3 5 9 9 3 9 3.0 3 6 - 5 11 10 9 10 4.0 4 6 7 13 13 16 13 5.0 4 6 8 14 14 24 14 6.0 5 7 9 15 15 -17 15 7.0 7 8 10 16 16 -69 16 8.0 8 9 11 18 17 3.4 17 9. Exterior Wall Thermal Mass Houses with Ducts (R-4-2) Exton or Single- Single. Mufti Wall Family Family Family Mass Detached Attached -25 or 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 18 14 2.00 24 19 14 10. Heating -System Houses with Ducts (R-4-2) SEES Houses With Ducts (R4.2) Sum of 7-9 Soln Pckg -25 or •24 to Sum of 1-6 +6 to 16 or Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or - HSPF "SPF less -15 .5 +5 +15 more 78% 6.8 6.6- 0 0 0 0 0 0 80r% 7.0 6.8 1 1 1 1. 0 0 85% 7.4 7.2. 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 95% &3 &0 11 9 7 5 4 2 100% 8.7 &5 13 11 9 7 4 2 .4 to +6 to Effective AFUE or HSPF AC AC less (AFUE or HSPF x duct efficiency) .5 Effective +15 more One Story House Sum of 1.6 Gas Sole Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or 7.0 "SPF "SPF less -15 -5 +5 +15 more One Story House &0 7.8 -1 0 0 0 33% 2.9 2.8 -62- 43 -44 •34 -25 -16 40% 3.5 3.4 -40 -34 -28 -22 -16 -10 507. 4.4 4.2 -19 -16 -13 -10 -7 -5 60% 5.2 5.1 -4 -4 -3 -2 -2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 6 5 4 3 2 1 80Y. 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 100% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House -17 -12 -8 .3 0 33% 2.9 2.8 -69 -58 -48 -37 -26 -15 40% 3.5 3.4 46 -39 -32 -24 -17 -10 50% 4.4 4.2 -24 -20 -16 -13 -9 -5 60% 5.2 5.1 -9 -8 -6 -5 -3 -2 69% 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 1 1 1 1 0 0 80% 7.0 6.8 9 8 6 5 3 2 907. 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 14 11 8 4 Zonal Comml Adjustment System Type Resistance 6 4 3 2 1 0 Other 3 3 2 1 1 0 11. Cooling System Adjustment for No Tank Insulation ter Numoer of WaMil=ers waterMeaterTvoe One TWO SG50 •2 .5 SG75 -3 -6 SE .5 -9 HP .2 .4 House Size Adjustments Hoe Size (rt2) atal Was 1000 Water heamtg titan to Pon PoScare low 1499 -30 -17 .5 .25 •14 .4 •z -11 .3 -15 A .3 -10 4i -2 .5 a A 0 0 0 5 3 1 10 6 2 15 9 3 20 11 3 25 14 4 Rouse She wdJttstmeat House sae or) SuOtml ism 2000 Water Homo to or Pont Score 1999 more 30 0 3 -25 0 2 -20 0 2 -15 0 1 .10 0 1 .5 0 0 0 0 0 5 0 0 10 0 .1 15 0 -1 2D 0 .2 25 0 -2 Al Zonal Control Adjustment l 6 5 4 2 1 0 1:- Water Heating one water Hata - No AuzMary Ctsdhs Dttdrtasnon Syttrant2 tAeore Systsms Water CDMUss Etwpy STD NWR Pipe No Timer Dema Heater Tvoel Zones Factor POU In ul On SG50 All 0.53 0 3 1 A .5 0 0.63 5 8 6 -4 0 5 0.73 8 11 9 0 4 8 SG75 At 0.48 -2 1 -1 -12 -7 .2 am 3 6 5 •5 -1 4 0.68 7 10 8 -1 3 7 SE All t197 -20 -12 -17 jt .32 .19 t1A3 -17 -9 •13 38 •28 -16 IG, All 090 2 5 3 IE All 093 -21 -12 HP 6.11,13.15 190 4 7 5 -5 -1 4 Two Watw Haters - Yo AuzMw-y Credits SGW All am .7 .4 -6 •17 -12 -7 0.63 1 5 3 -8 .4 1 0.73 6 10 8 -2 2 7 SG75 Aa 0.48 •12 -e -11 -22 47 -12 0.56 •t ] 0 -11 � •1 0.68 6 9 7 •4 1 6 SE At 0.87 -22 -14 -19 -46 -35 -22 093 -16 •7 •12 -39 -28 -15 IG All 0.80 .4 .1 •3 IE All 0.43 -21 •12 HP 6.11,13.15 1.80 .1 3 1 -10 -6 0 Houses with Ducts (R-4-2) SEES Sum of 7-9 Soln Pckg -25 or •24 to -14 to -410 +6 to 16 or AC AC less -15 .5 .5 +15 more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 12.0 11.6 8 6 5 3 1 0 13.0 12.6 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 Effective SEER (SEER x duct efficiency) Eft SEER Sum of 7.9 Solrt Pckg -25 or -24 to -14 to .4 to +6 to 16 or AC AC less -15 .5 +5 +15 more One Story House 5.0 4.9 .29 -23 .17 -11 .4 0 6.0 5.8 -16 -13 -9 -6 -2 0 7.0 6.8 -7 -6 -4 -3 .1 0 &0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 5 3 1 0 11.0 10.7 12 10 7 4 2 0 12.0 11.6 15 12 9 6 2 0 13.0 126 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House 5.0 4.9 -35 -27 -20 -13 -5 0 6.0 5.8 -21 -17 -12 -8 .3 0 7.0 6.8 -11 A -7 -4 .2 0 8.0 7.8 -4 -3 -2 -1 .1 0 8.7 8.4 0 0 0 0 0 0 9.0 &7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 120 11.6 13 10 7 5 2 0 13.0 126 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 Adjustment for No Tank Insulation ter Numoer of WaMil=ers waterMeaterTvoe One TWO SG50 •2 .5 SG75 -3 -6 SE .5 -9 HP .2 .4 House Size Adjustments Hoe Size (rt2) atal Was 1000 Water heamtg titan to Pon PoScare low 1499 -30 -17 .5 .25 •14 .4 •z -11 .3 -15 A .3 -10 4i -2 .5 a A 0 0 0 5 3 1 10 6 2 15 9 3 20 11 3 25 14 4 Rouse She wdJttstmeat House sae or) SuOtml ism 2000 Water Homo to or Pont Score 1999 more 30 0 3 -25 0 2 -20 0 2 -15 0 1 .10 0 1 .5 0 0 0 0 0 5 0 0 10 0 .1 15 0 -1 2D 0 .2 25 0 -2 Al Zonal Control Adjustment l 6 5 4 2 1 0 1:- Water Heating one water Hata - No AuzMary Ctsdhs Dttdrtasnon Syttrant2 tAeore Systsms Water CDMUss Etwpy STD NWR Pipe No Timer Dema Heater Tvoel Zones Factor POU In ul On SG50 All 0.53 0 3 1 A .5 0 0.63 5 8 6 -4 0 5 0.73 8 11 9 0 4 8 SG75 At 0.48 -2 1 -1 -12 -7 .2 am 3 6 5 •5 -1 4 0.68 7 10 8 -1 3 7 SE All t197 -20 -12 -17 jt .32 .19 t1A3 -17 -9 •13 38 •28 -16 IG, All 090 2 5 3 IE All 093 -21 -12 HP 6.11,13.15 190 4 7 5 -5 -1 4 Two Watw Haters - Yo AuzMw-y Credits SGW All am .7 .4 -6 •17 -12 -7 0.63 1 5 3 -8 .4 1 0.73 6 10 8 -2 2 7 SG75 Aa 0.48 •12 -e -11 -22 47 -12 0.56 •t ] 0 -11 � •1 0.68 6 9 7 •4 1 6 SE At 0.87 -22 -14 -19 -46 -35 -22 093 -16 •7 •12 -39 -28 -15 IG All 0.80 .4 .1 •3 IE All 0.43 -21 •12 HP 6.11,13.15 1.80 .1 3 1 -10 -6 0 Rouse She wdJttstmeat House sae or) SuOtml ism 2000 Water Homo to or Pont Score 1999 more 30 0 3 -25 0 2 -20 0 2 -15 0 1 .10 0 1 .5 0 0 0 0 0 5 0 0 10 0 .1 15 0 -1 2D 0 .2 25 0 -2 Al Zonal Control Adjustment l 6 5 4 2 1 0 1:- Water Heating one water Hata - No AuzMary Ctsdhs Dttdrtasnon Syttrant2 tAeore Systsms Water CDMUss Etwpy STD NWR Pipe No Timer Dema Heater Tvoel Zones Factor POU In ul On SG50 All 0.53 0 3 1 A .5 0 0.63 5 8 6 -4 0 5 0.73 8 11 9 0 4 8 SG75 At 0.48 -2 1 -1 -12 -7 .2 am 3 6 5 •5 -1 4 0.68 7 10 8 -1 3 7 SE All t197 -20 -12 -17 jt .32 .19 t1A3 -17 -9 •13 38 •28 -16 IG, All 090 2 5 3 IE All 093 -21 -12 HP 6.11,13.15 190 4 7 5 -5 -1 4 Two Watw Haters - Yo AuzMw-y Credits SGW All am .7 .4 -6 •17 -12 -7 0.63 1 5 3 -8 .4 1 0.73 6 10 8 -2 2 7 SG75 Aa 0.48 •12 -e -11 -22 47 -12 0.56 •t ] 0 -11 � •1 0.68 6 9 7 •4 1 6 SE At 0.87 -22 -14 -19 -46 -35 -22 093 -16 •7 •12 -39 -28 -15 IG All 0.80 .4 .1 •3 IE All 0.43 -21 •12 HP 6.11,13.15 1.80 .1 3 1 -10 -6 0 Al Zonal Control Adjustment l 6 5 4 2 1 0 1:- Water Heating one water Hata - No AuzMary Ctsdhs Dttdrtasnon Syttrant2 tAeore Systsms Water CDMUss Etwpy STD NWR Pipe No Timer Dema Heater Tvoel Zones Factor POU In ul On SG50 All 0.53 0 3 1 A .5 0 0.63 5 8 6 -4 0 5 0.73 8 11 9 0 4 8 SG75 At 0.48 -2 1 -1 -12 -7 .2 am 3 6 5 •5 -1 4 0.68 7 10 8 -1 3 7 SE All t197 -20 -12 -17 jt .32 .19 t1A3 -17 -9 •13 38 •28 -16 IG, All 090 2 5 3 IE All 093 -21 -12 HP 6.11,13.15 190 4 7 5 -5 -1 4 Two Watw Haters - Yo AuzMw-y Credits SGW All am .7 .4 -6 •17 -12 -7 0.63 1 5 3 -8 .4 1 0.73 6 10 8 -2 2 7 SG75 Aa 0.48 •12 -e -11 -22 47 -12 0.56 •t ] 0 -11 � •1 0.68 6 9 7 •4 1 6 SE At 0.87 -22 -14 -19 -46 -35 -22 093 -16 •7 •12 -39 -28 -15 IG All 0.80 .4 .1 •3 IE All 0.43 -21 •12 HP 6.11,13.15 1.80 .1 3 1 -10 -6 0