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HomeMy WebLinkAbout061-620-004\ . ' F RICHARD -HAAS_ - 61-652-04�NEW OWNER: LEN &.VIRGINIA YOUNGSS /ELEC Pit" ` GAS. .LCOMPACTION TEST REQ.,O� 1/,-20)�W '61-62-04 3194-89P � YOUNGS,. Len )H 30 31 Choctow Rdige Rd, Berry Creek � (kas piping/travel trailer) ex site061-62-0 004 92-2817 BPEMYOUNGS, Len31'Choctaw Ridg& RD, Berry Creeknew sf� . . . _.r. stg Of tools, small tLractor etc) p . . . N I ' � \ � '� v / ._;.� . ` v RESIDENTIAL, „• •061-62-0-004��92-2817 BPEM , ` YOUNGS, Len ± 31 Choctaw Ridge Rd, Berry Creek - a, f. contr: Phillip Youngs new sf c - i C • i� F A i ti y i 4 11 � ` � • t i � 1 •c } JOB FIN ALED (,Q#) _ E ' Signature J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except ff's i Zon ing-Setbacks-Easements-Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-be Ftg. Depth . Ftq., Garage; Soils -Steel -Elea Grnd.-/ /" Ftq. Depth 4. Ft_g., Porches & Decks; Soils -Steel-/ /Ftg. Depth mwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel j9!D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUM ING (Permit),OK except p's 1 Water Htr.: Vent -Access Combustion Air -Baffle --- -- ,17JWater Pipe: Test & Anchor -Nail Protection --- -G� V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors I Date Card B71 -- --Date - Card B_1 - ----- ---------- ---------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's •22-Ffx1rjre'&>Transformer Clearance -Ins. Protection ------------ --------------------- L2.3-Ele ------------------------------L2,3-Elec. Receptacles Spacing -Lights & Switches at Doors ------- ------------------------------- - ---------------- --C2A!Siie Boxes & No. of Conductors -Stapled Comex installed Close to Edge of Studs & C.J. 1015 ----------------- -- - --------------------------------- ---------------- --- ---- -- Equip. Ground made'up w/Meth. Fastners-Bond Gas &Water . 2 Appliance Circuts.in Kitchen & Conductor Size!GFI ----------------------- -------------------------------- ----- 28.}Subfeed Wire Size ! i ga. Cu or AI-A.C. Wire Size ! ! ga. _ Cu or At 29. Range Circ /I )ga r �At- ven-Circ. / / ga. Cu or Al. Insulated Neutral - Y�'Yes- - ❑ No 30Service-Riser Conductors & Ground -Main Disconnect -------------- --- - ----------------- - ---- - 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------ -------------- -------- --- - -------------------- - - --- - Smoke Detector --------------------- --- -- - - - - --- -- - Date �)• C�' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ME ANICAL (Permit) Ok except h's A.C. Ducts Insulation & Support ------------ - --------------------------------------------------------------------- L 5S Vent Fan: Exhaust above insulation - --------------------- _ ' 36. Condensate Drain & Overflow: Size & Grade --- ----- 37. Furnance-Vent: Access -Comb Air -Return Air Vent -1-15 outlet --------------------------------------------- - 38. Attic Access & Platform if Furnance in Attic ------------------------------- - - -- ----------- :-------------------------- Date Card B_1 Date Card B-1 •--------------- ------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAWG (Plans) OK except a's ts. Proper Material & Anchors Walls Studs -Nailing. Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing - ---- -- -- ----- aft Stop in Walls (rat proof) - Fi-Stops Furred Ceilings-Stairs_Chases-Tub - - -- -- Headers & Beam -Size & Bearing Date FRAMING (Continued) ., ue-Hawgers- Caps -Anchors -Connectors 146. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Ring. _- Fireplace Ties or Type A Flue -Fireplace Throat clearance -- -- Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 44_9_Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ",D' -Garage Fire Protection Framing - ----- 6-1..Pr Line Firewall & Openings x -t. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------- Stai s; Width plywood Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers -----------_----- ---- ng-Nailing Veneer ------------ ---------- 56.-S co Mesh -Drip Screed -Fd. Vents-Underflr. Access - -GF . Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts --------- 59. Insulation/65`I eilings 4-7 60.--Infiltration-Walls-Windows ------------------------------- Date _ 7 ii j Card B_t-- --- Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ff's /E�Steps-Door & Sidelight Protection -Landings -�92 moke Detector ------------- X63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ---------------- 64. ---- ----------64. B oom Exiting GF.I & Bath Fixtures & Tub Access-Spa --------------------------- ec & Subpanel: Breaker es & La Is - ----- 67. 5tairs & Rails _K ----- Fireplace or Stove: Clearances Hearth --------------------------- 6 lec. Outlets at Wood Panel: Int. & Ext. --------- -- - --- =--------------------- i i t. & Appliance: Grnd.-Air Gap -Cooking Clearance ------------- ----------- --------... - ------------------ - 7 lec Outlets & Receptacles at Kit. Counter --- Garage Fire Door: Swing -Landing -Closer 73. Duct in Garage -Damper Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P..R:V. In Garage: Above Floor -Meth. Protection ------------- ------------------------ 7r. Ib.. Elec. & Mech. Equip. Listed for Location Eiec. Receptacles in Garage: (G.F.L)-Romex Protection. ---- \7y. Insulation -Fir i Looked in Attic ❑ Yes --------- ------ - - - Guard Rails & Deck Construction -Post Caps 7o Grin \Leafs & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor �❑.. Yes 80 Following instld. Drive Yes Q -<o: Walks ❑ Yes No; Planters ❑ Yes ,OrNo ------------------------------------ ---- .&-4- SCucc3-Brown-Finish -- - 82. A C. Unit: Disconnect Electrical, Plumbing Vent Above Roof; Plbg.-Appliance-Fireplace.-Clearance to enings ------------- - -------------------------- --- W ter Well: Disconnect, Electrical, Plumbing ----------- - ---------------------- - Exterior -Elec.-Trim: G.F.I. Receptacle -Underground �b Ventilation Throughout House -------------- --- '&' Glass Protection ------------------------------------------------ 88. -----88. Corrections from Previous Inspections ------------------------------------ <C-as Test -Meters Tagged Gas -Electric �p�•j.s$�- �p ��.- 90. ater &Sewer Connected -C/O to Grade -HDA roJdl Energy Compliance Certificate -Other Certificates ---Card B-1------_- --- Date---- Card -B-1-- --- ! Dat _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK O=Not OK = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements--Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/,. /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks'Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged - 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1, MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card.B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI ; 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed ' 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater , 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 <% ..... .... : "'�_ "�F�'v'.'irti-.r'v.JY�i�^h,'�,yJ`''�r-F}{i:.'�r��.W�--•-"�a...rr�-..�'"L''i.✓+.(`-:r+^wfl• COUNTY OF BUTTE BUILDING DIVISION 41EPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE w 9z- 2 -7 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•eon,pleted-ilfyou have any questions pertaining to this matter, or need additional explanation, please cont4ff1f%is office immediately. Date z-- 7 Inspector REV 1QW COUNTY OF BUTTE BUILDING DIVISION (DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916),891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 ' 747 Bliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE //5 �WllBt PE MIT NO. Annglim that the following violations of Butte County Ordinances exist at tiea�we should be corrected. Please notify this office when correction of work scoar4iegeA have any questions pertaining to this matter, or need additional explanation, tls office immediately. - %.LAS a•� � GI J� a� if �(.c� c_, 4 �- C- e-11{ 022 , Cl 4, J Jo , Al �B - ter' ov,vs / . 77 n Y! 1'L �Cf C 0/ 1(�v b �s�( �y r 4-- / /s ��'tS itln ;,d C, r1 5 4 14;lt4C - nyrl6Y `TQ 'CrV I D>ame�L��y 3 Inspectorj� raw fid W vow* ,_.. - r • +i N. ,rte COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT. OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Eliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE '2-- ZY/Z } 0�1AIER 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 completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 /� _ v )� i raker ca GCif `R.'S 00 Ci^ 0.�L9 ✓U�/C�/ a i. ,0/mss ZA Date Inspector -I"— f REV 10/9 ` E'. ' 'ECES' .��NI - a l I --LY, 39026 r.. DRIVER _ r TOTAL �i � ....SIZE LGTH ,' ` .DESCRIPTION : a t "-S•FEET.. , s ••-PRICE " APER' ` ;AMOUNT, ,''� > - FEET. � �,•. .X. •�0NO��� I�fil .. tlb N R 1. A ENERGVC' .0 3 ��OCA_Qw �`, �V' -.1, , 1. , I NUMBER AND STREET CITY' j, COUNTY P SUBDIVISION i ..LOT NUMBER DESCRIPTION Or, INSULATION ROOF MATERIAL -BRAND NAME THICKNESS (INCHES) THERMAL RES.j EXTERIOR WALL MATERIAL TYPE Fiberglabs BRAND NAME . qertainTeed THICKNESS (INCHES) THERMAL RES.i 14 CEILING i I BATT OR BLANKET TYPE Fiberglas BRAND NAME CertaAnTeed THICKNESS (INCHES) ___L�=_Jl � � �,,,THERMAL RES. LOOSE FILL TYPE Fiberglas 9 BRAN I NAME nsulSaf e III THICKNESS (INCHES) mkITHERMAL RES.' FLOOR, ELEVATED MATERIAL Fiberglass8 iLTIBRAND NAME CertainTeed THICKNESS (INCHES) to 7.11 ki -THERMAL RES. Cl FLOOR, SLAP t! HATERIAl IhBRAND NAME THICKNESS (INCHES),THERKAL RES. WIDTH rl—JUNDATION WALL MATERIAL BRAND NAME THICKNESS .(INCHES) Tk THERMAL L RES. HEATING SYSTEM 4 f t "ARE. 4'MODEL RATED BONNET CAPACITY - DECLARATION I HEREBY CERTIFY THAT THE ABOVE, Ng ULATION k WAS INSTALLED IN THE BUILDING AT THE ABOVE LOCATIONIAN CONFORMANCE' WITH THE CURRENT REGULATIONS SETTING'ENkRGYiCONSERVATION STANDARDS FOR NEW RESIDENTIAL BUILDINOS"(OCiTED IN TITLE 24 OF THE CALIFORNIA ADMINISTRATIVE; CODE)i.-J 1.4-1 0. le is GENE WA-LCONTRACTOR SIGNATUIM 07 1 L,�ry P" OWNER HAWKINS INDUSTRIES INC. AME SIGNATURE CONTRACTOR'S LICENSE ,ik bATt 622184 CONTRACTOR' S ':` 93 DATE r viii LICENSE # ME_EKS BUILDING CENTER P.O. No.: Date: 19 Charde To: BUILDING DEP' Acct. No.: Time Wanted: Jill Time Delivered: Deliver To: WE ARE DEPENDING ON YOU - MAKE IT RIGHT UDC005 (4/91) t/C"I'M- - _-- =MM - _-m WE ARE DEPENDING ON YOU - MAKE IT RIGHT UDC005 (4/91) 916 685 2831 APR 12 '93 08:32 WESTERN BUYERS—DISTRIBUTION CNTR P.M •. • s � • COUNTY Op BuTrtE MA & BUILDING DEPT APA Awdo JUL 0 9 c: CeIrtnicate of Confonnance certificate N° .9630 �9]. THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES- that the structural wood products identified below and! marked with a collective mark of American Wood'Systems (AWS) were man- ufactured in accordance with the specifications indicated below. ANSI Standard A190.1.1983, for Structural Glued Laminated Timber Job Name WESTERN BUYERS INC, r Job tcation ELK GROVE, CALIFORNIA CAJAGM S order No. WB -2251$ Date 1-20"93 Mfgr'a Order No. 09-00986 Slgnatur®IV, 21 -it tle QUALITY_ CONTROL SUPERVISOR'"# rH BOISE CASCADE CORP . ,4ddreas P . 0. BOX'50 pate ��"� D BOISE, IDAHO'83728 IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named. manufacturer which;carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit consisting of the impaction with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. Michael R. O'Halloran.. Executive Vice Presidenv-• +Y ' f Yet • ' fir.. AMEOICAN WOOD SYSTEMS — A RELATED COAPORATION OF AMERICAN PLYWOOD ASSOCIATION j .. 