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063-030-015
03,03 p0,15""r:5�` •�• y'`�ANTOS,t'n; Sandra a ny Hartley , Forest < Rancli t' Sf_: -0706 r Ranch Sun Room t 4 r r A it NOTES f RESIDENTIAL 063-030-015 99-0706 PERMIT NO. SANTOS, Sandra ` 4750 Hartley Drive, Forest Ranch Contr:Owner a Remodel existing deck into Sun Room 4 t •711 Yr . 4 r a t' SPECIAL CONDITIONS CHECKED BY -- SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J=OK 0 = Not OK - = Not Applicable = Not Ready C ' MOBILE HOMES t Date ' MOBILE HOME UTILITIES (Plans) OK except #'s , Requirements -Setbacks -Easements 1. f Zoning Requirements -Setbacks -Easements Tom/ 3. 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete t 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs russes 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 11. 6. Gas; Location=Test-Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Braced Wall Panels 7. Well Clearance & Disconnect 5. 8. Utility Clearance 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater l Date Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit Card B-1 Date Card B-1 Date Health Department Approval 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 Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4j Date 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. 1 Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy ? 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s ��zqriing Requirements -Setbacks -Easements Card B-1 Date Card B-1 Footings; Soils -Size -Depth -Spacing -Connectors -Steel Tom/ 3. 4. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs russes 9. Siding; Nailing- Veneer-Stuc esh y 10. 11. Roof; Shthg-Roofing Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 11. 'Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails `I Date Fireplace or Stove, Clearance -Hearth ) Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. &Ext. Card B-1 Date Card B-1 Date Kit. Fixt.,& Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 80. 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or AI Insulated Neutral ❑ Yes O No 81. 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 92.. 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 4 69. Stairs & Rails `I 70. Fireplace or Stove, Clearance -Hearth ) 71. Elec. Outlets at Wood Panel, Int. &Ext. 72. Kit. Fixt.,& Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. _ Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive 0 Yes U NoMalks 0 Yes J No/Planters Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92.. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV ON 7 County Center Drive - OroviOej Califbrnia 95965 —Telephone (916) 538- 41 PERMITNo. (Rev.12/96) APPLICATION AND PERMIT —L/%a ASS ESSOR PARCEL NUMBER ©� 030 r / ZONING el ILDING PERMIT OWNER TELEP/H NE 6 SQ. Fr. OCC. - BUILDING VALUATION OW NE HARING DR/I�ESS ✓C/TO�R'S7 ' CONT NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAI NG ADDRESS Fireplace Total Valuation $ ARCHITE OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 144.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 257.60 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Additions Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service EO.A OR LESS zoos oR LE ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawfor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. BLDs. 3.5¢xSO: CO S NON -R SNDT BMAUrL�TI.00UTLET @7,50 OWER APPARATUS 8 SINGLE OUTLET cIR. Ex. Occup. OUTLET OR FIXTURES)__ BAL p':so Ex. Occup. OurtLETs RS D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply •th those p� ns._ Date Signature of Applicant - 9 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction/- of structures over 3 stories in hei ht. Mobile Home Insiallation Fee pf��, E rgy Inspectio Fee c corlsT. PE TO AL FEE $ HA D. FE IM FLOOD r CDF, o PAR L HD E This permit is hereby issued under the applicable provisions. of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By (i /"` _Bate /Q ^ �r PERMIT IRES ON > to (Date) Receipt No. Z/1 WHITE•D.D.S.•B.D. CANARY- SSESSOR PINK- SPECTOR GOLDENR09-APPLICANT i 1 I low a E.H. USE ONLY Plot Plan Attached Z' f Flooi PIan.A?tac eS Sent to B.D. /• TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance sG.,�-i'63 ' �#7 SD H�.�.. Qr• � 3-030- DIS Owner Location AP# Plan Approved for: Sewage Disposal! Water Supply: Public .,Z Private Well Clearance for Wig. Other SLraYaarn % Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 0 COUNTY OF BUTTE - DEPARTMENT -4 7 COUNTY CENTER DRIVE - 3 PMENSER •'ICES -BUIL NG DIVISION 2NIA 95965 - TELEPHONE 0) 538-7541 PERMIT APPLICATION DATA SHEET OWNER-- ��j)r�Q— fD� 7,/jT1�5 • `ASSESSOR PARCEL NUMBER:L� Proposed Building User-��a/Z Building Inspector. Date: At time of permit application, I was advised the following data must'be submitted prior to permitprocessing and/or issuance: Date Received By 1 1 items have been submitted ------------------------------------ =------------------------------------------------- lot plans, 3/4 sets, signed by the preparer of plans. ------------------------s-------------------- Complete plans, 3/4 sets, signed by t ie preparer of plans. -� - ---------------------'-------------------- ❑4. red plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 5 gineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.-----7------------------------------------------ 118. ---------------------------------------- ❑ . Hazardous Material Form. -------- ---- ---------------------=-- --------------------------_-- ❑9 Manufactured Home dat inst lation instru ons cluding Tie Down Specifications. --------- 0. Fees of $--- - -------------------=--------------------------------- fpact fees as shown on a ac ed schedule. -------------------=-------------------------==--- a California Department of Forestry plan approval/fees.------------------------------------= ❑ 13 Flood elevation certificate. -------------- ------------------------------------------------- ------------------------- a 4. Sanitation and plot plan approval C,) Health Department. ------------------------------------------- �L ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval fro the Cityof Biggs. ---------------------------------------------- k17. Planning approval for (A) Use: D (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20 Pre -inspection for required. Request to Building Inspector on (Date) ❑2 . Contractor's license information. (Number, Name Style, Classification). ------------------------------------ Workers' Compensation carrier and policy numbe ----------------------------------------------------------- 3.Owner-Builder Verification (Given to owner U, Mailed to owner EI) - ------------------- ------------------ ❑24. Letter of signature authorization.------------------------------------------------------------------------—'=--_--. ❑25. Recorded copy !� of Agricultural Acknowledgment+.. Statement. --------------------------------------------------; E126. Letter of intent on building use.---------------------------------------------------------------------------------- - ❑ 27. Manufactured Hom utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E330. -------------- ❑30. Other: ------- When you issue the permit, process as follows Mail to owner, 9paail to contractor. ATelephone O ��/-�-J3� and hold for pickup at CAC/-/t!Q office. 11Delifer with ' ' ector. : f �t,G� , y Applicant: �v6:�-- - & ate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air_P •on Date: °' By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ O r: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 1J 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division.counter, by Date: ' Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin * i ion counter, by D Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Vvllnm r-1 - rl—f—f of Tlovoln,,,,,o. r Ce. ... o D ... I A.'- . T:..:...._ OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signaptt+s, Please complete and return this information at your earliest opportunity to avoid unneoe_Y de1W 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 for labor and materials for construction of the proposed property imppyeent : YES El NO 2. I HAVE ®" HAVE NOT O signed as applicadoa for a building permit for the proposed M06& 3. .I have contacted with the following person (fn=) to provide the proposed eoneorucdoo:' . , NAME: -. PHONE: CONTRACTOR'S LICENSE NO. 4. I plan. to. provide portions of this arork, but I have. hired the following person to c:oo;+ ; supervise, snd•prdvide the major work: NAME: ADDRESS: CITY: .: PHONE: • CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to psVvida the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUM ER: DATE:— C1 NOTE: This Owner -Builder Verycatlon Is required by Section 19831 and 19832 of tis California Health and Safety Code. This verification must be completed and returned`to our office before we are permitted to issue the permit. •YA O WINE R BUILDER INFORMATION I C, Dear Propertv Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. 1f you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ Ifyou employ or otherwise engage any persons other than your irnmedlam family, and the work (including maarials and other costs) is 5300 or more for the entire project, and such persons are not licensed as oontra66 its or subcontractors. then you may be an employer. ♦' If you are an employer, you must register with the State and Federal Governments as an employer and you "are subject to several obligations including state and federal income tax withholding. fiedeml social securitytiioes, workers compensation insurance, disability insurance costs, and unemployment compensation contrlbutioos. There may be fuiartcial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.' If thie structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work"personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. .,,A frequent practice of unlicensed persons professing to be contractors, is to secure an "owner builder" building penntt, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits.are not required to be signed by property owners unless they are performing their own work personally. 'Infotmulon about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please compkM-the "Owner Builder Veriiic ation" on the reverse side of this form so that we can confum that you are aware of these matters. The building permit will not be issued until the verification is returned t rely, Mi el C. Vidim C.B.O. M er, Building Tnspection NOTE. This Owner-Bullder.Injormatlon is required by Section 19830 of the Callornla Health and Safety Code- OVER ode OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �W G 7�/7 ASSESSOR PARCEL NUMBERO 5- ZONING BUILDING PERMIT A OWNER{/ TELL PONE SO. FT. OCC. BUILDING VALUATION / OWNERS MAgJNO OV( n`/t ��w///CJ• C.I J F{l�V CONTRACTOR'S NAMED TELIPIgme &tLIXAA CONTRACTORS MAUNO ADDRESS ' CONSTRUCTION LENDER LENOERs MMUNG ADDRS Fireplace Total Valuation S 0 ARCHITECT OR "� LICENSEFlin Fee $ 20.00 Permit Fee S10-111 O ARCNrtECT OR ENOWEiRS MAILING ADDRESS Plan CheckingFee S auaOwoAooREsa SO Energy Plan Checking Fee $ q53io- S PERMIT FEE $ 5 LCT No. aueavLaloNeNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFA Duplex Cl Mobilehome ❑ Other avecsv Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water in 15.00 Each gas water heater or ve 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: t�.0 Gas piping system 1 - 5 ou§dto 1 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 wav Main Service 2WA ORR LLEs 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compeneatlon Insurance, as required by Section 3700 of the Labor Code, for the performance of work forwhich this permtt is issued. My workers' compensation insurancf carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed If the permit Is for work of a valuation of one hundred dollars ($100) or less.) [3 1 certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over So' deep and demolition or construction of structures over 3 stories in height Main Service �A TO LSA 48.00 NEW CONST. OMfElLNO OCCUP. 3.SIt�• OR ADONS, a ACC. SLDS. NO"ESID• MW GUM I. MULTL oLmIT @7.50 PowEa APPARA a sWmE o qR EX. Occu wT ET OR E8 SAL 2`9`00 Ex. Occup. ovi3 ,o_OREA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - PERMIT FEE S MECHANICAL PE IT Fling Fee 20.00 Heating Coolin Hood 8.50 Ventilation PERMIT FEL= _ Mobile Home Installation Fee Is Energy Inspection Fee Is, OCC co►sT. TYPE TOTAL FEES T NAZ 0. FEES IMP I FLOOD I COF PARCEL PO NO ISSUE This permit is hereby Issued under of the Butte County Code and/or Indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 0410 ReceiptNo. WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR OOLDENROO•APPLICANT I(s BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District'. Building Department No. A.P. Number 630 Q/ S Jurisdiction: City County Property Owner Property Location/Address Subdivision Lot No. Residential Development ® Ition Sq. Footage a No of Living, Mobile Home (Group R) ! Units Installation � ^ Commercial/Industrial F-1 Sq. Footage New. Addition (Including Exterior. Roofed Areas) Building Department Representative Date moor rians reviewea Dy acnooi uistnct versonneu District Identification No. ' Nis- School District certifies that. (Applicant) (Street Address) (Phone Number) has complied with the requirements of Resolution No. �7ie�' ew by payment of $ C- representing square feet. .,-,School District Representative B 2926 $ i LL MITIGATION $ i�.29 Date Paid by Check # Xf jf� Remarks: 19LA4&222 Notice: You may protest the imposition of the fees identified above by submitting"p written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid.. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/971 STRUCTURAL CALCULATIONS - RCE Job #99.038 for Evergreen Development Santos Sun Room Forest Ranch, CA Calculation Index: Page # • Gravity Loads 1 • Lateral Analysis L1 — L6 V IVIS �Q Revision Summary: Rev. 0 Initial Issue These Calculations have been prepared for plans drawn by Evergreen Development for the above -indicated property. The results of the calculations have been incorporated on said plans. ROBERTS CONSULTING ENGINEERING 336 Broadway Suite #7 • Chico, CA 95928 • (530) .894-8801 E-mail: cj@r-c-e.com 8t Website: http://www.r-c-e.com 04/29/99 - Santos Sun Room - RCE job No. 99-038 Pg. 1 Gravity Loads: Roof Dead Load Slope = 3 to 12 Roof Live Load Wall Dead Load 15/32" OSB Ply. 1.7 psf 2x8 Rafters @ 24" o.c. 1.4 psf Class "A" Fiberglass Shingles 5.0 psf Misc. 1.6 psf Total (sloped) 9.7 psf Total horiz 10.0 psf Total axial 2.4 psf Construction 20:0 psf 3 Layer Stucco 10.0 psf 2x6 Framing @ 16" o.c. 1.7 psf '/2" Gyp 2.2 psf Insul. 