916 685 2831 APR 12 '93 08:33 WESTERN BUYERS—DISTRIBUTION CNTR P.3i1 APAcrvipi . r1 Attachment Numl�e. TO CERTIFICATE OF CONFORMANCE NO. 9630-91 . DATED- WESTERid BUYERS INC. Job Name ELK G;>OVE, CALIFUkNIH Job uxation. WB -22516 Dated 1-20-93 Mtgr's order No. 09-00986 Customeea order No. . The following identifies the members and gives the basic specifications that were used on this job: Lumber Species: DOUGLAS FIR/LARCH Member Adhesive Appearance identification Quantity Size Combination Type Grade Camber *** SEE ATTACHED ORDER ACKNOWLEDGMENT FOR EXACT SPECIFICATIONS. *�`* BOISE CASCADE CORPORATION Company ill duali Con rol Supervisor Date AMERICAN W000 SYSTEMS - A RELATED CORPORATION OF AMERICAN PLYw00D ASSOCIATION 916 685 2831 APR 12 '93 08:33 WESTERN BUYERS -DISTRIBUTION CNTR P.4i1 Boise cascade ACKNOWL.EDCET Timber and Wood Products Croup FUUTOMER ORDER DATE PAGEORD P.O. Box 82 + BOISE, IDAHO 83707-0062 aQ y /10/012 1 1 no_nnoQg..nn FRMS CUSTOMER ORDER NO. ORDER DATE v 2% CO ADE 15 DAYShEI 16 DAYS ADI 02 WR -22516 ROM, SHIP WEEK OF FREIGHT PREPAID 1/18/93 COPIES TO•. ROUTE:. ' CALIFORNIA LOAD: LEGAL COMMON CARRIER TRUCK SPECIAL INSTRUCTIONS- ---- SPECIFICATIONS ---- *DOUGLAS FIR/LARCH *EXTERIOR GLUE *STRESS 2400-F V-4 *ARdWiTECTURAL APPEARANCE + M *INDIVIDUAL WRAP *ENDS & SIDES SEALED *A;'P. A. /E. W. S. CERTIFIED *ONE- END SQUARE ONE END WILD *CAMBER 2000' RADIUS NO SHOP DRAWING * *ANSI A190.1-1983 REPLACES VOLUNTARY PRODUCT STANDARD PS 56-73. i 916 685 2831 APR ,12 '93 08:34 WESTERN BUYERS—DISTRIBUTION CNTR 'A Boise Cascade Timber and Wand P f rC.d� !�� � CUSTo'mE?-Qi27 a P.O. BOX 62 • BOISE, IOANO 88707.0062 f 39. 1!19!9 FRMS CUSTpMER'O.$9ER CD -AQF 15 DAYS -NEI -16 DAYS AnT SHIP -WEEK OF FREIGHT PREPAID 1/18/9.3 COPIES TO t i P.5/1 ENAN T 00986•-00 PCS MARK SIZE LENGTH STOCK ARCHITECTURAL BEAM 3 D31360 3-1/8 X 13-1/2 X 60' 2 G51860 5^1/8 X 18 X 60' 2 F61660 6-3/4 X 161/2 X 601 2 I62160 6-3/4 X 21 X 60' MILL DELV BUT TOTAL EST.* PRICE PRICE / PC RDFT WGHT 360 10080 1955 720 1,440 2606 880 11760 3186 1120 2,240 4054 MILD TOTAL -BOARD ESTIMATED AMOUNT FREIGHT MISC CHG AMOUNT PIECES FOOTAGE WEIGHT 9 6,520 11,801 916 695 2831 APR 12 193 08 35 WESTERN BUYERS—DISTRIBUTION CNTR P.6/1 @130 -AA'. er .2 aua entTiunib . TO:T CERflFIEATE OF CONFORMANCE NO _T 9 �6�?— 41_ . C1A'F'�D Job.Nalrne WESTERN BUYERS INC • ELK''Gi:UUE, CALIFURNIA Job.I awl IN Cuawm es order rim WB -22516 DOW 1-20-93 , MWo Order No, 09-00986 'Phe following gives the additional :specifications that were used In the manufacture of the members on..this -job: fi 1.: Lumber Species DOUGLAS FIR/LARCH Ging rules wCLiB X16 Paragraph 154 thru 154C Grades 24T 22T 20T L1 L2D L2 L3 Slope of grain '1,-16 1:14 1:12 1: os 2 ­ MCIature 8-12% Range . ••Gontsnt 5� Variation per member ; 3. End Joint HORIZONTAL. FINGER JOINT 4: Adhesive Conforms to ASTM 2559-82 specifications. i Type PENACOLITE R-300 Batch No. 1394 S. Gluing Pressure 100 psi minimum pressure Period 12 hours minimum Glue spread 60-62 lbs. ANSI Standard 190.1-1983 6. Fabrication Conforms to specification of BOISE CASCADE CORPORATION Company► Mill Quality 3upenlfsor Date AC e.ICPU"AN PIYWAOO ASSOCIATION s�, -4,0 — � 0-:7 1p&,Q � a as>1ptel l l4,1f����o�� a� "o ,-vcw_A 0 1.0 , d ,) v I-./ s- eF ;;, CF77:— , oo- 079- 1690 07 : 2. 7 S( iaci ommins �a141 51MAO AINM _ VVi."u�3 1 } f COUNTY OF BUTTE - DEPARTM'ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C411fornla 95965 - Telephone: 916,'536-7541 APPLICATION AND PERMIT PERMIT N 92-2817 ASSESSOR PARCEL NU B 061-62-0-004 Z NI O BUILDING PERMIT D LEI�1 YOUNGS T�Lj�2 "8�'�2 SQ. FT. OCC. BUILDING VALUATION 1272 'R 68,688 OWNER'S MAILING ADDRESS 6154 WALNUT ST #33 LOOMIS, CA 95650 1979 M 22,896 PHILLIP YOUNGS CONST. TS ff-V4 496 0 1,472 CONTRACTOR'S MAILING ADDRESS PO BOX 13824 SO. LAKE TAHOE, CA 95702 Fireplace A 1,56o CONSTRUCTION LENDER UNKNOWN Total Valuation $ 96.55 Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ - ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 292.00 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Bu31 ICHOCTRES OW SRIDGE RD BERRY CREEK Permit fee $ 911.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 0 5.00 Solar or heat pump water heater 20.00 r LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF TX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 QQ Mobile Home Is G W @ 15.00 TYPE OF WORK New LXX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2BDRM Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 - Main service 600VORLESS 200A OR LESS 18.50 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): . ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBusiness and Professions Code and my license is in full force and effect. cense .Jo. Classification `el,*as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&\ OR ACDNS, l ACC. BLDGS. //AQ 3.5Q sq.ft r)n NEW CONSTR. LET NO N.R ESI BRANCH CIRC ITS @ 5.00 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20 75 Ex. Occup. OUTLETS ((RES- IFIXED APPLNS. REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a,,Certificate of Workmen's Compensation Insurance or a Certificate eIf Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating SPT ITT 9.00 Cooling i 11.00 Hood 6.50 6.50 Ventilation .50 1.3.50 '- permit Fee $ 55.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to,enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep mless the County of Butte against all liabilities, r-enses which may In any Way accrue agains-s n Y-7 eco que of a gr • g of this permit. X -- Date �� r s tore of A llc - owner pp 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 �oc c v E TOTAL FEE $ HA2 OFEES IMP FLOOD CDF PARCEL PD HO ISSUE j This permit is hereby issued under the sions of the utte Co ty Code and/or work indi d for which fees D R OF PUBLIC By PEITMIY EXPIRES Date applicable provi- resolutions to do i have been paid. WORKS Date �Z- Receipt No. 122516-372.00//123037-850.00//123038-.50 WHITE-D.P.W., YELJ%LIS�v-@NJ,*OR, PINI( -INSPECTOR, GOLD EN RO D -APPLICANT a-- �-�-r.,S�•cg,•uEr�,�-:rr."�y'sar"'cY',rM1''�f.'i��{.:^�S�'!�'��Rv���,�'s;;��.7�P.'.'1-,�.�"a�r7j4'1'`'f+}�t�b^°+�t«-:�'�C.L�.E`.�Y%y��;.y.y��.��":..s,�t':��''l,{i�%�"�"'T`�"`"�`�rn! �' ,` .. ' t � .. � 1 . �'T \� 1 �^� . �;,: r;` �� i r + , � � - � �... r� � �` � .�� \'� �, ��\�� �ti ti u I, COUNTY OF BUTTE - DEPART(NENT bF PUBLIC. WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916."538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P tt ELE b. ZON1NO � BUILDING PERMIT OWNS �ev� o0✓L gr TELEPHONE 6 2 k SO. FT. OCC. BUILDING VALUATION OW ER'S MAILIN AD RESS �/ S a X33 Lo m C , C -=so 27 Z- 22 CO ACT /* S NAM V I TELEPHONE 916 s7 2 ]LJ CONTRACTOR'CONTRACTOR'p MAILING ADDR /�// - 0. cr/ 3 �2 (wry• 99S702 Fireplace rr 60 CONSTRUCTIO14 LENDER UNKNOWN Total Valuation $ Ss(;:, LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ O 0-0 - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AODR ocf()U-) - Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 9 5-001 LJS!o Solar or heat pump water heater 20.00 • LOT NO. SUBDIVISION NAME PARCEL MAP ,.�7 Water piping 7.00 VO Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SFk Duplex ❑ Mobilehome❑ Other Mobile Home S FG W @ 15.00 SPECIFY TYPE OF WORK New M Addition ❑ R/e2m�odel ❑ Utilities ❑ Instal Iation ❑ Other ❑ Permit Fee $ , Describe work: 91 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 18.50 200A OR LESS 1 qtr. SO Main service 20CATO IOOOA, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$POWER and Professions Code and my license is in full force and effect. License .Jo. Classification U t, as the owner, or my employees with wages as their sole compen- NEW CONST, / DWELLING OCCUP.&\ 3.6Csq.ft. OR ADONS. 1 ACC. BLDGS. lI NEW CONSTR 1AULTI,OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 APPARATUS & (SINGLE OUTLET CIR. 760, RA Ex. Occup(OUTLETS OR FIXTURE LFIXED APLNS. Ex. Occup. OJT LETS P(RESID )REA.- I 3.00 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) Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating l7" ❑ I have pt,aced on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Coolin 9 ❑ I shall not employ any person in any manner. so as to become subject Hood 6.50 3a 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. Ventilation J 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. Mobile Home Installation Fee $ Energy Inspection Fee $ c3 coNsrJYvy TOTAL FEE $ CYA I . t+Az 0FEES I IMP FLOOOcOF PARCE �o o ISSUE n - X Date This permit is hereby issued under the applicable provi- Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHAwork permit is required for excavations over 5'0" deep and demolitio or construct- ion of structures over 3 stories in height. / o Receipt No. - # 2 3 2°° 1230 37 �'Pj%:' j(� indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date WNITE-D.P.W., YELLOW-^SSE330R. PINK. -INSPECTOR. GOLDENROD -APPLICANT I , r N t t +—.. t: . . _ _, - ..+: 1 „* •. -41 ..y, rt. 'r..7 s '.i.W,'�,m,(-T Yrs::.;r;eFvt.+r� r 'F K CL 4,, V.7 rig COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER /1 YOZI)'lQ A. P. No.6/ ' 6 Proposed Building Use n6j ' Building Inspector 11, -- Date '10 Ta— At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted. . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. ngineered truss details and layout in duplicate (required prior to plan check). .... 9 Mobileho d to argmanufacturer's installation instructions, 2 sets. ........... eesof$��......................................... P 2 r., jImpa fees as shown on attached schedule0t9 yN10... — t� 12. C ornia Department of Forestry plan approval/fees................... y lood elevation letter (100 year floo�lifornia Engineer. .. . 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: . ........ 8. Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. .. ....� required. 20. Pre -inspection for Pia"g°ea'°" re f� .. to Building Inspector or (Date 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ). ......... . ®�Q 24lkecorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ....................................... . 26. Gapy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... ' 28. Mobilehome utility clearance . ........................... ' 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list. left ofyuf....•...o� 34. W ou issue the permit, pr ess as follows: Mail to owner. Mail to contractor. en y Telephone'7t(Z61LIV and hold for pickup at_•..•-Gf#'se eliver with inspector. Other %- Parcel Creation Acreage Applicant 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 A permi i : (Circle n not checked above). 1. Index permit for above items No. 2. Agonal 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 (� V— Date 2 Q"j/ Plans approved by it 4— Date �Zets of plans on hold in 4 -'--File cabinet AP folder Copy /Department of Public Works TO: .Building Department FROM: Encroachment Permit Section. RE: Diiveway Clearance COUNTY OF BUTTE BUILDING DEFT AUG 10 1992 location AZ #own -. Driveway permit ��,�✓w��e �� has been issued for the above property. n b 614 ,� 9 /6)- �Z date sign re TO: BUilding Department FROM: Environmental Health SUBJECT: Sanitation Clearance S',yo Owner e/ Location Plan Approved for:` Sewage Disposal Water Supply Clearance for41cdroom home. thcr Em c ouv 61,14-rLDC-- 1) LI 1) 11 C 1i: 11, IISE, ONLY Hol 14un Anndled Flnuf Thin Aluiehrd� Jam_ A Pi/ / Private Well �../ HoId-Fir r: Final clearance O.K. for: Environmental Health Specialist 8/92 ,: 2--�( �r P 07" Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,.CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER L.2Y A. P. NO. (`) �� Z - OCC-( PROPOSED BUILDING USE �•/ , 2 ��� DATE��2--- REC . - # DATE REC School Distric Fees C) wj (ak (paid at District Office).. , , , , , , . ..... to - 2.• Sheriff Fees h�, _ ► . (paid at Building D partment) .