1.0 psf Misc. 1.1 psf Total 16.0 psf SAarrcS N Qoorr1 R.GE. �i9 , 038 4 I New �► J IKoov A �N WALLS "N" WAL��S Po L 1 04/29/99 - Lateral Analysis - Santos Sun Room - R.C.E. Job 99-038 R L . UBC Wind Loads -- Method I p= Ce•Cq•gs•I IWW OLW IWR OWR OLR OPR P= P= P= P= P= P= i®ili�ill�ili�ilil�i>� � . • illlr�illra�ilil�iill�lilr•�iiira� . • illE�lIIII�Jilii�iill�llilild! ' t� . • Ce = 0.62 @ 0 to 15' I��IIiL•�iILSliILL•�71ilE�l[�� . - • . � • Ce = 0.72 @ 20 to 25' Wind Loading @ Roof @ Wall Lines 1 Mean Roof Height = 13.5 feet Uplift Pressure = 6.2 psf Wind Loading @ Roof ' @ Wall Lines A Mean Roof Height = 13.5 feet Uplift Pressure = 6.2 psf Wind Speed: 75 mph Exposure: B where; 7.1 psf = Ce = 0.62 @ 0 to 15' Ce = 0.67 @ 15 to 20' Ce = 0.72 @ 20 to 25' Ce = 0.76 @ 25 to 30' Ce = 0.84 @ 30 to 40' Ce = 0.95 @ 40 to 60' Cq = 0.8 (IWW) Inward @ Windward Wall Cq = 0.5 (OLW) Outward @ Leeward Wall Tributary Normal Cq = 0.3 (IWR) Inward @ Windward Roof 4.75 feet @ 7.1 psf = Cq = 0.9 (OWR) Outward @ Windward Roof 4.75 feet @ 4.5 psf = Cq = 0.7 (OLR) Outward @ Leeward Roof 0.00 feet @ 6.2 psf = Cq = 0.7 (OPR) Outward @ Parallel To Ridge (IWR) @ 0 to 15' qs = 14.4 psf @ 0 to 15' = SS nlf - hnri7_ = 1.00 Importance Factor Roof Slope = 3 Rise to 12 Horiz. Tributary Normal Resultant Horizontal Area Pressure Force 4.00 feet @ 7.1 psf = 29 lbs. (IWW) @ 0 to 15' 0.00 feet @ 7.7 psf = 0 lbs. (IWW) @ 15 to 20' 4.00 feet @ 4.5 psf = 18 lbs. (OLW) @ 0 to 15' 3.00 feet @ 2.7 psf = 8 lbs. (IWR) @ 0 to 15' 3.00 feet @ 6.2 psf = 19 lbs. (OLR) @ 0 to 15' Fp = 73 Of - horiz. Tributary Normal Area Pressure 4.75 feet @ 7.1 psf = 0.00 feet @ 7.7 psf = 4.75 feet @ 4.5 psf = 0.00 feet @ 2.7 psf = 0.00 feet @ 6.2 psf = Resultant Horizontal Force 34 lbs. (IWW) @ 0 to 15' 0 lbs. (IWW) @ 15 to 20' 21 lbs. (OLW) @ 0 to 15' 0 lbs. (IWR) @ 0 to 15' 0 lbs. (OLR) @ 0 to 15' = SS nlf - hnri7_ 04/29/99 - Lateral Analysis - Santos Sun Room - R.C.E. job 99-038 Pc' L2 UBC Seismic Loads - Static Force Procedure V= (Z•I•C/Rw)•W where; Z = 0.3 Zone 3 1 = 1.00 Importance Factor p= 0.103 •W C = 2.75 maximum Rw = 8.0 Plywood Shear Walls W = Building Weight Seismic Roof Loading Tributary Weights = 18.00 feet of Roof @ 10.00 psf @ Lines 1 4.00 feet of Ext. Wall @ 16.00 psf 0.00 feet of Int. Wall @ 10.00 psf V 25 p - oriz. Seismic Roof Loading Tributary Weights = 15.00 feet of Roof @ 10.00 psf @ Lines A 4.00 feet of Ext. Wall @ 16.00 psf 0.00 feet of Int. Wall @ 10.00 psf V 22 p - horiz. It 04/29/99 - Lateral Analysis - Santos Sun Room - R.C.E. job 99-038►mac L3 Lateral Load Summary 1 st Level Loadings Wall Line Tributary Unit Loads Wall Loads Controlling ID Length Seismic Wind Seismic Wind Load Case (ft.) (p.l.f.) (p.l.f.) (kips) (kips) 1 9.00 25 73 0.226 0.659 Wind Controls A 7.56-T-22 55 0.165 0.413 1 Wind Controls 04/29/99 - Lateral Analysis - Santos Sun Room R.C.E. Job 99-038 -KRrAIMRESSES AND SHEAR ANCHORAGE SUMMARY Wall ine ID - Wall Loads Seismic Wind (kips) (kips) Wall Length (feet) Wallrag Stresses (pin Length (feet) Horizontal Diaphragm Lengths U Stresses Sill Plate Shear Anchorage Bolt Dia. (in.) or Connector Type Capacity (kips) Spacing (feet) (plf) (feet) (plf) ' North Side East Side West Side A@ Roof Level A@ Foundation I@ Roof Level 1 @ Foundation 0.23 0.66 2.67 247 n/a 18 37 0.500 0.500 0.818 36 inches o.c. Wall ine ID Wall Loads Seismic . Wind (kips) (kips) Wall Length (feet) Wallrag Stresses (pin Length (feet) Horizontal Diaphragm Lengths at Stresses Sill Plate Shear Anchorage Bolt Dia. (in.) or Connector Type Capacity (kips) Spacing (feet) (pin (feet) (pin North Side South Side A@ Roof Level A@ Foundation 0.17 0.41 5.34 77 n/a 15 28 0.500 0.818 48 inches o.c. 04/29/99 - Lateral Analysis - Santos Sun Room - R.C.E. job 99-038 Chord 81 Drag Force Summary (worst cases) Chord Data Unit Load (w) Seismic .Wind plf) (pl Max Chord Force (T) = w•L2 Kips 891) # Nails Required At Each Chord Chord Chord Line Length (L) ft Depth (D) ft —Boundary House Roof Diaphragm Chord Forces Au B 1 u2 18 15 22 55 0.15 2 Sinker House Drag Forces Nail Size = Nail Shear Capacity = Max Number Required 16d Sinker Nails 125 pounds 2 Sinker Nails t 05/05/99 Lateral Analysis - Santos Sun Room R.C.E. Job 99-038 Wall Line Latera Load Wal . Wall AppliedForces Applied Force s esisting Resistive Net Uplift Comments ID * Load Type Height ; Length Uniform Point OTM Uniform Point OTM Force Used 100% of Tabulated Values See Note (kips) (feet) (feet) (klf) (kips) (foot -kips) (klf) (kips) (foot -kips) (kips) Simpson Products TW -here s are 'checked -at both ends of a shear wall, t e o owing convention is employed: At lettered wall lines the West end is referenced first. At numbered wall lines, the North end is referenced first. A 0.23 Seismic 6.00 2.67 0.68 0.096 0.29 0.145 MST37 w/ PHD2 w/ DBL 2x POST at SSTB16 A.B. 2nd Level 6.00 2.67' 0.68 0.096 0.29 0.145 MST37' w/ PHD2 w/ DBL 2x POST 8L SSTB16 A.B. 0.66 Wind 6.00 2.67 1.98 0.096 0.23 0.655 • MST37 w/ PHD2 w/ DBL 2x POST 8i SSTB16 A.B. 6.00 2.67 1.98 0.096 0.23 0.655 MST37 w/ PHD2 w/ DBL 2x POST 8t SSTB16 A.B. A 0.23 Seismic 7.00 17.00 0.145 4.06 0.157 19.28 No Net Uplift! No Holdown,Required! I st Level 0.66 Wind 7.00 17.00 0.655 15.75 0.157. 15.12 0.037 PHD2 w/ DBL 2x POST 8E SSTB16 A.B. 1 0.17 Seismic 8.00 2.67 1.32 0.173 0.52 0.300 PHD2 w/ DBL 2x POST 8E SSTB16 A.B. 1 st Level 0.41 Wind 8.00 2.67 3.31 0.173 0.41 1.085 PHD2 w/ DBL 2x POST 8t SSTB16 A.B. t COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. H you hy� eany questions pertaining to this matter, or need additional explanation, ple c ntactt isroffice immediately. a. F3 7- laould e- kri SPA Neq 1sA � ✓ de &1_1' c ia=tt �✓.� Date �. �7 Inspector i All � a= REV 10192 A. ~. COUNTY OF BUTTE. DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA'- (9161891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE q 9 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If ou have any questions pertaining to this matter, or need additional explanation, please con this office immediately. Ll eL jyj r Date 3 ;� q- 9 )ns REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA (91.6) 538-7541 ' 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,. please contact this office immediately. � Date Inspector V _1&q-N,i REV 11/91 COUNTY OF BUTTE �. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, GA - (91,6) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Bliott Road, Paradise, CA - (916) 872-6307 ' CORRECTION NOTICE OWNHi PERMIT NO: A skates that the following violations of Butte County Ordinances exist at The above addiam and should be corrected. Please notify this office when correction of work r; isOyouhave any questions pertaining to this matter, or need additional explanation, the office immediately. Date 3 13 Inspector �. I"lOw r �. �lvti-- � lryi'�+NY!l+t�il. ''�,�, v�.,.`.�''i0 �' • �T'��} -�1'-�'"�Y''1t 1 �f1r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (91.6) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Bliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ODUMEFt PERMIT NO. AnKith a mspeetion indicates that the following violations of Butte County Ordinances exist at' the above ad and should be corrected. Please notify this office when correction of work rr isoopfete&[have any questions pertaining to this matter, or need additional explanation, office immediately. DaW Inspector. REV 1092 J RE NTIAL 03-0-015 93-49 BPEM SANTOS, Anthony & Sandra ' 4919 Hartley, Forest Ranch new sf FFICE COPYO Address_101 Q� GAS Meter By Date -ELECTRIC, Meter By Date O�FI E COPY i Address GAS Meter By 5 Date ELECTRIC Meter By Date JOB FINALE Signature V=OK O = Not OK Not = Not Readya' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s\ , 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch r".1 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. l - / /"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 StabiI4 L ! 1 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 ,t _ 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 _ J wj�-". O=Not OK = Not Applicable Not Ready RESIDENTIAL ' = Date UNDERF R (Plans) OK except ff's oning-Setbacks-Easements-Flood-Slope 2. Ftg. Main; Soils-Elec. Grnd.-/ /" Ftg. Depth �3. g., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth g/Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel -Bloc kouts-Wrapped 6- S walls. Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fire lace Ftg.-Steel 9. D.11110<, Fall -Fitting -T -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 , l Ducts; Clea rance- Mate ria l-Support- Ils-Anchor Bolts -Joists -Vents CriO E 15. A Ess & Ventilation Insulation Date - Card 13-1r✓la Date Card B-1 Date 1i Card B-1VID Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Combustion Air-Baffl 17. Water Pipe; Te & A or -Na' rotection W.V.. ; Fit ' s A o ail P ectio ------- - . 18. D. ---- --------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access ------------- -------------------------------- 21. Gas Pipe: Size & Anchors ------------------------------------------------- -------------------------- 3 Date 3 Card B-1 U Date Card B-1 --- .'-Z ---------------- ---------------------------------------- Date Card B-1 Date Card B-1 Date ELE RICAL (Permit) OK except 4's Transformer Clearance -Ins. Protection -- - -ElElec. Receptacles Spacing-Lightwitches at Doors --- - 24' Size Boxes & No. of Conduors-Stapled 25!l-tomex Installed Close to Edge of StudSr& C.J. -------------------------------------------------------- -- -- -- --- ®Eq . Ground - made up w/Mech. Fastne Bond Gas & Wat 2-. Circuts in Kitchen & Conductor Size/GFI W!�----------------------------- - ------------ -- - -- ----- ubfeed,Wire Size ga. Cu or AI-A.C. Wire Size ! / ga. _ Cu AI ange Circ / r ga Cu or AI -Oven Circ. / / ga. Cu or Al. -- �I sulated Neutral ❑ Yes ❑ No - 39" yService-Riser Conductors & Ground -Main Disconnect ------------- 3 Equip. Clearances Panels-Motors-Mech. Equip.- - - -- - ----- ------------------------------------------ 32' CI es Closet Light -Shower Light -Spa Light -------------- --------------------------- - -- - --- - - - -- 3 moke Detector ---------------------------- Date3--� - -------- --- Date ---------------- --------- --- Card - ---B-1 - -- --- - �q q3 Card - -1 ✓ Date Card B-1 Date Card B-1 Date MECH CAL (Permit) OK except n's 3 A.C. - ucts Insulation & Support ----------------------------- ----------------------------- en Fan: Exhaust above insulation -ensate Dram & Overflow. Size & Grade urnance-Vent: Access Co Air -Return Air Vent -115 outlet --- ----------------------------------------- -----..__. --- ----------------------- -- -- ----------------------------------- Attic - --- -- -- Attic Acceas& f-Furnance in Attic ------ - ---Car - --- - - - - -- Date �� /�� Card B -t Date Card B -t Date Card B-1 Date Card B-1 Date FRA NG (Plans) OK except a's Sils. Proper Material & Ancho Its Studs -Nailing. Spacing & Bracing -Plates -Sound ---- ------------------- ------------ ----------------------------- ---- - ------------ .. 4.2 aring Walls over Girders & Floor g -------------- ----------------------------------i�F� -------- D t Stop in Walls (rat proof) ----------- Fir Stops Furred Ceilings -Stair -Cs u --- ----Headers & Beam -Size & Bearing Single & Duplex) Date , AMING (Continued) H gers-Post Caps -Anchors -Connectors Irrg. Joist-Rftr. ties -Purl in -rocrkras hthng.-Rfng. 4 replace Ties or Type e -Fireplace Throat clearance 4 tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Win s or Exiting Doo i I Hgt. & Di ions - -- Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55 Siding -Nailing Veneer 935 ( Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ------------ -------- 58. Shear Walls; Nailing -Bolts , 3-SO•93 59. Insulation -Walls -Ceilings -U(3 3-36-93 60. Infiltration -Walls -Windows (/Q Pate 3 �( _Card B-1 - Date - Card B-1 Date 3 3oCard B-1(/Date Card B-1 Date FINAL (Plans) OK except N's 61. EEx--t. Steps -Door & Sidelight Protection -Landings 6�amoke Detector --------------------------- -- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------- ------------------ e oom Exiting ------------------ ------------- -- _ & Bath Fixtures & Tub Access -Spa --- - --- Elec. Trim -& Subpanel: Breaker Sizes ab -- ----- " 677-S17 s & Rails -- - 6 ire lace or Stove: Clearances -Hearth - - c. Outlets at Wood Panel: Int. & Ext. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance 7c. Outlets &Receptacles at Kit Counter 7 arage Fire Door: Swing -Landing -Closer Duct in age -Damper 74. ir. Hir.; encs- learance-Comb. Air-Connector-P.R.V. In Garage: ove Floor -Meeh. Protection 56C -P -1 ----- -- 7 Elec. &Mech. Equip. Listed for Location 7�. Receptacles in Garage: (G. F.I.) -Rome x rotection - 7.. Ins talion -Foam -Looked in Attic es 7 uard Rails &Deck Construction -Post Caps ------------- :------------------- ------ -- Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes, B-0r.'-FoIlowing instld.: Drive 0 Yes No: Walks ❑ Yes ❑ o; Planters ❑ Ye - ❑� ( JJZ -' 3 81. Stucco B n -Finish U� -------- JJZ ------------ - -- N� IJP' ni isconnecl. -ri" I, lumbing - - --- -- ------------ -- - - 83 Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconne Electrical, Plumbing -- Exterior Elec. Trim; G. F'. Receptacle -Underground entilation Throughout House _.-.._...--. 8 ass Protection --------------------- �--------------------- Corre tions from Previous Inspections 3 ( 93 d9. G 4est-Meters Tagged Gas -Electric �ter_ _ ---_-_-- __------_----- & Sewer Connected -C/O to Grade -HD Approval 9R!'Energy Compliance Certificate -Other Certificates Date Z Card B-1 L/43 -1 Card _B 1 Date , Card B-1 C�W Date --Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ------------------------------ ---�- --- COUNTY OF BUTTE ;,DEPARTMENT OF PUBLIC WV58-7 S 7 County Center Drive - Oroville, Califoniiia. 95965 - Telephone: 91 1 APPLICATION AND PERMIT PERMIT NO. Y3 -00 � ASSESSOR PARCEL NUMBER 063-030-015 ZONING R-1 ` BUILDING PERMIT OWNER {O�� ,� Santos TELEPHONEAnth 891-0939 SQ. SQ. FT. OCC. BUILDING VALUATION OWNER'S MOAILING ADDR ES P.O. BOX 88 Forest Ranch 95942 CONTRACTOR'SNAME TELEPHONE w er 1,619 R 82,893.00 720 M 12 960.00 368 C 4 784.00 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN 144 0 1,008.00 Fireplace "A" 1,500.00 Total Valuation $ 103 145.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER - - LICENSE NO. Filing Fee $ 15.00 Permit Fee $ 611.50 Plan Checking Fee $ 305.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $952.25 4175- PLUMBING PERMIT Filing Fee 15.00 Each Trap id 5-001 50.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 2 NAME Northwoods #1 -PARCEL MAP 23-18 Water piping 1 7,00 7.00 Each clas water heater or vent 7.00 7,00 Gas piping system 1 - 5 outlets 5.00 5.00 USE OF STRUCTURE SF[2 Duplex[] Mobilehome❑ Other SPECIFY Building sewer 1 15.00 Mobile Home I S I G JW 1 615.00 TYPE OF WORK NewEX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: New 2 Bedroom Single Family Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury iur y (check one): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business/POWER d Professions Code and my license is in full force and effect. e No. Classification aKenstheowner, or my employees with wages as their sole compen- sat'on, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A1 .37,50 NEW CONST. / DWELLING 0CCUP.q+\ V 3.64 sq.ft. 81X85 OR ADDNS, l ACC. BLDGS. // A NEW CONSTR. UL LOUT LET NON.RESID BRANCH CIRC ITS 5.00 APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 76 FIXED APPLNSR, EX. Occup. OUTLETS (RESI.00.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 115-39 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 Cw6ficate of Workmen's Compensation Insurance or a Certificate 0 onsent 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. I Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating 1 19.00 0.00 Cooling Hood 1 6.50 6.50 Ventilation 1 4.50 4.50 Permlt'Fee $35.00 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 t above-mentiorr�d property for inspect i on'purposes. I also agree to sa indemnify a keep harmless the County of Butte against all liabil j menu, cos and penses which_.may inXan wa accrue agains ai C ty in a nce t e of this per X Date sig rure f Applic t - Wne(Vontractor ❑ Agent An OSHA permit i required for aov r '0" de p and emo tion or construct- ion of structures o er 3 stor' in height. E Mobile Home Installation Fee S Energy Inspection Fee $40.00 OCC CONST TYPE TOTAL FEE $1 241.60 HAz 0FEES IMP FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RE TOR OF PUBLIC WORKS By Date PE T XPIRES Date o Receipt No. 130415 �pt/JO 3 %�3 J (J �4 �C�a(� WHITE-D.P.W.. YELLOW-AS8 990R, PINK -INSPECTOR. GOLD ROD -APPLICANT TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance caner location J AP # \ 3 Driveway permit % 3 �� l� has been issued for the above property. si ature date �,7 `{ +�fiL•S' ,!'y+j:,�•r^���YiT:1"Sw►tx ",t�� if"�T.