•'%'a Of Residential ......... x =$ (6 . as eel / L_ unit amt. Commercial(per sq.f t.) x =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) x =$ # units amt. Commerical(per sq.f t.) x sq. ft. amt. 4. Recreation District Fees - (paid.at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to. be paid prior to issuance of the permit.- APPLICANT ermit. APPLICANT DATE Commercial/Industrial -Department Ci6partment Re'pfesentativ S 15 FOotaae. Addition (Including Exterior .,...Rpofed Areas) (Floor Plans reviewed by School District Personnel) F-_�- �Z Date 9 :5U F9 b 5 9 District Identification No. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM —School District certifies that (One Form Per Building) C (Appli6ant) Building Department No. A.P.. Number 61 - 6.2 - ju'ris ic iqn .:I city - �-ounty... Property Owner 5 (Str'e'et"Addre �s Property Location/Address cl; �?(C'41 Subdivison Lot No. Residential Development 0 Sq. Footage /2-72— has complied with the requirements No.VfLiving MHI Addition (Group R) square feet. Units G1. Commercial/Industrial -Department Ci6partment Re'pfesentativ S 15 FOotaae. Addition (Including Exterior .,...Rpofed Areas) (Floor Plans reviewed by School District Personnel) F-_�- �Z Date 9 :5U F9 b 5 9 District Identification No. —4,1&1 —School District certifies that (Appli6ant) (Str'e'et"Addre �s (Phone Number) (City)(State) (Zip Cbde).... has complied with the requirements of Resolution No. 17 CJ by! ayment-of 'p representing 1, square feet. G1. 9 School District Representative Date X Paid by Check Number Remarks: Bank Number 70 Paid by Cash lit4, subsequent to the School.District ffepresent,�ve signing thi "Butte C6unty S/dhools Impact Fee :,bertification Form, the School District is notified by the app licat le,. Local Planning Agency that this project •_.As being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) lu A EXPLANATION AMOUIJ PHILLIP YOUNG S CONSTRUCTION �hac.���_�� CA LIC. q 492018 r 'Y l j %-e 90-7097/32 '. P.O. BOX 13824 PH -916-577-0724 SOUTH LAKE TAHOE. CA 95702 `l v PAY '` .{�^ '1 LLARS, CHECK O l ►' y�A AS W1 li 111.0. G� l<% 1, "i G�VLc1 VU I l✓�✓— AMOUNT i AMOUNT:.. CHECK ' OF . , STATE i S.D.I. MISC. i GROSS FED. 1 f•.I.C.A. INC. TAX �YMTS.' NUMBER . .. INC. TAX TO THE ORDER OF • t •: I14I'I ,v 0 4 1 DESCRIPTION , I 131011 • i d / - r�o,� 9 3Q: j EL DORADO SAVINGS^� SOUTH LAKE TAHOE, CALIFORNIA 95729 — 1111100 1 2 5 7115, ,1: 3 2 L b 709 781: b8 3000089E30911' is r' 4T j L601V9T S. YOUNg M D. �. 0. WX 583, MK CA 95916 &ff6 COUN Y 4610T. OF PUBLIC UMC Regaadi.ng my* place , 444e44oA #61-62-4 . We have been e44enhiaZu a6.eentee ouneaa " aecently. Nave .spent the .la,.i ;tuo mo" ;have, ng 6y R. V.. Ad you Arww we ase app ng �oa a peir nU ;to 6ui,& a houee. RegaAd ing oua. ;have l bm lea Wmi rue aae ov eni4 using ad home 6a4e. Men use get an appaovaz -.io 6ui,& and aei a domecUe adequate ;to move .rnio we plan -to di4conneci deAvt.ceo to the tirai,lea and use .ii foe .a%aage oa .deU .ct and move ii o f� the pwpeaty. COUNTY OF SME Q(BUILDINiG/ DEPT �%i\^a q•) .:0�� '. 1`.CN{ i.. . . . '�': ,1t11.. �.'1\I ca'\L �.�' {\Ci'. :7,'1'� k{�1, Vii. t:) _r )., 9C. a\C 9�• �;\CiI F•. \i)� 1. �:: ` a1 \.` 17�.C. \� ��', ti C)?. C.r,.RI1c),) .? .\ .;\ 2 3"Un 10 YT14000 ;i13C! i}:Slil�il� SWRI 1 0 T30 V RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) �/ Bldg. Permit # 42- 2 91 r% OWNER T oUNI S A.P. # &I Plan Checker_ F -(/- G -(/- GENE 1. �V�al ning requirements: (sideyards and number of permitted living units). tion. signed by designer. r description of work on application. ingviolations on property. on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). -Recorded--notice of violation. PLOT PLAN I.Complete parcel size and dimensions. 2��backs, sideyards, easements, etc. 1/Other buildings or structures. 4-.--Glqdaing, fills, drainage. 5. Flood hazard. . Q. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN �mplete to scale plan with dimensions. uired windows for light and ventilation (Sec. 1205). P uired windows for second exit (Sec. 1204). lights (Chapter 34 & Sec. 5207).an impact glass (Sec. 5406). Ired room sizes, ceiling heights (Sec. 1207). 7 Is in baths, garage, kitchen, and exterior outlets (Article 210-8). 8 Ligh fixtures, switches, receptacles, and exterior receptacles for main- ance of mechanical equipment. 9 Locations of water heater, heating and cooling equipment, other electrical gas equipment. 1 garage firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (sec. 3304 (f). 1replace and wood stove location, alcoves, and clearance. 1V.moke detectors (Sec. 1210). 1lumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS dard bracing or engineered design (Table 25V) hape, size, or split level house requiring lateral design. es ory requiring balloon framing and/or engineering. e ory building requiring engineered calculations and plans. r ation plan complete enough to construct building. Ci! construction details complete enough to construct building. tions and wall construction details complete enough to construct 8/Roof construction details complete enough to construct building. 113.Garage ace construction details and calcs if necessary. ter ties or bearing ridge beam. door or porch header sizes. 1Z,--S"tud heights. r.Retaining be soils - special foundation design. 1 walls requiring design. cial Inspection required. building 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISC ,NEOUS ITEMS TO LOOKOUT FOR 1. Stairway details: landings, -rise and run, head clearance, handrails 3306). Guardrail details (Sec. 1711 & 3306(j). roc - r stone veneer (Chapter 30). tr!�erYr plaster - weep screeds (Sec. 4706). t�topp'eroroof pitch for roof convering (Chapter 32). of covering type - (fire hazard). insulation - protection. 36" halls and stairways. 9L__Li-ving.area over garage - complete 1-hour,separation required on garage side in uding supporting walls and posts, etc. o exi s on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 Attic access and ventilation (Sec. 3205). �Ivor access and ventilation (Sec. 2516). bustion air for fuel burning appliances - L.P.G. requirements. �se requirements on duplexes. 14 6. y design. lKhin at -all exterior openings. 1-r.—DC F responsible area requirements. Certificate of Compliance: Residential Climate Zone .11 '31 CAJAOGTov/ JR/o6, Py Project Address Documentation Author Telephone BUILDING DATA Conditioned Floor Area Z % Number of Stories I Slab/Raised Floor MSSD- Number of :Units Single Family Detached (SFD) [ ] Addition Alone ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition BUILDING SHELL INSULATION, 92 - 2 %17 BuMns, Permit # RK 9- /- 92 Che&ed By / Date Edom ment Agency Use Only Component Insulation Locaflon/Comments Po r � TrN c - Type R -Value (attic, .to garage, Ll -cal. etc.) �. Wall .............. �� '�' Z Wall .............. ! Roof ............. Roof ............. Floor ............. Floor........ g _ Slab Edge ..... GLAZING- Shading Devices Glaring Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (holler blind. etc.) (d wlescreen, etc.) b"0110) (nietaUwood) North ( ) 27—, 1D laV North East East ( ) South ( ) ENEnAN Rt Uf& _ _ _ _ _ _ _ South West ( ) t West ( ) Skylight....... . Q J THERMAL MASS Type/Covering • ;. Area Thickness HVAC SYSTEMS Minimum Duct Type (futnam, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat um) (SE, SEER,HSPF) (attic. etc.) R -Value tuh ora r0 a ual C. /0,0 K , F�_ 1�a���r• , fR Ufq — Maximum Furnace Heating Output: Sp_gj(o Btuh HOT WATER SYSTEMS — 1 — . Tank Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) S- 67 - SO - &46X SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Glass Area % Glass North 77, S lvZ East 920— South South 77-7 g, -z- West West /� Z Skylight Total Gc�.�• a ?�4- Component Insulation Locaflon/Comments Po r � TrN c - Type R -Value (attic, .to garage, Ll -cal. etc.) �. Wall .............. �� '�' Z Wall .............. ! Roof ............. Roof ............. Floor ............. Floor........ g _ Slab Edge ..... GLAZING- Shading Devices Glaring Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (holler blind. etc.) (d wlescreen, etc.) b"0110) (nietaUwood) North ( ) 27—, 1D laV North East East ( ) South ( ) ENEnAN Rt Uf& _ _ _ _ _ _ _ South West ( ) t West ( ) Skylight....... . Q J THERMAL MASS Type/Covering • ;. Area Thickness HVAC SYSTEMS Minimum Duct Type (futnam, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat um) (SE, SEER,HSPF) (attic. etc.) R -Value tuh ora r0 a ual C. /0,0 K , F�_ 1�a���r• , fR Ufq — Maximum Furnace Heating Output: Sp_gj(o Btuh HOT WATER SYSTEMS — 1 — . Tank Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) S- 67 - SO - &46X SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) 4,In SEER e; ducts In attic) xm of 7.10 114 b - .410 +610 -16W I •6 f5 '4.15 more -10 .8- -6 -4 ' .6 .5. -4 -3 .4 =3 -2 -2 -3 -2 -2 1 0 0 0 0 3 2 2 1 5 4 3 2 7 6 4 3 11 9 7 5 12 9 6 .1,14 3 'eitive SEER 0 %duct einclency) ;I -,,-n of 7-10 b to -1410 -410 fhb 16 or -5 f5 ♦15 more -21 -17 -13 -9 -9 -7 " -6 4 3 3 3 2. 0 0 o 6 •3 41. 3 1 9 7 • 5: 16 13 10' _ 7 - 19 15 12 8 22 18 14 9- 24 20 15 10 mtrol Adjustment 7 6 4 3 iq System Installed -4 -3 -2 -2 2 2 2 1. #etached and Attached 'Unit Size tsQ 12001'" '1700 2200 2700 b b to :or. . 1699 2199 2699. more 0 0.•. 0 , 0.. 8. 6 5..4 5 4 3 3 3 3 2. 2 5 4 3 •3 -24 -18 -15 -12 -1 -1 0 0 -12 -9 -7 •6 -16 -12 -10' -8 __12 -9 -7 -6. -3 -2 -2 -2 -:-5-- -4 3 2 _ 2 1 1 1 -19 14 -11 -9 • 5 4 3 3 -6 -5 -4 -3 117 (Individual units) • - - L4* Size (6 1700 700 1200 2200 b to 10 or 1199 1698 2199__ more, 0 0 0 0 7 5 4. 3; 5 3 2 '2 4 3" 2 2 5 3 2 2 -23 -15 -11 -9 • 1 1 0 0 -12 -8 -6 -5 -13 -8 -.6 -5 ,3.2 -4 - -32 :1 3 2 ' 0._.- o 0 0' - -15 -10 -8 -6 9 6 4 . 4 -4 -3 -2 -2 - Climate Zone 11 SCORE CARD East _ c. Measures 1. Ceiling Insulation b or R -value 13 U -value [0.030] 2. Wall Insulation SV4�►E or " R -Value [ 1] U -value [0.098] Interior Mass/CFA or R -value [ ] U -value [0.037] 4. Slab Edge Insulation or . Trve t wS (1,14YL4•4,2)' tc.� 01W�_ . 4 TYPE 1 KASS (UINC + 4.2, ie: exposed slab) - 0% 6% 10% 15% 20% 2S% 30% 35% 40% 45% 50% 56% 60% 694k 70% 75% 80% M. 90% 95% 100% 105% 110% 115%120% 125` ,3.2 c:• 0% 0 0.2 0.4 0.8 0.8 1.1 .1.3 1.5. 1.7' 1.9 1.1 2.3 2.5` 1.7 Z9 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 1.8 12 21 2.3 2S 2.7 ' 2.9 9.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 .•5 5.2 5.4 20% 0.3 .0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3,7 &9 4.1 4.3 4.5 4.6 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 t.6 1.6 2 22 24 26 2.8 3 32 3.5 3.7 89 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.S 4.7 4.9 5.1 5.3 5.5 S.7 5.9 .50% 0.9 1.1 1.3 1.5 1.7 1.9 .21 23 23 .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 '56% 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 5.3 5.6 5.8 6 • 6.2 60% 1 1.2 1.4 1.7 1.9 21 .2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5:2!15.4 '5.6 5.9 6.1 6.3 65% 1.1 1:3 1.5 1.7 1.9 .2.2 2.4 2.6 2.8 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 6.1 • 6.4 70% 1.2 1.4 1.6 1.8 2 22 25 2.7 2.9 3.1 3.3 9.5 3.7 3.9 4.1 4.3 4.6-4.6 5• 5.2 5.4 5.6 • So 6 6.2 64 75% 1.3 1.5 1.7 to 21 2.3 25 2.7 3 3.2 3,4 3.6 3.8 4 4.2 4.4 4.6 : 4.8 5,1' 5.3 S.5 5.7 ' 5.9 6.1 6.3' 6.5 SM. 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 4.5' 4.7 4.9. '5.1 % 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 '1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 33 .3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 65 .67 90%': 1.S • 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 ` 95% 1.6 a 1.8 2 2.2 25 `_' 27 2.9 3.1 3.3 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 6.7 6.9 100Y. 1.7 1.9 21 2,3 25 28 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 7 105% 1.6 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 6.1 5.4 5.6 5.8 6 6.2 6.4. 