�:Mi�1'i"5'J i��i� 3 ._.ry�iR-tN�"°i�.ut 'Rti�'rwf r7ri�"':vr.�tti� 3�I•'Wt..+�tis.j'y'ti'.a�-�,M'' T� 'j�yf. 4.` tr�..�..{ 'y �. COUNTY OF BUTTE - DEPARTMENTIOFAE�L .P ENTSERVIC - U WING DIVISION} " it I�4L R. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEP ONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector AV��Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED ' BY 1. All items have been submitted . ......................... ............ . 2. Plot plans, 3/4 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 . ...............:':F... . Engineered truss details and layout in duplicate (required prior to plan check). .... //3 9 Mobilehome data and manufacturer's installation instructions, 2 sets. ........... eesof $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees......................... 13 ,Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Health Department . ............ -15 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: X18 -Contact Land Development about (A) Improvements (B) Drainage. . . X19. Driveway permit (construction approval required prior to occupancy). .. Frednspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ..............�............. 23 Owner -Builder Verification (Given to owner Mail to owner . . A . 24. °'Recorded copy of Agricultural Acknowledgement Statement .f— 7—yam .................. C7 j 25. Letter of signature authorization . ........................................ 26!.Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. ...... .............................. . 28. Mobilehome utility clearance. ........................................... 29. Documentation of legal access . .................... ......... . . t' 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. F2xisting violations/expired permits . ...................................... (— Plan check list . ..................................................... 33. 34. r When you issue the permit, process as follows: ' (/ Mail to owner. Mail to Telephone and hold for pickup at ,office Other Parcel Creation Acreage Applicant ; Copy of Haz-Mat form sent Health Dept. Fire Dept. Air P611ution Date Copy of plans sent Health Dept. Fire Dept. Other . Date _ The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: Defer witti inspector. issuance: (Circle new item not checked above). Date By Contractor, designer, owner, was advised of above required data by Y phone _ mail Counter by _ Dated (T Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plansschecked by G166045 , Date Plans approved by t 02OtV5 _,Date 3 Sets of p,(ai2,-op?bbld jh3, Jiletc4bir etod�( itd"er - + Copy - Departm nt of Public Works ' TO: Building Department I . FROM: Environmental Health SUBJECT: Sanitation Clea►ance rli.usrml.v �1 Hol Plan Atueh,d /�- Floor 1 AUachi•d ` Sent wBli.l). ,►,, c // ijz 6-1-.3 -/6 kv Owner Location / AP/# Plan Approved for: Sewage Disposal Water SLIpply: Public ✓ Private Well Clearance for 2- bedroom - home. Other Hold final for: `final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 /— /3 —93 Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilled Cahforpia 95965 - Telephone: 916/538-7541 ��O X/t APPLICATION AND PERMIT ASSESSOR PARC L NUM61ER 'L0 ?; — ZONIN BUILDING PERMIT OWNER Al �V TOS TELEPHO E SQ. FT. OCC. BUILDING VALUATION .- \ Ir OWNER' NG DORESS T /`H CONTRACTOR'S AME TELEPHONE , CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace / 11 Total Valuation $ Filing Fee $ " 15.00 -. Permit Fee - -•- $ Plan Checking Fee ;' $ _ r Energy Plan Checking Fee - $ O LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEERLICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDR s / �_ (. 5 Permit fee — J PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 ' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAM PARCEL MAP Water piping 7.00 , 6) 0 Each qas water heater of vent 7.00 , 009 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 a0 Building sewer 15.00 -I Mobile Home I S I G JW - @, 15.00 `� TYPE OF WORK New�Cj Addition ElRemodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: DiC//�� Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 I Main service SS 200A OR 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): provisions of Cha pt. am licensed under p t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. /License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for. sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.501 NEW CONST. ( DWELLING OCCUR.&) 3.6d sq.ft. OR ADDNS. ACC. BLDGS. / r I NEW CONSTFtULTI-OUTLET @ 5.001 NON-RESID BRANCH CIRC ITS POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES A20 @ 75d EX. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA.) i 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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. F -1I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subjectHood 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 FilingFee 15.00 Heating Q j 1 Cooling o �� 6.50 I r Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Count of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against y accrue liabilities, judgments, costs, and expenses which may in ny71,7 against said County in consequence of the granting of this qer it. X Date / 2 5ignature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ r �t% OCC CONST TYPE AL FEEall HAZ OFEES �T�O FL000 CDF PA CEL P Hr SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do `Mork indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No. -3 6) WNITC•D. P. W., YELLOW -ASSESSOR. PINI( -INSPECTOR, .OL DEN POO -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - . BUIUING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 WNER IROPOSED BUT-LDING USE Mil School Distric Fees( S (paid at -District Office) She_z-1 ff Fees (paid.at Building Department) A. P. NO. 6 3- U 3 D- dl� DATE 4/1 �i REC. - #r DATE_ REC Residential g=$ un', t amt. Commercial(per sq . f t .) x =$ sq.ft. amt. Urban Area Fees (paid at Building Department Residential (per unit) x =$ ir units amt. Comme=ical(per sq.ft.) x 4 sq.ft. .amt. / t Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other \ -t time of permit application, I was advised the above fees are required to be paid pri:7 to issuance of the permit. i -kFPLICANT DATE .... .-%�4,� �r�`'Y�l.�ii^�a,_w'.e'.r!'=�}yp�.��R, Y".T^Ww�Y'TMf'11lftVMc�.•�'����Yi�filA'a'�-T�KT•' _'. z1. 'li" �'� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District dtwco Building Department No. A.P. Number O 0 Jurisdiction 0 City County n Property Owner Property Location/Address Subdivison Residential Development -1-191 0 No. of Living Units Lot No. 0 MHI Addition Commercial/Industrial 0 New Addition (Floor Plans reviewed by School District Personnel) Sq. Footage (Group R 16 6 Sq. Footage (Including Exterior Roofed Areas) /,/ AF -�,>' Date District Identification No. o� School District certifies that C.J,�� ( scant) (Street Address) TOR (City) T (State) has complied with the requirements of Resolution No. ` JL representing XU 6 square feet. , 'In I School District Representative Paid by Check Number (: Remarks: Bank Number Paid by Cash (Phone Number) (Zip Code) by payment of $ Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California 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) x y,, feeformmkl (4/92) COUNTY OF'BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building -permit has been applied for in your name and bearing your signature. Please complete and return -this in 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 theproposed propert4im ovement (yes or no) 2. I.(have/have not) _ signed an appication for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to'provide portions of this work, but I have -hired the following person to coordinate'; supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to 'provide the work indicated: Name Address Phone Type of Work Signed: -Property Owner Social Security Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 1. . 1.98-32. 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. Section. 26-8.1 requires. this prior. to issuan AGRICULTURAL STA77.= OF AC.XNOWLEDG=rr FOR RESIDENTIAL. " EL'OP -F—NT of the butte County Code acknowledgement be recorde=d — —� -- , ce of a building permit. 6 The- property described 'herein is adjacent to' land or included within an area zoned ¢for agricultural purposes, and residents of this property may be subject - to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from. the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. jural zones which have as a priority use for productive w-ithin said zones and on adjacent property should be or discomfort from normal, necessary farm operations. BUTTE COUNTY RECORDER SERIAL NO. RECORDED AT THE REQUEST OF MID VALLEY TITLE COMPANY 4" ' DATE RECORDED: JAN 8 1993 TIME: Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience '11 that rezl property. situate in the County of Butte, State of California, described as follows: Lot 2, as shown on that certain Map entitled, "NORTHWOODS SUBDIVISION UNIT NO. 1", which Map was recorded in the Office of the Recorder of the County of Butte, State of California, on August 18, 1958, in Book 23 of Maps, at page 18. Date: / i State of Calif. ) On'this the 7th day of January , 19 93 , before me, the SS. -undersigned Notary Public, personally appeared County of Butte ) Anthony Santos x� Personally known to me. F� Proved to me on the basis I OFFICIALSEALD of satisfactory evidence. ' W.J. 736W' �iCi > to be the person(s) whose name(s) is GOLLNOTARY PUBLIC- CALIFORNIA N subscribed to the within instrument and acknowledged that ne ' '.... •-` COUNTY OF BUTTE W IN WITLESS s executed the same for the ur oses rein contained. , My Commission Expires Sept. 20, 1998 - p p nauunl,l:uurfimnl,u,lllunRaeunmt7nuluttlRiNltO WHEREOF, I hereunto set my hand and o ficial seal- Present eal•Present A.P. No. _ _. --i. Pub13G RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S. F. , 'DUPL-EX & MISC. .ONLY) . Bldg. Permit # OWNER SQNTOs Ating OnI �_ A.P. # 063 -aRl -Q/S Plan Checker jg[g gal/t GENERAL ►Y/Zoning requirements: (sideyards and number of permitted living units). e'Valuation. /� Plans signed by designer. ;- Proper description of work on application. xisting violations on property. Items on data sheet. (W.C., fees ea Developer Fees, License law, etc). _ orded notice of violation. PLOT PLAN d`�' Complete parcel size and dimensions. ie"'Setbacks, sideyards, easements, etc. Other buildings or structures. 04— Grading, fills, drainage. ,15-- Flood hazard. fr.-- Special conditions on creation map, (noise, CDF, fire sprinklers, non -comb-,, ustible, and foundations). " sc---RAU & FAS road setback. 8 ---Building or utilities across lot lines (Record form). 'FLOOR -PEAN, , . _.. , Complete to scale plan with dimensions. Required, windows for light and ventilation (Sec. `1205- ' . r' • ' 3 Required'°windows f -r' second exit' (Sec. `12'04). ylights (Chapter 34,x& Sec. 5207). �uman impact glass (Sec. 5406). Required.r,00m;sizes•„ ceiling Heighasr(•Sec. 1207)=.�- ��FCIs in baths, garage, kitchen, and exterior outlets.(Article,210-8):• . �8. Light fixtures, switches, receptacles, and exterior receptacles for main tenance of mechanical, equipment..•' *;.Vrv. Locations of water heater, heating and cooling equipment,, other, electrical el ,_oil, ,gas_ equ,ipmeat.,; ='.= • .. , . rg arage firewall, door size, and closer (Sec. 503(d)(3)). �11 - 3'0" exterior exit door (sec.•3304 (f). (.1�Fireplace, and ':wood ,stove • locationa,' and clearance:—' nlumbing,fixtures mokedetectors (Sec. 1210).....; �water''c1o'se't clearances'and'sfiower •s`ize:' •' STRUCTURAL DETAILS b cin or a nee design Table 25V) Unusual shape, size, 'or split leve house requiring ateral d gn- Clerestory requiring balloon framing and/or engineering. moi-- Three story building requiring engineered calculations and plans. Foundation plan complete -enough to construct building. Floor construction details complete enough to construct building. 91" -Elevations and wall construction details complete enough to construct building Roof construction details -complete enough to construct building. ireplace construction details and talcs if necessarv. 19' -Rafter ties or bearing ridge beam. Garage door or porch header sizes. 1-2�'_Stud heights. 1,0�— Adobe soils - special foundation design. Imo- Retaining walls requiring design. Special Inspection required. RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR 1-.— Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 2. - Guardrail details (Sec. 1711 & 3306(j). 3—.Brick or stone veneer (Chapter 30). G-." Exterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof convering (Chapter 32). ff. Roof covering type__- (fire hazard). T oam insu tion - protection. V. 36" halnd stairways. 9 -'Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. IU—.Two exits on three-story dwellings (sec. 3303 & see Mezannines IT --Attic access and ventilation (Sec. 3205). kr.- Underfloor access and ventilation (Sec. 2516). 8/91' on garage side - 1716). Combustion air for fuel burning appliances - L.P.G. requirements. 1-��Noise. requirements on duplexes. qwdaEEiLsM> 16 Flashing at all exterior openings. 1.7—CDF responsible area requirements. - ► - ire01 i -3a RoLt(L SHA4 SO lA K As f So- mR_ s,e,,Tas - C 303 ' Msr. I/Vre LIaR. F�ti,✓aA na.✓ �✓�2y/�„�y,� 2, (�5 Qert Mcg. SASS -2%2if, L �l TA Niic7z,T = . L EFT- M �S S /� c��� - (�� 5.. cv� l� ccti- c n� t�, � � l - Q � 3 i r j� � �t � � s r t►!G c"_ A c c � � �' 1C �VbCC RATH/ LALAN�2y CZnm- TO -is -9a -/a.oY 3 xy As P�2 I Nonr� coeJJ4- 5A't -1o,✓ i -r P R - 2 j - D �F7 T U E 1 ►ri . 3 ._ - 1 1 ,? ; C: i-, i 17. rN Wrirt.i•:w if - rl } W)trd„a 1 01 hl rr ,i.,V fs.-i. s• , IFIiAIi. ,)I ! i)Wli AM;E Rt SI?E<iyT.pL 1 F I A I i. F)c�q�3 I '_ •'4-: r c, ic`. tit 1 r ANTriONiY SAN US Daze!. 04/ � 0/(S ins b1Z . t' ;) 61.0 "-��'.•(il A. ttl,-r . - OARY HAWKIN-. C3�.�7 ��:.�ng '!".'TiFt 'r'RUNO & -iAWf INS 'cnt> . 6:0 ,E, (916) $35-1 25 k 0,jtt: -,_ r 0 t. N�'iv trig"' MICFZOF' 1:i4 b ,- I Er"C'G`:17, It'tC F i! I (j-Ci"� `C i �ehLe ; it ti t7 j iC L, M,! koPA:sa vG ('1 F i Ie-'_iANT.')t Wth-; f:1 P R - 2 0 - '=-:- Z 7 U E 1 0 = 1 :E; P = I I C: h i P - 0-' T I t,) tA'f.: (:()NPL I A N C L P E'b I D E N A1. Pa 9 e 2 C 10 1R ANTHONY SAN CS 04/� j/9' V. F i ie-SANTO`�' Wth-C-1 Z 1 159? PrIagram--FORM CF-lfq t! I (.,3k"0 F A..., 4 v4 0 1 U -s P QI 0 6 6 HAWK 1 N Run- 1619 s, RES, FWAC SYSTEMS Ph 1-1 i ffILjr11 Duct ID U Ct T h e r-ri o st a t Iv L f f i c 1 en c y 0 C 'Wit'i o n R -Value Type U 80 0 AF LIE C i- di v) I s pa (I e. P-4, 2 S 0 t c k. A i r- 511 I 10 00 SEER Crawl, space R. . 2 setbacG' WATER f!FATING SYSTEMS N u n) be r Tank Ex t er n I Irl Energy size I n alL c -I vvi I III I' v p Hf�ia t vr T ype Distribu- ion lypi{ Systerii Factor- (gal) R-'-` a u k.L9 W,-,: f a t'Er k o rnt�ei Mir-111num SP,EC I At- FEATURES/REMARX5 2 0 — 'D 'E_F U E 1 may, : 1 3 , F, C- I I o. : Chi i P . ID 4 R 1 1 F� I (::A T 01- COMI"L IAN CE' RESIDENT 'AL F, 3 CF iR e c' t Ti I _0S 0 9:3 ANTHONY $AN . . . . ... . . M 1 0 1 F i 'i SA N TOS Wfl-i-CT21IS-92 P r c, c .jram-FORM -1 it: Mf'o 615 6 tJser-tiRUN() (.0 HAWKI.NS Run -1619 IRES, (,(.')MPI ANC STATEMENT , 1! -i �-- . , - �-f I I f I I - i:i o ts - +_Ihe bi.,i I I d i n g f E�t� tu r es and p er f or rui i i e J.-, �. a I i () f I s. I—) r s. ci e d f. c.: oi)-tp I t wl th T i t I e- 2 4 , Par t s 1 and 6 n i (IF., of Requ 1,9 f- ions. and the a, H m I ri i z t r o � 1 v e r o - - s .. .4 i�,i I at i o n i�. o imp 1 1 kit' ';! fo .111'I , C, et t ii. been has bs '19ned by the i n d i v,f ci uu I w i I-; (I I r t.) p ons When 'this Cel'tificato, ot' ,:orfip I i �nce is aii to be built in multiple v ,i r n e I a, I F -:, a t. L . I t C, FI-,'.