6.6 6.6 7 110% 1.9 2.1 2.3 2.5 27 29 3,1 3.3 3.6 3.8 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 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 ' 3.2 3.4 3.6 3.8 4.1 4.3 4.5" 4.7 4.9 5.1 5.3 5.S 5.7 5.9 6.2 6.4 AS - 6.8 7 7.2 120% 2 2.3 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 7.3 125%.,.,2.1 2.3 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 -..2 7.2 7.4 •Point'System Summary: Climate Zone 11 SCORE CARD East _ c. Measures 1. Ceiling Insulation b or R -value 13 U -value [0.030] 2. Wall Insulation SV4�►E or " R -Value [ 1] U -value [0.098] 3. Raised Floor Insulation or R -value [ ] U -value [0.037] 4. Slab Edge Insulation or S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East _ c. South d. West e. Skylight 8. Shading (Shade Closed) a. North > " b. East c. South d. West e.., • Skylight 9. Interior Thermal Mass . � , � • • 1 4t •: 10: Exterior Wall Mass l l:, Heating System' Zonal Control? (YIN) 12. Cooling System Zonal Control? ( Y I N ) 13. Water Heating R -value [0) F2 factor [0.77) .17 Type [double] % Glass (p.Z x ., x h � X ! x U -value [0.65] SC _ 4 M � Point Scores . ' r dstir.., i1 _ %Total Glass [161 Sum 1-6 Eff. % Glass ' 4,5 �% Glass SC Eff. % Tass ..- '- x • c t �- I -tZ:FS x -7-7 44 --- ,TYPE 1 MASS'AREA e inten rN`nsa/CFA COND. FLOOR AREA TYPE 2 MASS AREA ?' ND. FLOOR AREA $ Exterior all Mass Sum 7-10 x O 3 SE or Duc(Efficiency [0.78] Effective SE or [0.72/6.6] HSPF 10.S615- IS) /-E X - S [9.5] Duct Efficiency [0.74] � Effective SEER 17-031' ' Type [SG] Credit [none] Point Total: - Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used Items marked with an asterisk (•) may be superseded by more stringent complianea requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall be considered by all parties as binding minimum component perfornuna specification for the mandatory measures whether they are shown elsewhere in the documents or on this chocirl st only. DESCRI nON I DESIGNER I ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. ' §2-5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%. waw vapor transmission rate no greaw than 2.0 permfmch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weathersaipped. all joints and penetrations caulked and sealed 62-5352(x:): Special infdtration barrier installed to comply with 62-5351 mew CEC quality standards. §2.5352(d): Installation of Fireplaces I. Masonry and factory -built fireplaces have: a. Tight fatting. closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 12-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. 62-5352(h) and 2-5315: Setback thermostat on all applicable beating systems. • 12.5316(a): Ducts constructed. installed and insulated per Chapw 10. 1976 UMC. §2.5316(b): Exhaust systems have damper controls. 62-5314(c): Gas-fired space beating equipment has intermittent ignition devices. 62-5314: HVAC equipment. water haters. showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fuer 5 feet of pipes closest to tank insulated (R-3 or greater). 62.5312(Exception 1): Pipe insulation on steam and steam condensate return eft recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on hater: e. Plumbed to al iow for solar. .2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 62.53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. ` §2-5314(a): Refrigerators. refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the btuldittg featutlea and performance specifications needed to comply with Title 24. Chapter 2-53 and Tide 20. Q apter2. Subchapter4. Article l of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any.subsequent purldlaser of the budding. Designer Nw= nwk Fiwn Address: Tekphonc Lic. 0: y. it (signature) (date) Documentation Author None: Address: Building Owner ' Nuns TitkJF'um: Address: Tek wne: (signature) (date) Enforcement Agency Nurw Agency: Tekphotta 1. Ceiling Insulation U -value Single- Number of stories -0.80 R -value One Two Three R-0 -103 -49 32 R-19• -8 -4 -2 R30 -2, -1 -1 R38 0 0 0 U -value Single- Single - -0.80 0.50 -176 -84 =54 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 2. Wall Insulation 3. Raised Floor Insulation Single- Single - -0.80 R -value Family Family Mulfi- R-value Detached Attached Family R-0 -68 -51 -34 .R-1 1 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 4 R -value --0.60 . 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 1 0.02 19 14 10 0.00 24. 18 12 3. Raised Floor Insulation F2 factor '0.90 Insulation In.Floor Number of stories -0.80 R -value Number of stories Two R -value One Two Three R-0 -17 -8 4 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value IVumt of Stories 4 R -value --0.60 . -144 -70 -46 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 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace F2 factor '0.90 -4 Number of stories -0.80 R -value One Two Three R-0 -11 -7 -5 R•5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation -53 -39 - IVumt of Stories 4 R -value One Two Three R-0 0 0 0 R-5 8 5 2. R-7 8 6 .3 F2 factor '0.90 -4 -3 -1 -0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points Standard 0 +f6. Glass Heat Loss -14 -12 -48 -42 Effecdve Pereatt Class Total nor na 14 12 (Pesrent Slaw x SC) -35 -29 U -value -46 -37 I Percent • %Glass .51 to .41 to .31 to 0.30 or 1 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 46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23.. -40 11 -4 2 8 15 22 -37 -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 C 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 -12 -48 -42 Effecdve Pereatt Class -64 -55 nor na 14 12 (Pesrent Slaw x SC) -35 -29 Effective -46 -37 na na 11 10. %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 00-+4 2 2 6 1 3 4 2 3 5 4 2 3 4 1`4--2 0 2 3 1 3 i 3 0 -4 2 1 3 2 0 0 1 0 1.80 2.00 10 12 10 11 _-1 0 -1 -2 -4 2 0 !na = not allowed Two+ 3 3 SI ngle-Famlli l6. Shading'(Shade Closed) SE or KSPF Effectlye Pereeat Glass (Dement glace x SO .. %ftlu NoM Ead SPM West Slgr*t 18 16. ' -14 -12 -48 -42 -69 -59 -64 -55 nor na 14 12 -10 -8 -35 -29 -50 -40 -46 -37 na na 11 10. -7 -6 -26 -23 -36 31 -33 -29 na .74- 9 8 -5 -5 -20 -17 -27 -23 • -25 -21.. -65 -56. 7 6 -4 3� -14 -11 -19. -15 -18 -14 -47 -38 5 4 / 1-6 -9 -11 8 -10 -7 -30- -23. 3 2 0-4 1 1 2 -1 -16 -9 1 • 0 1 2 1 3 1 4 na - not aAowed 13 10 .7 9. Interior Thermal Mass Interior Slab Floor Raised Fbor 1 Mass Swiss Stories ICFA One Two. Three One 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 A 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't•95 2.0 -1 2 4. 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9Ny" 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 12. Cooling SEER 8.5 P 8.9 <•, 10.0 f" 10.5 =; 11.0 12 0 `13 0 { - Effective SEER 5.0 i 6.0 a 6.6 "7.0 Sy; (+tea 25 or -24 b less -15 -9 -17 =5 .4 0 0 4 3 7 6 10 9 15 13 20 17 Ell (SEER -25 or -24 b less -15 -30 -25 -12 -11. -5 -4 0 0 10. 6.0 9 8 Exterior Wall Thermal Mass �` 9.0 16 14 Exterior Single. Single- 10.0 11.0 22 19 26 23 Wall Fainly Family Mull Mass Detached Attached Famly 12.0 30 26 0.00 0 0 0 l 13.0 33 29 0'203 0.40 2 5 4 1 3 Zonal C 0.60 0.80 8 6 10 8 4 5 10 8 1.00 13 10 .7 1.20 13 12 8 No Cooli 1.40 12 13 9 1.60 10 13 11.. ;-Stories 1.80 2.00 10 12 10 11 12 13 ° ` One -5 -4 Two+ 3 3 SI ngle-Famlli 11. Heating System SE or KSPF (assumes ducts to attic) .. Water ; f 9S " Heater Uedit or Sum of l 6 Type Type less -25 or -24 to -14 to -4 to +6 to 'more 16 or SG None 0 SE HSPF less -15 -5 . i5 +15 or So,12 0.72 6.60 0 0 0 0 0 0 HP -HWR' 8 0.75 :6.88 3 3 3 2 2 1 F WSB 5 1 0.80 9.33 8 7 6 5 4 1 POU __8 j 0.85 7.79 13 11 10 8 7 5 SE None 37 0.90 8.25 17 15 13 11 9 <`7""f `7 Solar - --1 0.95 8.71 -20-___18_'15_ 13 11 -8 HWR' -18 Effective SE o HSPF WSB.... -25 (SE or HSPF x du efficiency) -4b ^ POU _-1$.. Effective -25 or -24 ti to 46 b 16 or G None"' =5 SE HSPF less -1 S -5 1 S more Solar 7- 0.30 2.75 -73 64 -56 .47 38 -30 POU.. ..3 na 3.41 -45 '-39 34 -29 24 -18 IE None -28 0.40 3.67 -34 -30 -26 -22 -18 -14 Solar 8 , 0.50 4.58 -10 -9 -7 -5 -4 POU -10 0.56 5.13 0 0 0 0 0 Multi -Fan 0.60 5.50 5 53 3 2 0.70 6.42 17 15 d24 9 7 yyator 699 0.80 7.33 25 22 1 13 10 'Heater Crept or 0.90 8.25 32 28 20 17 13_Type less 1.00 9.17 37 32 24 19 15 SGV N64 -0 Zonal Control Adjustment r HP Solar 14 HWR -9 System Type _ z' WSB 9 POU 9 Resistance 10 9 7 6 4 3 SE None -45 I Other 6 5 4 3 2 2 Solar 2. HWR :23 WSB -25 POU IG _23 ••None, r -8 Solar. <;l 6 POU: ' 1 l "IE None ; 30 Solar 18 I = POU -8 Q Certificate of Compliance: Residential (Page 1 of 2) A CF -1R Project Address Building Permit# Documentation Author Telephone 11// L Checked By / Date Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only. GENERAL INFORMATION Total Conditioned Floor Area: 1222 ft2 Building Type: ✓ Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: North / East. ouch West / All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: S1Sl�_LRaised Floor �Arcle one or both) Infiltration Control: Stari ard%T ht (circle one) BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, etc:) Wall .............. T L . Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... T Pic%1 L GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single, double) (roller blind, etc.) (shadescreen, etc.) 4 f4imo) (me'ttiljavood) Front.... (:5) //S �1��.:i��,A,.� �Va.�,• Z /ATL . Front.... ( ) Left...... Left...... ( ) Rear..... Rear..... ( ) Right.....()EE) SO Right.... ( ) Skylight....... _ soLA2 r.✓T Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath, etc.) l�Ot�,O �� �•2.. Point System Summary: Climate Zone 11 Date '. BUILDING DATA Measures Conditioned Floor Area ./0;2 2- Number of Stories Slab "ised Floor Point Scores heck all applicable Unit Type condition(s): [ Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building ! [ ] Multi -Family (MF) [ ] Existing -Plus -Addition SCORE CARD Z P -2R Measures Point Scores 1. Ceiling Insulation 12 or R ] U -value 10.0301 2. Wall Insulation or value U -value [0.098] 3. Raised Floor Insulation 79 or 0 R -value [ 191 U -value [0.037] 4. Slab Edge Insulation 0 or R -value 101 F2 factor [0.77] S. Infiltration Standard 0 6. Glass Heat Lossf� Type [double] U -value 10.651 % Total Glass [ 161 Sum 1-6 7. Shading (Shade Open) - a. Notch % Glass .S, 0 x SC _ Eff. % Glass 4%,,,, b. East x _� 1 17, = 3,o c. South O X71 _ d. West /, z x % _49 e. Skylight , cO x 8. Shading (Shade Closed) Glass SC Ef . % Glass a. North .5, o x b. East 3, 9 x c. South O x d. West A 2 x .l� �• _ � e. Skylight Z , (7 x 9.' Interior Thermal Mass (�, lJ `SOc�•1/L �,�r� `" 10. Exterior Wall Mass Interio IVI _ - 11. Heating System —1l/ Exterior Wall Mass / x Sum 7-10 Zonal Control? ( Y _2 S or 11SPF Duct Efficiency [0.78] Effective SE or 10.72/6.61 11SPF [0.56/5.15] 12. Cooling System /0.0 x /9/ = 9, /0_ 2— Zonal Control? ( Y / SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating .S `, ��I,��/� a Type [SG) Credit [none] Point Total: 71-1��,- Form Revised March 1988 Certificate of Compliance: Residential (Page 1 of 2) CF -1R bmpliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 2 2 2 ft2 Building Type: 41"" Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: Nortlj /East ouch West/ All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: S19 / Raised Floor ircle one or both) Infiltration Control: Siaiid-- ht (circle one) BUILDING SHELL Component Wall .............. Area Glass Type (Sf) (single, double) Wall .............. (5) Roof ............. Front:... "( Roof ............. Floor .........:... W) Floor ............. Left...... Rear..... Slab Edge ..... GLAZING ►TION Location/Comments (attic. to ¢araee, tvvical, T /LICA L Glazing Orientation Area Glass Type (Sf) (single, double) Front.... (5) //-S-j L Front:... "( ) Left...... W) 7 Left...... Rear..... ( ) Rear..... ( ) Right.... (r 5'O Right.... ( ) Skylight....... Skylight....... THERMAL MASS Shading Devices Interior SotA2 T.✓T Exterior Overhang Framing Type Type/Covering Area Thickness (slab/exposed, tile, etc.) (SO (inches) Location/Description (kitchen, bath, etc.) _&Iocqu /--/ ash g.. Certificate of Compliance: Residential (Page 2 of 2) CF -1R ProjeclTltle Dale HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer/ Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) A% ' fl/ L7 T_ _________[_yyZfGn/r/QL �/• Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheeeets_iff necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Tide 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by die individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in die Special Features/Remarks section. Designer Building Owner Name: Title/Firm: Address: Telephone: (date) Documentation Author Name: Form Revised March 1988 Name: Title/Firm: Address: Telephone: �Z e— (signature) (date) Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) Climate Zone 11 1. Ceiling Insulation R -value Number of stories One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -2 -1 -1 R=3 (:!D 0 0 U -value 0 1 0 1 U•value 0.50 -176 -84 -54 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 2, Wall Insulation -3 -2 0.04 Sing- Single 0 0.02 Famy (Detach Family Multi - R -value d Attached Family R-0 -68 -51 -34 R-11 0 0 0 U- 3- Three 2 1 � 19J � 6 4 U -value 3 R-11 -2 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 A7 -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 3. Raised Floor Insulation 4. Slab Edge Itlsulation Insulatlon In Floor Number of Stories 0.80 umber of stories One R•value One Two Three R-0 - 7 -8 -5 R -U- 2 -2 -1 0 x----33"" 0 1 0 1 U•value 40 -90 -37 0.60 -144 -70 -46 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 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace A3 -12 Number of stories 1 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Itlsulation F2 factor 0.90 -4 Number of Stories 0.80 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points tandard 6. Glass Heat Loss Total ast�oulh Wesl� S li 18 16 14 5 4 4 U -value Percent 1 1 1 1 to .41 to .31 to 0.3 Glass Singleouble 2 2 .60 .50 .40 le. 50 -121 -53 -39 -24 -10 40 -90 -37 -26 -14 -3 1 35 -75 -29 -19 -9 1 1 30 -61 -21 -13 -4 4 1 29 -58 -20 -12 -3 5 1 28 -55 -18 -10 -2 5 1 27 -52 -17 -9 -2 6 1 26 -49 -15 -8 -1 7 1 25 -46 -14 -7 0 7 1 24 A3 -12 -5 1 8 1 23 -00 11 -4 2 8 1 (222 -37 O -3 3 9 1 21 -34 -7 -2 4 10 1 20 -31 -6 0 5 10 1 19 -29 -4 1 6 11 1 18 -26 -3 2 7 12 1 17 -23 -1 3 8 12 1 16 -20 0 4 9 13 1 15 -17 1 6 10 14 1 14 -14 3 7 10 14 1 13 -12 4 8 11 15 1 12 -9 6 9 12 15 1 11 -6 7 10 13 16 1 10 -3 9 11 14 17 1 9 -1 10 13 15 17 2 8 2 12 14 16 18 2 or ;s t D 2 2 3 3 4 4 4 5 5 5 5 5 i 7 7 7 B 8 9 9 9 D 0 Point Tables 7. Shading (Shade Open) Effective Percent Glass (percent glass x SC) Effective %Glass o ast�oulh Wesl� S li 18 16 14 5 4 4 1 2 2 4 5 5 1 1 1 na na na 12 11 3 3 3 3 5 5 2 2 na na 10 9 8 2 2 2 3 3 3 5 5 5 2 2 2 1 2 2 CD 6 1 1 3 3 r -4-1i 4" 2 2 2 3 (fpC� 4 U 0 2 2 4 3 2 1. 3 3 0 qD ''A 2 1 1 3 q:) 1 -1 -2 -4 Cil -2 0 na = not allowed 8. Shading (Shade Closed) Effective Percent Glass (percent glass x SC) Effective %Glass orth f as ou (nq(Skylight 18 16 14 -14 -12 -10 A -42 -35 -69 -59 -50 -64 -55 -46 na na na 12 11 10 -8 -7 -6 -29 -26 -23 -00 -36 -31 -37 -33 -29 na na -74 9 8 7 -5 -5 -4 -20 -17 -14 -27 -23 -19 -25 -21 -18 -65 -56 -a7 6 5 �4 -3 -2 -11 -9 -6 Q -15 -11 -14 -10 -7 -1 -38 -30 -23 16 U 0 t 2 1 3 2 1 4 1 3 na = not allowed 4-68 Energy Conservation Manual Revised March 1988 Point Tables 9.•Interior Thermal Mass -25 or -24 to -14 to 410 +6 to Interior SEER Slab Floor -15 -5 +5 Rais20160e,,�soor Mass -24 to Stories -4 to ( SlCFA One Two Three less �On Treg -5 +5 0.0 -8 -5 -4 -2 -1 -1 t5.1 -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 2.0 -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 6 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 Exterior -" Singe Single - Wall ,`Family Family Multi Mass Detached Attached Family �6.9) L0 0 0 0.20 3- 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or HSPF (assumes ducts In -attic) continued . . .t Point System 11. Beating System (continued) L.rHSPF tiveSE orH(SE x duct eMdency) Sum of 1-6 4104 Effective -25 or -24 to -1446 �4 oto 16 0 SE HSPF less -15 • K +5 15 mo 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 ��5.50 5 5 4 3 2 T-70 . 6.42 17 15 13 1 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 r re -25 or -24 to -14 to 410 +6 to Sum of 1-6 SEER less -15 -5 +5 +15 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 continued . . .t Point System 11. Beating System (continued) L.rHSPF tiveSE orH(SE x duct eMdency) Sum of 1-6 4104 Effective -25 or -24 to -1446 �4 oto 16 0 SE HSPF less -15 • K +5 15 mo 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 ��5.50 5 5 4 3 2 T-70 . 6.42 17 15 13 1 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 r re Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assumes ducts In attic) Sum of 7-10 -25 or -24 to -14 to 410 +6 to 16 or SEER less -15 -5 +5 +15 8.0 -14 -12 -10 -8 -6 -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 12.0 15 13 11 9 7 5 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assumes ducts In attic) Sum of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 , -4 -3 -2 -2 Two + 3 3 2 2 2 1 Climate Zone 11 13. Water Heating Single -Family Detached and Attached -25 or -24 to -14 to 410 +6 to 16 or SEER less -15 -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -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 12.0 15 13 11 9 7 5 13.0 20 17 1411 6 4 1,_.-' fective SEER SE None -37 ((SEER x duct elllfllcleV/ -15 -12 Solar Sum offil -1 -1 Effective -25 or -24 to' -14 to to +6 to 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 00 0 0 0 90 6 14 7"29 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 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 , -4 -3 -2 -2 Two + 3 3 2 2 2 1 Climate Zone 11 13. Water Heating Single -Family Detached and Attached Multi -Family (Individual units) Unit Size (sQ Water 1199 1200 1700 2200 2700 Heater Credit or to to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WS8 5 3 3 2 2 POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSB -25 -16 -12 -10 -8 POU -18 -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 Solar 7 5 4 3 2 POU 3 2 1 1 1 IE None -28 -19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 -3 Multi -Family (Individual units) mug m, Unit Size (sQ Water 699 700 1200 1700 2200 Heater Credit or to to to or Type Type .less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 • 2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 Solar 2 1 1 0 0 HWR -23 -12 -8 -6 -5 WSB -25 -13 -8 -6 -5 POU -23 -12 -8 -6 -5 IG None -8 -4 -3 -2 -2 Solar 6 3 2 1 1 POU 1 0 . 0 0 0 IE None -30 -15 -10 -8 -6 Solar 18 9 6 4 4 POU -8 -4 -3 -2 -2 mug m, -- ..- J ..--...,. .... 1111• _11\ NOTE: Lowsise residential buildings subject to the Standards must contain these measures regardless of the compliance -approach used., Items marked with an asterisk (*) may be superseded'by'more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures w whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER I ENFORCEMENT Building Envelope Measures *§2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose.fill insulation manufacturer's labeled R -Value. _-- * §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). / §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. �- §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures I §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. * §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception I): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures _ §2,53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. �- Fonn Revised Decembei1987 FORM J-1 including calculation Procedures A 8. r. D copyright by ins Pian No. Air CoMttgm-9 Contractors Date of Mmrira Calculated by 1513 111th Street PLW. Waunington, D.G. 200M Panted in U.S.A. 19as WORKSHEET FOR MANUAL J LOAD CALCULATIONS FOR RESIDENTIAL AIR CONDITIONING For. Name Address City and StatsorPreW. By: Contractor Address City Design Conditions -? WhIder / Summer Outel,-edb - 'F Insidedb / -F Outsidedo dol 'F Ineidedb 1 'F Winter Design Temperature Diftemnee 'F Sumrror Design Temperature Difference 'F Room RH Daily Range Has" Summary Total Hest Loss for Entire House (Line 15) _ J � Stuh Ventilation CFM w Winter Design Temperature Difference. �' -F Heat Requlrad for Vealllatlon Air . 1.1 X CFM X -F. Stuh Design Heating Load Requirement . mousal (Vent)•�"r�� Btuh COOK" sunumm Total 6enafb4e Coln-/ Z BbN(CelcProeedtaa O) Design TemperattuureSwings Total Latent Oath + Btuh rAlculailon Procedure D) Normal 3- ( � s.S' ( 1 •-� Tqtal . Sens. + Lal . 3Z Stu11 Ventilation CFM = Egtdp ne- 6-ry Maks Model Type Hestinginput(Stuhl Heating Output (Stuh) -Elllclencry F>entable coolln Stuh)-7-� Latent Cooling (Stuh) ov (it Uhl ` COPIE E /t/ Cooling CFM - HeetingCFM Spatz tat Heat ( 1 Cool( I HeatlCooll(+/1' Night Setback ( ) Construction Data • windows Flo- Doom Walla Basement Wens Root Ground Slab Gelling Calculation Procedures A,B,C,D— Procedure A • Winter Infiltration HTM Calculation 1. WI er ID)Iltration CFM ,( ,/ AC/HR x "f Cu. FT. x 0.0167 = 2,r `7"Z-1bFM - Volume 2. WJ.'nzer nf�tratio to CFM x Winter TO -/ 3 Btuh 3. / rater I �lijltr@tion HTM 2 / /,v tuh . / Total Window ��J HTM d Door Area Procedure B - Summer Infiltration HTM Calculation 1. Summer Infiltration CFM/ j. 4 AC/HR x7o Cu. FT. x 0.0167 =9s rJ CFM Volume 2. _ Inf Summ Itra ' n Btuh 1.1 x ����CFM x �`y Summer TO = tuh 3. `Snum r ItiltratiBt HTM 2 J Z Cj Btuh + ? Total Window c HTM 8 Door Area Procedure C - Latent Infiltration Gain Summer 0.68 x gr. diff. x - Btuh Procedure D • Equipment Sizing Loads 1_ Sensible Sizing Load 3 Room Dimensions. Ft Sensible Ventilation Load � / S_ 1.1 x Vent. CFM it Summer TD = Stuh Sensible Load for Structure (Line 19) + % Stuh Sum of Ventilation and Structure Loads = 3Stuh Rating it Temperature Swing Multiplier* X �� RSM Equipment Sizing Load - Sensible = Stuh 2. Latent Sizing Load Partidoaa Latent Ventilation Load 6 - 0.68 x Vent. CFM gr. dill. _ Btuh Internal Loads ="230x No. People + Btuh Infiltration Load From Procedure C + Sluh Equipment Sizing Load - Latent = Stuh • Refer to Table 6 I Name of Rooth Entire House " 2 Running Ft Exposed Nall 0 3 Room Dimensions. Ft 4 Ceiling Ht. Ft Directions Room Faces TYPEOF Coosa IfTAt Ares Btu! EXPOSURE fin' Hug Cla 1•e 6th Htg Clg 51 Gross a Exposed b Walks and c- Partidoaa d a G s 6 iadows d Glass 1010» b •� '� �' Heating) c d i 7 Windows North and Glass EBrW-NEA NW ;74 Doors South or SE 8: SW rCtndinalA-))de�' 3S Othe1 a•D ,7 o, 93 8 Otba Doom 9 Net • Z �• Glr'Y� , b i Exposed Wags and c Partitions d _ to Ceamill 11 Floors a 'fes Z 7 b f12 =03 tnnitrauon.3/ 7 // Zi3 " 13 Sub Tot.Btuh Lass=6.8.9.10+11.12 )2'171$ 14 Duct Stab Lou'%%� Z Total Stuh tae - .13 .1� - i 16 16 People ® 300 and Appliances 1200 3,1Z 17 Sensible Stub Gain- r.a.s. 10.10. U." u Duct Btub Gain t8 19 •pool Sensible Gain - 17+18 i - = --- -- -- --- --- - --- ,, resat • E PROJECT YOUNGS JOB NO.: 11111 DESIGNER: SROKA DATE: 5/15/92 SHEET: MARK lA NO ROOF LOAD PRODUCT LOADING (WITH TOTAL LOAD DIAGRAM AND MAXIMUM SHEAR.AND MOMENT) W1 = 73 PLF DL = 15 PSF LL = 40 PSF TRIB= 16 IN REACTION = 880 LBS • MOMENT = 5280 FT—LBS REACTION = 880 LBS DEFLECTIONS LL = 0.48" = L/ 599 TL =.0.66" L/ 435 *** USE 16 INCH„StrucJoist(2.OE LVL) ® 16 IN O/C WITH GLUED SHEATHING *** ( 100% LOAD DURATION FACTOR USED FOR ALLOWABLE SHEAR AND MOMENT) ( 4% REPETITIVE INCREASE USED FOR ALLOWABLE MOMENT) ALLOWABLE SHEAR = 1550# EI X 10"6 = 915 ALLOWABLE MOMENT = 7970'# K X 10"6-= 8.32 WsZ- q3�P o� ***�:**�;******9:�:1C'1tiC�:**9:i'%**�•*J:k�:�:�•*:k*�:*•.ti:i:%!:***'!:*****k�:i:%is*i:*�:•1:�'9:�:�:**�:%i:i:i:i:�:9:9:*�:* This calculation confirms that the above product is designed in accordance with current Willamette Industries specifications. The design loads were provided.by others and verification of their adequacy is the responsibility of the reviewing agency. ,If the loads, spans, or spacings are incorrect or incomplete notify Willamette Industries authorized sales representative immediately. 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OT' ; ------ --- �'�' .r :4, l 5a� + SSZ.� l 33) �?8 �?� 33� F'^ l_ZZD �l, 33�_; z Sd 17�_l_—_ --mak• Z � �. bo . . —_ __.. .----------• �: �--------•-$b-1� - _1� S 3 - � - - -t ` D . � _.._ `.4 �. 09L to iD - - ---- oe T>EE'?'rh1 -or- SS'5� �� Uf;DI5Ti 3® to --- - - W. C45457 - -- ---- _— - • - - -.—�' �a_ pC�._- ooT _.. _ o� _. _,U-�Ti� .. _' .. � � EXP. r CIVIIL CA1.�F�� RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO I Name Street Address City & State I SPACE ABOVE THIS LINE FOR RECORDER'S USE POWER OF ATTORNEY (Special) KNOW ALL MEN BY THESE PRESENTS: That.... Phil.1.iP..s.�..Youn.gs ............................... of....960 Onnonti.°.ga..........., So. Lake Tahoe E1Dorado Cityof ........................................................... County of......................................... State of California, hereby appoint(s) ... M i C.h.aeJ—F....Sr.o.%a............................................ of....4140..Dan—Ave ........................................... City of .... Ma.r.y.svi.1.1.e................... Yuba �If County of .................................................... rney in fact �3.°'i3E3C l�E4 to act in..my... name and to do any and all of the folio . ingr!NUMMAIMA ov,of WA" <k X11 All matters relating to obtaini p it Or a single family residence located at 31 Choctow Ridge Rd. Berry Creek, CA. 95916 Granting to. my. ... attorney in fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary, and proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as ... I ...... might or could do if personally present, with full power of,delegation substitution or revocation, hereby ratifying and confirming all that.. my....... attorney in fact, or his substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. O 'N o`P� CJ�Q Page 1 This document is only a general form which maybe proper for use in simple transactions and in noway acts, oris intended to act, as a substitute for the advice of an attorney. The printer does not make any warranty, either express or implied, as to the legal validity of any provision or the suitability of these forms in any specific transaction. By executing this document I further intend to revoke all previous general power of attorney appointments executed by me or on my behalf to the extent that they authorize any of the same acts herein specified. IN WITNESS WHEREOF ......... ........... have hereunto signed. My... names(s) this.' 9 4ay of ......... ..................... ........... ......................... Signature Signature ...................... STATE OF CALIFORNIA ss. COUNTY OF . E1Dara.do........ On this.. 19.t.h.day of .Augiis.t...... in the year.. 19.9.2;..................before me. 9151—=t<T. . ..., a Notary Public, State of California, duly commissioned and sworn, personally appeared ...... Phi 11.ip.:Sp.ence.r.. YQ1Az1.g.s........................................... personally known to me (or proved to me on the basis of satisfactory evidence) to be the person........ whose name ...... j/ .. .................... subscribed to the within instrument, and acknowledged to me that....... . he ........ executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the 1�.. A0.... County of.. �,,.-.G.l. r-0/0.//l'on the date set fort above in this certificate. -- - .14 .. . ..................................... o� �+ N Public, State o%��ialiforniia hI1N0 • My commission expires .../G' v.. / . Y..11y %S_ lib Oona. t STATEMENT OF WITNESSES I declare under penalty of perjury under the laws of California that the person who signed or. acknowledged this document is personally known to me (or proved to me on the basis of convincing evidence) to be the principal, that the principal signed or acknowleged this power of attorney in my presence, and that the principal appears to be of sound mind and . under no duress, fraud, or undue influence. Signature ............................... Print Name .......................................... Signature............................................ PrintName .......................................... Date................................................. Date ' i`+a Address.............................................. Address.............................................!. Page 2 This document is only a general form which may be proper for use in simple transactions and in no way ads, or is intended to act, as a substitute for the advice of an attorney. The printer does not make any warranty, either express or implied, as to the legal validity of any provision or the suitability of these forms in any specific transaction. f t i PERMIT NO. 1593-88P,E(TT) 17 PERMIT EXPIRES OWNER LEN & VI GIN A YOUNGS �CONTR. UNKNOWN ASSESSOR PARCEL 61-62-04 :LOCATION NIS Choctaw Ridge, app 400' N of Oroville —&i/1 `e �i Temp. Pow, Called j Temp. Elec {i Called 1. ;r Temp. Gas Called JOB FINAL Signatu N w � A = OK 0 = Not OK = Not ReadAliyable MOBILE HOMES Date M BILE HOME UTILITIES (Plans) OK except #'s Zoffing Requirements -Setbacks -Easements Sgils; Special MH Support -Sketch Sewer; Location -Test -Fall -C/O -Concrete Iter; Location -Test -Easement Needed €lectricity; Location-Clearances-Grnd Gas; Location -Test -Wrap: / P'U ft. /, /"Nat. or/ P'L"ft./ /"LPG Utility Clearance 1-1 Card -B1 Date j -_-LCard-B1 Date Card -B1 'Date Card -B1 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector r ` MISCELLANEOUS _ Date. DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s _ 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails _ 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- rete Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 - -Date Card -B1 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date `i `f f i fI 1 t Ii l i t . ' ' = OK o = NotOK - =Not Applicable RESIDENTIAL, (Single and Duplex) pplicable _� Not'ReMdy t Date 'UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood --Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 147. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /':Ftg: Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped • 49. Bdrm. Windows or.Exiting Doors -Sill Hgt. & Dimensions 6.'Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing _ „• 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits - 9. D.W.V.;•Fall-Fittings-Test-2 way C/O-SewerJest 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic ' 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131- Date Card -B1 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s ' 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings .. 18. D.W.V.; Test-Fttngs & Anchors -Nail -Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures.& Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -61 Date Card -61 Date 87. Stairs & Rails Card -B1 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. &.Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture &Transformer Clearance -Ins. Protection 71. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer Gara 24. Size Boxes & No. of Conductors -Stapled 73. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 78. Guard Rails &Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Si. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -61 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 96. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates Card -81 Date Card -B1 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -61 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -81 Date 39. Sills, Proper Material & Anchors Comments at Final: 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 1 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 (NOTE: An entry must be made each time you visit job site) r� '�"�i�.-'�{�.rtry .:. i:..;fj_::�-L�-+�%+'rry-._�'Li'`"`+:..�7t['�r'y'�l� =.` '...-t.�y ..a,►.arr, jti,y�•�.� fzzr-,�..yti-. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS . • . 196 Memorial Way, Chico — Phone: -8911-2T5' 7 County Center Drive, Orovi Ile — Phone: 5a8-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE - OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should' be corrected.. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �; Inspector Date — / y� r 91 4y� Y J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive- Oroville, California.95965 - Telephone: 916/538-7541 APPLICATION. ANDI.PERMIT ASS 5 OR PN1 EL B R .w ZONI G BUILDING PERMIT 010 ` ` TELEP E SO. fT. OCC. BUILDING VALUATION W �R'S MAIL c D E L4 �Slr�� / ^L� CO RA TOR SNA TELEPHONE - CONT ACTO ' MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation $ Flling Fee $ LENDER'S MAILING ADDRESS Permit Fee $ A ITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DDR S / L Permit fee $ PLUMBING PERMIT Filing Fee 10.00 P S Each Trap 2.00 r` 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[]MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 0.00 ea00 r TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilit'es Installation Other ❑ Describe work: ' Permit Fee $ q0, 061 Contractor ELECTRICAL PERMIT Filing Fee 10.00• Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under lt of perjury (check : penalty p y f y(econe): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Businessi and Professions Code and my license is in full force and effect. License No. Classification • 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.S11 +/Z�sgft OR ADDNS, ACC. BLDGS. I NEW CONSTR. MULTI -OUTLET ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS tr (SINGLE OUTLET CIR. I 20@50t Ex. Occup(OUTLETS OR FIXTURES SAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary. service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Ej 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. VI shall not employ any person in any manner so as to become subject W to the W. C. laws of California. Notice to Applicant: If after making this statement,, should you becomesubject 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 E3.00 . Hood 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against,sal unty in consequence of the granting of this permit. I %� Date ,�= Signature of Ap -cant — Over Contractor ❑ Agent ❑ An OSHA per it 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 $ occUP. CONST.TYPEJ SCHOOL FLOOD PARC HD ISS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for Which DIRECT OF PUBLIC By P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date T,74 Receipt No. WHIT[-D.P.W.. YELLOW-ASeCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT _ Y i -.... � r:-§h.� , f�{^� h : r•--^.+.w�� �i. ,si{ r"NLay=: ,.--.n.--'.w r`f"' .. Sri •_..:dam'• ', - h�� COUNTY OF BUTTE - DEPARTMENT OF,o,B4UBLIC WORKS - BUILDING rD`IVISION - -- tF�r 7.COUNTY CENTER DRIVE - OROVILLE, £1A,;L-I41`04IA 95965 - TELEP�Fi0NE: 916/538-75411 f` PERMIT APPLICATION DATA SHEET --� / Permit No. OWNER G C rl V; J Yi i �Ou n * A.F. Proposed Building Use IT, T. Building Inspector, Date At time of permit application, I was advised the. following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1� All items have bee: ubmitted.: `��• Plot plans 'n duplicate: ' ri , I%icate,sTgned bytpreparer of plans.Irl . 3. Complete planss i"n duplicate.%triplicate, signed by preparer of plans. ,6 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. s Statement of Intent or Non -Heated and AC Buildings. Fees of ' $� `�C/ . . . . . , 9. Letter of signature authorizatiQ•. / _0"hQ. Sanitation approval from �� vy �< Health Dept. 11. Planning approval for (A) Use:,� (B) Parking: 2.. Certificate of Workmen's Compensation Insurance. -`.. 3. Contractor's License Information (no., name style, classif.) 4. Owner -Builder Verification (Given to owner0, Mail to owner ❑) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . Pre-Inspec. request to (Date)N. 17. Pre -Inspection -for Required. Building Inspector .x"18. Recorded copy of Agricultural Acknowledgment Statement. -7— �g 19. Driveway Permit. r, 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check).- 22. heck). 22. When.youli'ssue the permit, process as follows: Mail to owner, Mail to contractor. t, Telephone and hold for pickup at office, Deliver w%inspector. "Ocher � r' Applicant `' ,Date Copy of.plans_sent Health Dept., Fire Dept., Other Date The following data must be submitted priovto er issuance: (Circle nem m not checked above). 1. Index permit for above items No. .� 2. Additional items required: A t Contractor, designer, owner, was advised of above required data by_phone aiI—counter by date 1_)_3 Contractor, designer, owner, was advised of above required data by—phone _maII—co�uu.nier by date ' Plans checked by Date Plans approved by Date !L—r Sets of plans on hold in File cabinet AP folder 1 w Copy—DPW t TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Cr C r� N (a , Owner. Location AP# Plan Approved for: Sewage Disposal Water Supply• 61iti Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom obile home Other NOTE *** Sanitarian Date COUNTY OF BUTTE - Department"of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 y OWNER -BUILDER VERIFICATION Attention Property Owner: y An 'owner -builder" building permit has been applied for in your name and bearing your sign ture. Please omplete and return this information at your earliest opportunity to avoid unnecessary d lay in processing and issuing your building permit. No building permit will be issued ntil this verification is received. 1. I person ly plan to provide the major labor and materials for construction of the propos d property improvement (yes or no) 2. I (have/have ot) 14 a ✓ &- signed an application for a building permit for the propos d work. 3. I have contracte with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portio4 of this work, but I have hired the following person,. to coordinate, supervise, nd provide the major work:. Name Address wr c & City Phone G //T g / 2 . ntractors. License No. 5. I.will provide some of the work t I have contracted (hired) the following persons,to provide the work indica ed: Name Address Phone Type of Work Signed: Property . Owner'' - Social Security Number Date __-2 0 1-r7. a. ,v / A r -" NOTE: This Owner -Builder Verification is sent to you as requi�d 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. 7 County Center Drive,_Oroville, CA 95965 Len and Virginia Youngs 6154 S. Walnut St., #33 Loomis, CA 95650 With reference to the above subject: / X/ Attached is: PHONE: 916-538-7541. DATE 5/23/88 RE. Building Permit Application A.P. # 61-62-04 Application for permit Mobileh6me Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER _AQ Statement and receipt 1We need the following information: Permit application signed and -completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement.' -- Contractor's,License Law information or check exemption statement. Complete plans. in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including ; Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans .in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,* Chico r 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing X Recorded copy of agricultural acknowledgement statement. l.X1 OTHERYou show on youn owner-bui1dpr verifirnfinn F Rohe b6doing this.work. Prnntrnrtnrt C--MQ-ren ;441 provide us with a certificate of insurance if he is unlicensed' Also, t e agricultural statement must be recorded at the County -Recorder's office Should you have any questions concerning the above, please contact this office. Yours very truly, JFG/aj William Cheff Director of Public Works .F. Glander Chief Building Inspector COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Attention Property Owner: OWNER -BUILDER VERIFICATION Phone: 916-538-7541- An 16-538-7541 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 ma' r labor and materials for construction of the proposed property improvement. yes or no) 2. I (have have not) signed an application for a building permit fo a proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors. License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner r, Social Security N er 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. L�C'vi U 6P+-�a-off . 151-3 -� 0 a8 -b17706 66-017706 88-017708 Rec Fee Total Recorded Official Records :;I County of Butte Candace J. Grubbs 4, Recorder 8:02am 6 -Jun -88-1 55-017708 7.00 7. QO ii 2 -- Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT suct.ibn' 26-8.1 of the Butte requires this acknowledgement prior to .issuance of a building FOR RESIDENTIAL DEVELOPMENT County Code � QED WIC-+ be recorded' 1401 r_- Gl.1PA%N�...,, permit. nRtf�tNAl_ The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of Lhis property may be subject to incon- von]ences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilisers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally gener.aLe dust, smoke, noise, and odor. Butte County has esLabl.ished ngricul-- tural. zones which have as a priority use for productive agricultural purposes, and residc�nt� wit.hin said zones'and on adjacent property should be prepared to accept. such i.nconvcnienre or disconform from normal, necessary farm operations. At.] that real property situate in the County of Butte, State of - California, dc,ticr i bell :IN i:ollows: Date: PROPERTY OWNERS: SUILe of% On this the today of , 19 -EL, befc,re Ille, 9 SS_. the undersigned Notary Public, person6llo appeared County of Present A.P. No. ! - 6 a ` O l Notary Public ElPersonally known to me. ©.Proved t:o me on the basis OrF!CL4L SEAL of satisfactory evidence. AILEEN FARINHA to be the person (s) whose name(s) Cc.r e - A j NOTARYPUBLIC -CALIFORNIA PLACER COUNTY subscribed to the wi.Lhin instrument and acknowled ped that b My Comm Expires April 3, 1991 executed the same for the purposes therein conta Lned . IN W 1'M -X, WHEREOF, I hereunto set my hand and official seal. Present A.P. No. ! - 6 a ` O l Notary Public DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Being a portion of the Northeast quarter of the Northwest quarter of Section 31, Township 21 North, Range 5 East, M.D.B. h M., and more particularly describedas follows: BEGINNING at a point on the North line of said Northeast quarter of the Northwest quarter of Section 31 which point bears North 87° 11' 47" East, 379.59 feet from the Northwest corner thereof; thence from said point of beginning along said North line North 87° 11' 47" East, 370.00 feet; thence leaving said line, South 231.40 feet; thence South 870 11' 47" West, 54.02 feet to the beginning of a 150.00 foot radius curve to the left; thence along the arc of said curve, through a central -angle of 510 15' 34" an arc distance of 134.20 feet; thence North 35° 57' 37" West, 343.12 .feet to the'point of beginning. PARCEL II: A non-exclusive easement for road purposes and public utility purposes over a strip of land 60.00 feet in width lying 30.00 feet on either side of a line beginning at the Southeast corner of Parcel -I, above; thence from said point of beginning South 87° 11' 47" West, 54.02 feet to the begin- ning of a 150.00 foot radius curve to the left; thence along the arc of said curve through a central angle of 720 53' 36" an arc distance of 190.83 feet; thence South 14° 18' 11" West, 85.92 feet to the beginning of a 300.00 foot radius curve to the right; thence along the arc of said curve, through a central angle of 130 48' 55" West 72.34 feet; thence South 280 07' 06" West, 164.89 feet to the centerline of Ponderosa Way. PARCEL III: A non-exclusive easement for road purposes and public utility purposes over a strip of land 30.00 feet in width lying contiguous to and South- westerly from a line beginning at the Southwesterly corner of Parcel _ I, .above; thence along - the Southwesterly boundary of said parcel, North 350 57' 37" West, 206.12 feet. In, APS OWNER v tA, 0S PERMITS 7.3 g MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . -vice :e Other Load T e Pipe Size Length YESi NO AYES NO 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 t your signature. s 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) V-1_ 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: f 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 z Address City i 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: Prope Socia 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. w-+.a+tcfiru.•►'T'fKte""�.%V1�`y;f�G��'Str'rY�ri :y��:�..r:';�tlt'l'p�3!: 9 �X: *"1tf)i�ii,X.rtC7�.�.,�t;•. •+ ��s'.9;�t�..�"i'`"-�1: �'.:.I't'£^.. �/L"t �'�t.�• r», -.r .q.. �r*.,.� ..it;f,. '_ .�....v i r l/ "o -a9 /�- .. _ , r • n X . J'- 1 i tr r. ,rnl' ,y'_ r;,k k, .''k�`ti.^y' ,....�n'r' " - i ..✓,i"�s' .. t Y.. S COUNTY OF' BUTTE -DEPARTMENT OF PUBLIC WORKS PER. IT NO., 7 County Center Drive - Oroville„C2liforniat85965 - Telephone: 916/538-7541j,/,� APPLICATION AND PERMIT ASSESSOR PA CEL NU ER .., ..: t ZON G BUILDING PERMIT ef,OWNER - , u � ~=M/A/IL TEL P o?p SQ. FT. OCC. BUILDING VALUATION � OWNER'S NG ADDRESS w_V S CSA. CO TRAC OR'S NAME TELEPHONE I COITTRACTOR'S NMLING ADDRESS + f Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS. Permit fee $ PLUMBING PERMIT IFiling Fee 10.00 Each Trap 2.00 ,£f Solar or heat pump water heater 20.00 LOT NO. fP, 4 SUBDIVISION NAME v PARCEL MAP '.''+. Water piping 5.00, Each qas water heater or vent 5.00 USE OF STRUCTURE �._ SF [I Duplex ❑ Mobilehome❑ Other ' . �1 - SPECIFY + Gas piping system 1 - 5 outlets 5.00 Building sewer ' 5.00 Mobile Home W 10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation ED -Other E] Describe work: Q4 —12726.] cAk _ Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 f Main service eOOV OR LESS 100 AMP OR LESS 10.00 Main Service EA. AOD•L 100`MP 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�Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification ; 0 I, as the owner, or my employees with wages as their sole compen- / sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N) yz2sgft OR ADDNS. ACC. SLOGS. NEW CONSTR.MULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS' POWER APPARATUS 6 (SINGLE OUTLET CIR. YJ Ex. Occup(OUTLETS OR FIXTURES SAL@30 9AL0 30 FIXED APLNS. Ex. Occup. OUTLETS IPRESI0.)OR EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 - Misc. Wiring 15.00; Permit Fee $ Contractor r 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. JZ(rj 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 subjectPermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I MECHANICAL PERMIT FilinjFee 10.00 Heating .1 Cooling Hood 3.00 Ventilation 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 rray4in any way accrue against satd'dounty in consequence of the granting of this permit. zj �����_� �' .c '� L X ,� Date Signature of Applicant — Own Contractor Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CC CONST PE TOTAL FEE HAz CLIA PARK SCHL FLD PAR PD HD ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which �� TOFF/ F PUBLIC _� By ! PERMIT EXPIRES Date �^ the applicable provi- resolutions to do fees have been paid. WORKS 77 Date 9 �Y� Receipt No. WNIT!-D.P.W.. YELLOW-ASSC930 R, PINK -INSPECTOR, GOLDENROD -APPLICANT pie. „yam-�,�g.�ry�,err"`.,[:�`���cV'-L�'`i7?+!+•�,,r':zir;"m:RY1.-,ni�`�y'� . p� y iY�_ ��,. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS f�e 196 Memorial Way, Chico —`Phone: 891-2751 F 7 County Center Drive, Orovi Ile — Phone: 538-7541 • 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ER �l- T NO. F,, 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 F� r. • . matter, or need additional explanation, please contact this office immediately. 3+. 42 iC�-2_ ��KBE r�-�/Q-�✓G .�/rim a� A. Pt .�q �Y Ey.0 Itis` C` b. IC ' f'•` r FNr.. 'a. �` Inspector Date 1112'Z— COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Qaliforni?a 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT AER IT NO� ASSESSOR PA CEL NU ER ZON G BUILDING PERMIT OWNER U TEL PHON SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING G ADD ESS ��()\j �}\ �e { '- �� V V V (?A CO T AC O 'S NAME TELEPHONE CON -TRACTOR'S LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee ;0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ $ BUILDING ADDRES =Permit fee ! PLUMBING PERMIT iling Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20,00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other � �SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home TT7 W 110-00ea /i:;;� TYPE OF WORK New ❑ Addition s�❑``Remodel❑ Utilities Installatii�on/[�:] Other ❑ Describe work: ��A.� � �� /�� _ `� Ark _ I TP`_J �p Permit Fee 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): ❑ 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 ZoI, as the owner, Of my employees with wages as their SOIe COmpen- sation, will do the work,and-the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.& OR ACDNS. C ACC. BLDGS. , �2¢sga ft NEW RESID,CONSTRANCHUL UTLET NO N•RESID BRANCH ITS 2.50 ea POWER APPARATUS SINGLE OUTLET CI. ( Ex. Occup( OUTLETS OR FIXTURES 20090¢ BAL®30 FIXED APPLES. OR EX. OCCUp. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 11 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation. Permit Fee E 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 'udgments, costs, and expenses which may in any way accrue against sa' unty in consequence of the granting of this permit. , (�f�L Date �� Signature of A licant — OW Contractor El An OSHA pe mit Agent ❑ is required for excavations over 5'0" deep and 4errolition or construct- ion of structures over 3 stories 'n height.� Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ AL HAZ cuA PARK FLo PAR PD HD IssuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees P TOPAF PUBLIC - By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS 7 Ze l Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - ORO\" LLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PE Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. FLOOD PARCEL ZONING LA OWNER PHONE NO. LS4 6,Ja1ANG5 I 6S2 - O 3 viz OWNER'S ADDRESS �q I S1 S_ W A (_ N LAr S T, 03-3 (cam, is CA (3 -s6 -SO LOCATION OF BUILDING -31 C H 0C 1-o W a - 2 a, 8,; e e.rZ IF (EL USE OF BUILDING S 1170 RAG r 0 F 1-00 L5 SM Pru T 2 A-4 a 1'14 re -12- ( M( �+tM1?^—'S SIZE OF STRUCTURE � / 2,40 Z o _, X l Z = sca. FT. ,. TYPE OF CONSTRUCTION: WOOD FRAME X STEEL - CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE AA)00)) ESTIMATED COST OF CONSTRUCTION $ 2300, ao AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: r r S 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. ftAn 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 �� J/ , Signature of Ow r 17 Permit Fee - $25.00 The above described AG Buil;'Kg- is exempt from a building permit. Receipt No. S4438 Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOOD PARCEL - P.D. ROOFING ISSUE I Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant s :.^-.^"rntt.".�Cx:�,,.. .,•�.�.. ,r' :-Yr"r'�ry ,a✓'ti 't ,.��1.'c'is�.r�.... �: ;P 7", }r A. COUNTY OF BUTTE - DEPARTMENT, SOF PUBLIC WORKS - BUILDING DIVISION�� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION, DATA SHEET `°- f Permit No. OWNER l IF -t-4 90 1A Jr s A. P. No. I - Co2- 0 9 Proposed Building Use , Building Inspector �� Date 11-27-8 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5 Hazardous Material Form 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 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 .......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: email to owner. Mail to contractor. Telephone and hold for pickup at office. - Deliver w/inspector. Other ;2/� Applie- .te m y; �o-� -- Dat Copy of plans sent Health Dept., Fire Dept., Other Date 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). Contractor, designer, owner, was advised of above required data by_phone---rnail—counter by .date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Copy—DPW Sets of plans on hold in _ File cabinet AP, folder w I ` I r EAIT N0. 3681-74R , P, F _ M P E j M Yrr Hr UTIL. 1PERMIT NO. .0--�.� - r PERMIT EXPIRES 7S )WNER Richard Haas t 'ONTR. " OCATION (A.P. 62-52-04 ) n/s Choctaw Ridge, -:.400" N. of Ponderosz Way, Oroville: LA i 1 1 rl 1 �j - t •It I Temp. Power Pole Called PG&E iTemp. Elec. Serv. ► I Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) i (Signature) i a ' V I ' r ,. • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONIREt= BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport . Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footin s Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICAVION AND PERMIT W / 47 BUILDING Owner C'i � c� J SQ. FT. OCC. BUILDING VALUATION 8 0 0 Mailing Address�" 3 o n Telephone No. Fireplace 7610. 0 0 Contractor WAl Total Valuation 00 Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ , 06 $ Building Address �'� C.PLUMBING J No.1 @ FEE PERMIT FILING FEE J$2.00. OF .o E/e O S/9 al64 Each Trap j, 1.50 �' D Repair drainage or vent piping 1.50 Water piping 1.50 /. Each gas wa eater or vent 1.50 6,..®o A. P. No. aL'S� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 . c� Each additional outlet .30 S PFire Dept. FireZone Use Permit EQA Parking Parcel Parcel Ma 60' R/W I rovements PI Declaration P n1P Building sewer 5.00 Lawn sprinkler system 2.00 B Plans Rec'd Parce pproval Pla pproval Permit Fee $ -f� U( NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Jrc06 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more n 12) S Single Family,0 Duplex ❑ Mobil Home ❑ Others ❑ Ran.ge, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures - bal_ 10 20 Re swit & fix o 0-(d 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: HW, E�n or .A. Furn. Motor 1.00 Evap. cooler, gar. d1@11"or fx!(I� y 1.00 �, Q Q Air c oner or heat pump .2'. O O Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 5 X $ 9 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 J3, �} Heating o , 0 Cooling 46 00 Ventilation Hood 2.00 • V Permit Fee $ OU $ 3 OZ 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 TOTAL PERMIT FEE $ r autnonze representatives of the county of ttutte to enter upon the above- ntioned property for inspection purposes. (� X -a Date 5 Signature of Permitee or Agent G 35� Receipt No. _ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P4JBLIC WORKS By Date Bu417ng permit expires Date................../..b.''. �si� OFAOFAI RECORDING REQUESTED BY - Mid Valle Title Jy, c� er '✓ y Company 'r'L ;l• �' ;'{: JJ� Ti=��; � . AND WHEN RECORDED MAIL TO r; Q1111S! . !(!Lt i•=i.-J i:�•�,,•�_; I,.;lii:lfr.:iT MT 1 51-12113?3 Ott 10 Name MIJ, M. it�acY,ard F.' LOUISE iiLUr, -)7ER Haas Streetr . w 1307 Grand Avenue nr Address CODUTY PEUOROH City& Oroville� California ff£ t/ State Escrow tl 2276-29109) L Mail Tags Statements To Same as Above SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEE® �o. (CODE DEED) io$? FOR A VALAJABLE CONSIDERATION, receipt+ of which is hereby acknowledged, DOC X ENTARY TRANSFER TAX E 3.85 COMPUTED ON FULL VALUE OF PROPERTY CONVEYED, OR COMPUTED ON FULL VALUE LESS LIENS AND ENCUMB ANCFS REMAINING AT ME OF .SALE. - Signature of Declarant or Agent deterroi-1199 tax. Firm Name Mid Vallev Title & Escrow Comnanv ANN R. WILLIAMS, &-n-unmarried woman does hereby GRANTitd - RIOHARD F. HAAS and DORIS J. HAAS, husband and wife a b, joint tenants the reil_propertyinthea rrinincorpcarated County of Butte State otCalifornia, described as: SEE ATTACHED EXHIBT ".A' - f , -- Dated: September 19 197„� ANN R,. WILLIAMS State of California, , Count <of Los Ange les SS. Y On 52 September 1973 —� before me; the undersigned, a Notary Public in and for said State, personally appearedANN R. WILLIAMS known to:me�,to be the person whose name is subscribed to the within instrument and acknowledged that she , executed the same. WITNESS my hand and official seal. OFFICIAL SEAL, I ma�yy►► l/�J GEORGE'E. E. RENFRO(Seal I M NOTARY PUBLfC-CALIFORNIA otary Public in and for sa' 'Stat . QG E,y-v LOS ANGELES COUNTY My commission Expires Oct. 14,1975 - - •'�w.r�oifi 763 Main St., EI Segundo, CA. 90245' MAIL TAX STATEMENTS TO ` NAME ADDRESS ZIP DEED—too._—wor.coTT, FOAM 772— Rev” 2-70 8 pt. type or lamer ��.. Being a portion-:of the "Northeast quarter cif' the--Northwest quarter of . See .ion 31,r.ship 21 North, Range 5 East,M.D.B.. & M. ; and mor­_---pa'�ticul- ''�, ;'arly described as follows BEGINNING at a point on the North line of said Northeast quarter of the North- west quarter of Section 31 which point bears North 870 11' 47" East, 379.59 feet from the Northwest corner thereof;thence from said point of beginning along said North line North 87° 11' 47" East, 370.00 feet; thence leaving said line, South 231.40 feet; thence South 870 11' 47" West, 54.02 fay= to the beginning- of a 150.00 foot radius curve to the left; thence along the arc of said curve, through a central angle of 51° 15' 34" an arc distance of`134.20 feet; thence north 350 57' 37" West, 343.12 feet to the point of beginning. TOGETHER WITH; a • non-exr,.lusive easement for road purposes and public utility purposes over,a strip of land 60..00 feet in width lying 30.00 feet on either side of a line beginning at the Southeast corner of said parcel; thence from said point of beginning South 87° 11' 47" West, 54.02 feet to the beginning of a 150.00 foot radius curve to the left; thence along the arc of said curve through a central angle of 72° 53" 36" an arc distance of'190.83 feet; thence South 14' 18' il" Weser;, 85.92 feet to the beginning of a 300.00 foot radius `our ve to the . right; thence along tire-sarc-of `said curve,' through a central anglesof 13" 48' S5" West, 72.34 feet; thence South 28° 07' 06" West, 164.89 feet,to the centerline of Ponderosa Way. --- ALSO TOGETHER WITH anon-exclusive easement for road purposes and public utility purposes over a strip of land 30.00 feet in width lying contiguous to and Southwesterlyrfrom a line beginning .at the Southwesterly corner of 00 said parcel.;; thence.along the Southwesterly boundary of'said parcel, North a 350 57' 37'"- West, 276.12 feet. = &V OF DOCUV NT CD _o (CO m c_ V l� y.. m77 • ,yam r yam, • •ryAS S�T r➢� q =q \• p y Yo 40 40 41 ®fidr a ib 4,o a�'O 4401 a�,��` � 4 bas s baa 4 vA4a s0 ado' � "°°ti,, •..�: '� �!✓ ' •.><J ai O ��� yea A ..•'.:�` . . ayoo��ot � S �, o S°� �% ,..r/40 oe • �aJg,. fib: �,fi4� r vo-. .je, D eYr ` s. 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