-; I ON ER OWNER, N.ol,... AN MONY SANT01:'.; Name. . . Company CHICO, CA. 9597b e I- Iso k. I- N1, C M. F N T AGENCY Nmvve A n I'll f oi cl r,I c-ld (d t 6 Phorle , , S i gn ed . DOCUMENTATION AUTHOR GARY HAWK INS BRUNO & HAWK INS 20 Constitution Or. C,h'fco. CA. 65926 ( 9 16 ) 8 9 5 .... 1 '1 ? 5 N e A F1 F: 2 Ci — D,3 T u E I P = I I ra C h i = c. C, 5 l-'lle't-civ [,uildlm-1 Front Orlta!nta tv, ,.,)MPUFP *.1HOO '-AJMMARY Comp l'i anc e ti t 1,j Page 1 Pt -o i ez- c- I i t 14e . . . . . .. .. . AWHONY SCAN 'US Margin Date . . . . . . . . 04/:'0/9 H ea i- -i n q . . . . . . . . .. 14.43 13.21 1 22 f n t Ar a . .. . . r 14 i 8 6 14.98 1"),, c t. i me i- i t �-i o i- i A u t 1--i o r GARY HAWK11C H i I n* ......... 13 .50 . . . . . . . . . .. .. . BRUNO & HAM I I q S.' T t a 1 42.79 (916) 395-1 ?5 a I Meihe,d . . . . . . N1 I CROPA'�4 b" Erie,,,i-comp Inc C )eck/ D,�,ttc C M i v4 0 1 F i I e S A N T OS W,th--CT711592 Program -FORM R U-a—:.--,r-#-MP066b U,,er---BRUNO & HAWK[Ns Rwn-1619 s. -f. RES - '4 M 'M M1Cf;?(,)f,`AS4 ENERGY USF SUMMARY (-'jf.:'NER,xL INFORMATION l-'lle't-civ [,uildlm-1 Front Orlta!nta t es n d a r --i propose; d Comp l'i anc e ti t 1,j s f, vt Oesipin Design Margin p ei v H ea i- -i n q . . . . . . . . .. 14.43 13.21 1 22 f n t Ar a . .. . . .......... 14 i 8 6 14.98 -0, 12 H i I n* ......... 13 .50 13,50 0.00 7M T t a 1 42.79 41.69 1 b i,i i 1 d i i --i q c omp I i e ! • with COKIPLf-ter Perforryizmcivy (-'jf.:'NER,xL INFORMATION ST, S Sit--jgle Familly Nttached N u, w Fr-<.,)nt Facing 0 deq (N? Re,dlacc.dYc a r Raised Floor 13680 cf 1619 Sf 0 5'F 0 Sf 18.9 % of F"A 6 . 11 f + ( p a Ck a g e 1•.. ) [,uildlm-1 Front Orlta!nta N i i mb (.--e r of D w(I-Al 1 1 n q Un i -,s Number of Building 1 es 4.1 a-!P0h*,r- Datm 'Typf"! . . . . . . . . . fI t w, t ioi-i -T v NtJftlb,�,;W Of BLOIding lon---.s . oi i I i uned Vo I urme . . .. . .. . . f n t Ar a . .. . . . Groufid F 1(-r)ct At- e i.,, . .. . . . .. . ei b On .-Or &id i--, Ai-.,va A v t- r.,, y o Ce I 1 1nc1H �, i g h I: ST, S Sit--jgle Familly Nttached N u, w Fr-<.,)nt Facing 0 deq (N? Re,dlacc.dYc a r Raised Floor 13680 cf 1619 Sf 0 5'F 0 Sf 18.9 % of F"A 6 . 11 f + ( p a Ck a g e 1•.. ) U, 104 Vol E 1 0 jo t" , : 1 4 1 Ctsm,pt P . CI G CUMPU I nK ME I HOU SUMMARYPage Ar&a U_ -2 C -M Solar Form 3 Location/ 5C SC (0) ...... ANTHONY SAN "O A -m Date....... 04/40/9:3 MR(WA' 4 v4,01 file-SANTOS. Wth-CMIS92 Act Program -FORM C --2R Glass Uror# MI -'0666 User-BRU911011AWK INS 'Uh-1619 s.f. RES. 1 Wall :155 SUILDIN13 ZONE INFORMATION 0 90 Yeg Y I oor ----------------- i of e Vent Special 0. U59 A r i--� a V o] U (TI e litjoll Cold- Thermostat Height Vent Area 1""0 Qw, (st) W) Units itioned Type (ft) (0) 0 90 Yes None FRONT 4 90 1619 13680 1,00 yet Setback 2.0 n/a QPAOUE SURFACES FENISFKATION SURFACH I ----- Ar&a U_ Insul A,1 Solar Form 3 Location/ 5C SC (0) value RA0 A -m Tilt Uains Reference Comments U- Act Glass Int Shade 5"00,W 1 Wall :155 0.0590-21 yalvie 0 90 Yeg 14.21.M.16 FRONT e Wall 0. U59 R 11 0 90 No W.21.2X6.16 GARAGE A 10 0.330 R-0 0 90 Yes None FRONT 4 90 17 0.a30 R-0 0 90 No None GARAGE 5 Wall sob 0.054 R 11 "Q 90 Yes W.21.2X6.16 LEF1' 6 Wall 430 0.059 R-21 JQ 90 Yes W.21.2X5.16 BACK / Wall 1503- 0.059 R-11 2 0 90 Yes W.21,2X6.16 RIGHT 8 poot 1120 U -M R 30 U 14 Yes R.38,2X4.24 CAMbERM, 9 tout 109 0.025 P-38 0 0 Yes 1'2.38.2X4.24 ATTIC 1111 flnorl-t 161U -0.04H R-19 0 0 Na FX.19.2X8.16 FLOOR FENISFKATION SURFACH I ----- 5C SC I neer 1or, Ar -eh V if Frame Opto U- Act Glass Int Shade 5"00,W panos lvpe- TVpa yalvie Arm Tilt Only Shade Description HOUSr.-, I W i 1 1 (1, ow 'Metal Sl Oar 0,65 0 90 0,88 0.18 Drapes,Std 2 14111c.Jow mh2 Metal Sl der 0.65 0 90 0.88 0.78 Elrapes.Std Wi"dow 40,01 y Metal S1 der 0.65 0 90 0.88 0.18 Drapes.50 Wlno"w 9.6 ? Metal 51 der 0.65 0 90 0.88 0.78 Drapes.Std 5 Window no i Metal 51 der 0.65 0 90 0.88 0.78 Drapes,`Std 6 Window 4.0 -2 Metal 5'1 der 0.65 90 90 0.88 0.78 Drapea.std .1 Wind6w 15.0 ? , metal Sl der 0.65 90 90 0.88 0.78 Drapez.Std 6 Window 10.6 2 Metal 51 -der 0.65 90 90 0.88 0.78 Qrapes.`Std 4 Window 1".0 2 Metal S1 der 0.65 180 90 0.88 0.78 Drapas.Std 10 Window j5,0 1 Metal 91 der 0.55 180 90 0.88 0.70 pr apex It Window 15.0 1 Metal S1 der 0,65 180 90 0.88 0,18 Drapez.$td I/ Window 15 V met8l sl der 0,65 180 90 0.68 G./8 Drapez.Std 13 Window In.0 2 Metal `SI der 0.65 180 90 0.88 0,78 Dr,pes,Std 14 Wit dOW 30.0 1 Metal Sl der 0,65 180 90 0.88 0.78 Drapes.401 I '.-% W i ! I (.'! I; t-1 � 1) . 0 i, Metal Sl- der 0.65 180 90 083 0.78 DraPe,.Std 10 Window 5.0 z Metal SI der 0.65 180 90 0,88 0,78 Drapew.ltd I/ Window 40,0 2 Metal SI -der 0.65 270 90 0.88 0.76 Drapes.Std 18 window 1/.5 2 MeLs"I Slider 0.65 470 90 0.88 0.78 Drape5.5&d 0 - Z 7 U E 1 0 : 1 5 P = I I C: h i P - 0 7 1 COMPO IER MEIHt: D SUMMARY Pa 3 C_ 2PL Prjini . ..... .. ANTHONY SANAS Date ........ 04/20/93 MICRuPAKA v4.01 File-SANTOS Wth-CTZ1139i Program -FORM 02P UterA-MP0666 User-BRUNH & HAWK INS Run -1619 ;J. RES. OVERHANnS AND SIDE FINS EXI I k I OR SHAD I Q Area- Shad ln-; SC OF surface (sf) ---Left Fin— ---Right Ext Shade --------- HOU$1'.. Armi --------------- Loft Rsht 5,0 50Z BUG SCREEN 0,84 2 Milano 20.0 Asti BUG light Wdth Dpth Hyht Ext. Emi: Ext Opth Hght Ext Upth HqhL NMI I V. IA''i d 50% BUG SCREEN 0.84 5 Window n1a n/a n/a n/a n/a n1a n/a 2 Window e0.0 SCREEN 5 A 10 h n1a n/a n/a n/a n/a n/a n/a n/a t Window 10.0 0.84 5 6 10 5 n/a n/a n/a n/a n/a n/a n/a n/a 4 Window 5 0 h 1 10 0 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 0.0 Window 5 1 10 1 n/s n/a n/a n/a n1a n/a n/a n/a H Window" 3u.0 20,0 h b 2 1 n/a n/a n/a n/a n1a n/m n/a n/a 9 Window 15 0 5 3 Z 1 n/a n17 n1a n/a n/a n/a n/a n/a 10 Window 14.0 A 2 ► n/a n/a n/a n1a n/a n/a n/a n1a Id Window 15.0 5 3 2 i rils n/a n1a n/s n/a n/a n/a n1a 11 Window io,o 5. 6 2 n/a n/a n/a n1a n/a n/a n/a n/a 10 Window 510 5 i 2 l n/a n/a n/s n/a n/a n/6 n/8 n/a I/ Winoow 40.0 6 67 b z 1 n/s n/a n/a n/a n/a n/a n/a n/a 18 Window 1/.5 1.5 5 47 1 n1s n/a n/a n/a n/a n1a n/a n/a EXI I k I OR SHAD I Q Area- Shad ln-; SC OF surface (sf) Typo Ext Shade --------- HOU$1'.. --------------- I Window 5,0 50Z BUG SCREEN 0,84 2 Window 20.0 50% BUG SCREEN 0.84 A Window 30,0 50% BUG SCREEN 0.04 4 Window 5.0 50% BUG SCREEN 0.84 5 Window 5.0 50% BUG SCREEN 0.84 6 Window 9.0 50% BUG SCREEN 0.84 1 Window 15.0 50% BUG SCREEN 0.84 8 Window 30.0 50% BUG SCREEN 0.84 9 Window 15.0 50% BUTSCRKEN 0.84 10 Window 15.0 50% BUU SCREEN 0,84 11 WindQw 15.0 50% BUG SCREEN V84 Q Window 10.0 10% BUG SCREEN 0.84 13 Window 15.0 50% GUO SCREEN 0.$4 14 Window 10.0 -50% BUG SCREEN 0.84 15 Window 20,0 50% BUG SCREEN 0,84 ih Window 5.0 50% BUO SCREEN 0,84 I/ Window 40,0 90% !"'AUG SCREEN 0.84 18 Windvw 17.5 10% SUES SCREEN 0.84 APR -20—D3 TUE 1 4_€ _- S. G.. P -E� I I o. : C h i -=- z, P . 4_t: Page e 4 C , -- ?k I I,'. i� I HHO :_�,LJMMARY I it 'I . . . . . . . . . ANTHIONY-SAN'OS D,-, t e . . . . . . . . 04/' 0%93 M IR C I PA �'i 4 v4 i)•1 F 1 le?---..;ANTO5, W i-.,. h - C 111 1 a9? Progt-Lqm-FOl,71,M C. --?P U- t7ft 4 .. 101 F, 0 RUNcl & HAWK INS fl u n - '16 19 f tHERMAL MA.0-5 Ar-ifl c P H o r -i d u ct S u r- f a c e C'.9 P I v -I i., y lkval ue Loc a t -I o n /Commen s I I 'i t r 'i 'i t- r .7. ;>`5!j 1 214.0 0 67 k 0 , 0 EN TRY i K I T. , BATH,'S' H"AC SYSTEMS M i n -I muin Due Duct 0 u e., t w: i C. fil I v 1) F IF -('I (-- -i t -n, y Loos -1, -.tori R-viiluc�� 'Eff is ,iencv 0 18 0 A Ft IF.. Cr aw 1 s 1:5 ace 2 0 830 A It!-( SLILR Ct a w I a; P Cn C t-? 0 660 WATER HE-MTNG SYSIEMS Number- Tank Ex t e r- n ei I 1n Ener" iY $1 ze 1 n� U'l a n J J,j I vi-1c-Distt-i�,u, ion Type System Factor' V Hen+ -w- C:1lmi .�e millimum CEC s 'al"Idards IAL �rz :t i' 0,-rA P R - 2* 0 U E 1 1 F� C I P - 0 -=;# HVAC >42ING Page I HVAC Projeci 100 ........ ANTHONY.IAAN_05 Date ........ 04/?0/93 Pr-ioct Address'. FOREST RANQi.*,:+,-. Documentati,on Authur... GARY HAWKM, Building Permit # BRUNO & HAWINS (9161 895-1 2� I Plan Check / oato C .mtp I i Ya c e Me 1 1 it.-' M I GR WAG 4 b, Ener camp . Inc Field Check/ Date MICROPA54 v4Al File-SANTOS Wth-CTZ1092 Program-11VAC QING [WorN MP0666 Uzer-BRUNK & HAW; JNS Run -1619 s.f. RES. 6ENER, L 1. NFO�tMAT I ON- Lloor Area ........ .... _j 1519 sf ...... .. 13680 cF KrW Orientation. ...... Front Facing 0 dog (N) inn Location PARADIV .......... ........ 39.8 degrees Wril-er Outside Des-gn ...... 30 F Winton' I'Viside AsHn ....... 70 F SumkerOutside Des - gm ..... 99 F- �:,wirimer Inside Dani; n ..... ; . 78 F !xu.tri-nior lbw nqs._. ........ 34 F 111tepik Shading Used. Yes Yxierior Shading U,, ed ...... Yes Werhang Shadinq Wed.,.—Mes Latent Load Fract-1........ 0.20 J-110AIING AND CO LINA LOAD SUMMARY Heating Cooling pen, ription (Stuh) (Btuh) Opaque Conduction and So 8688 4263 Glizi,no Gonduction ...... ..... 4184 ......... ........ . n/a 6397 7781 2348 intorn6l Gain ........... ........ n/a z 100 ouctV_ ...... !_:1 ..... .. 1-- 2444 965 Sionmiblea Load ........... ........ 26882 20257 ............. ........ 4051 MiniMum Total Load 26882 24308 N"tw. lhw lQads shown are only ont of he criteria affeemIng the selection qii I "men I Othar relevent design factors such as air F 1 OV4 nequirem""ta, outdoor des ipn tan paratures, coil SiZing. availability el' equipmInt, ovensizing safety marq�n, eta _ must also be considered. It is Lhe HVAQ responsibTlItt to consider hill factors when se1ectinc-_4 the HVAC equipment, 1. Ceiling Insulation Insulation in Floor -70 -46 Number of stories -120 R -value One Two `Three ' - R-0 -103 -49 -02 R-19 -8 -4 .2 R-30 .2 -1 -1 R-38 0 0 0 U -value -4 0.06 -6 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 -.10 _ -2 5 13- 3-27 2. Wall Insulation -52' -17 -9 Single- Single - 13 26 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 ' 'R-13 2 2 1 R-19 8 6 4 U -value 8 15 22 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation 0.60 Insulation in Floor -70 -46 Number of stories -120 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -8 -5 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 Crawlspace -4 -3 -1 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 Insulation -53 -39 " Number 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' 4 0 6. Glass Heat Loss. Single- Slab Floor Effective Percent Glasa Total ERective Pee cett Glass 6Nrtent gIM x SC) Multi Mass U -value (p rant glass x SC) Percent Effective Two .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 .10 4 40 -90 -07 -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 1.8 •,.:. -.10 _ -2 5 13- 3-27 27 -52' -17 -9 .2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 43 _1.2- -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -04 -7 -2 4 10 15 20 -01 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 .20 ..Shading (Shade Open) Single- Slab Floor Effective Percent Glasa Mass ERective Pee cett Glass 6Nrtent gIM x SC) Multi Mass Stories (p rant glass x SC) /CFA Effective Two %Gctim fesc North Esq %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -1 -9 1 1B. Shading (Shade Closed) Single- Slab Floor Effective Percent Glasa Mass Family 6Nrtent gIM x SC) Multi Mass Stories Attached /CFA One' Two %Gctim fesc North Esq South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 .1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not aflawed 7 8 10 11 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached /CFA One' Two Three One Two Three .0.0 C 1) -5 -4 4� .1 - .1 0.1 78 -5 -0 -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 8 9 10 10 , 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 1-6 Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 0.20 0.40 3 5 2 4 1 3 0.60 8 6 4 0.80 1.00 10 13 8 10 5 7 1.20 13 12 8 1.40 1.60 12 10 13 13 9 11 1.86 10 12 12 200 10 11 13 ; 11. Heating System SE or RSPF (assumes ducts In attic) 12. Cooling System 1, or Sum of 1-6 Measures . 1. Ceiling Insulation One -5 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 0 10.0 Effective SE or HSPF 3 3 2 (SE or HSPF x duct efficiency) 7 Effective -25 or -24 to -1410 -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 . 4 3 3 2 0.70. 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 13 Zonal Control Adjustment 7 System Type 26 23 19 15 12 8 12.0 Resistance 10 9 7 6 4 3 Other 20 6 5 4 3 2 2 12. Cooling System 1, or Measures . 1. Ceiling Insulation One -5 EER -4 -3 -2 -2 Two + (assume duets In AMC) 2 2 1 Stmn of 7-10 Attached % Glass -25 or -24 to 14 b -410 +6 to 16 or SEER less -15 .f +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 14- 12 9 6 HWR -18 -12 -9 -7 -6 x� Certificate of Compliance: Residential Climate Zone 11 AuruoNY_ _SANTds ' e Documentation Author Telephone r -- BUILDING DATA Conditioned Floor Area lea I2 Slab/RaisedFloor RAI IS b Dd Single Family Detached (SFD) [ ] Single Family Attached (SFA) (] Multi -Family (MF) BUH,DING SHELL INSULATION Number of Stories Number of _Units [ ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition Component Insulation Lova ffon/Comments Type R -Value (tttt>ic, to itge, cMiaal. etc.) pItllr Wall .............. Wall .............. Roof ............. Roos' ............. Floor ............. 1 q — Floor ............. Slab Edge..... GLAZING Shading Devices 93-419 Buildin Permit# Gr�goNs 1-ly•93 Checked By / Date Enfbmernent Agency Use only .k. O PTS Jr I/ Glazing Glass Area % Glass North 92 5.1 East 70 �. 3 South I9D.87 11.2 West q_ 3_ Skylight _ Total 3 S , .k. O PTS Jr I/ Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation On (single. double) (roller blind. etc.) (shadescreen.etc.) (yes/no) (metaltwood) North ( ) _ D alta & North _ East ( ) 70 RnLLER SHARES _ East ( ) Rf_&lA1&e& South ( ) 1 0, � r _ AM r M PAn South West ( ) 9 r West ( ) Skylight....... O THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath. etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, hent pump) (SE, SEERASPF) (attic, etc.) R -Value (Btuh) (or approved equal) FuRKAcS . 72 A erre • 83 65y28 Maximum Furnace Heating Output: &Sq?_9 Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # Svstem Type (storage gas, etc.) Cavacity (or avoroved equal) Special Feature(s) STORAGe GAS 40 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 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 perfortrtance specifications for the marKUtory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION 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-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rue no greater than 0.3%. water vapor transmission rate no greater than 2.0 permfmch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352((): 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 an and windows weatherstripped. all joints d 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 12-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2-5315: Setback thennostat 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(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception p: Pipe insulation on steam and steam condensate mum de recirculating piping. §2-531R(d): Swimming Pool Heating 1. System has: a. Orloff 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. 62-5314(a): Refrigerators, refrigeratordreezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists tir. building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter2. Subchapter 4. 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 my subsequent purdlaser of the building. Designer Name: Titie/Fum: Addrota: Telepihonc Lic. 0: (signamm) Documentation Author (date) Building Owner None: 'I itWFum: Address: Enforcementl SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)Name: Name' Tide/Fum: Agency: Address: Telephone: