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063-130-023
Jpp 63-13=9�Z3 - _ y -�.-----':'r� - -'•�' ' MARGIE PROVENCHERE E. de of Hwy 32, 800 N. of _ ®� ;Dorett Forest Ranch Permit # 56 -75P,E E L E C GAS — SUPPORT STRUCTURE R oq .. COMPACTION TEST Q. 63-13 -'Z� P Permit-76MHI(irist. for 5676-75) 63-13-23,fy`. 92-633 BPEM CULP David- & Jan', 15256• Dorrett Dr, Forest Ranch new sf)A- 063-13-0-023 CULP, DAVID &JAN 93-1459 B 0 '« 15256 DORRETT DR, FOREST RANCH 1ST RENEWAL/92-633 1 -' • s. i i ` I 0 R ENTIAL 3-13-23 92-633 BPEM N i CULP, David & Jan 15256 Dorrett Dr, Forest Ranch (new sf ) r OFFI E COP Address/ S Z 5I DA GAS Met Date ELECTRIC ),cl Date Meter By v tltl�'' OFFICE Copk_llt�' Address_ GAS • Meter By Date " ?., 3 ELECTR CC Meter By a e P L00001 JOB FINALED (Date)' —q3 _ Signature _( J=OK O = Not OK ' =Not Applicable' Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete -4., Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap*' /" L"ft. . / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect -8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements A- 1. •� 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'" i f 6. Water; MH Test -Regulator -Connector 4.j J J 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 y DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements - 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.=Connectors' Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card'13-1" Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s ci > 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining v 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 1, ►_ ,1 1 • r •' 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 --Date Card B-1 Date. Card B=1,. Date Card B-1 � . 7 ' #= OK O=Not OK = Not Applicable Not Ready RESIDENTIAL ' = Date UNDVfLOOR (Plans) OK except N's uFP - t Zoni -Setbacks-Easements-F od-Slope g., Main; Soils-Elec. Gr -/ /" Ftg. Depth 3. Ftg., Gera , Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg. orches Deck Soils -Steel-/ /Ftg. Depth 5��.ttrmwalls, Main; Steel-Blockouts-Wrapped 6VSwt'5wal!,%,-Garage; Steel-Blockouts-Wrapped 6a. H Downs and Special Anchors 7. Slab; Steel -Wrapped 8v,J rs F' 9. D.V94- Fall -Fitting -T -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pi e; Test -An or -Regulator -Service Test EI ric; Uncle ound 13. Pienums Ducts; Clearance-Materi I -Sup ort -Ins. &-Zq:JtL 14. Gird S -Anchor B Jot -Ve -Cr' es 15. Accbq<& Ventilation 16. Insulation Date J5 - A Card B-1 Q';, Date •9'LCard 13-1 0 Date rp-aq-g;- Card B-1 ViSr,0 Date Card B-1 Date PLUMBING (Perm it).QJK1 except n's ---- - 16. Water Htr.;�-Acceess-Combustio Air -Baffle -- - 17.Wyate� .P e; Tie�!'i nchor-Nal/fection 18. W.V.: Test- ngs & Aneh6r-Nail Protection -- rst _oor-Tub Access __— - --- ----- 2 est Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors - ----p�-1 ---------------- Date loc,S-jj, Card B-1 Date------------- Card B_1 Date Card B-1 Date Card B-1 Date ELEC [CAL (Permit) OK except 4's --- - 2 Fixt & - Transformer Clearan e -Ins. Protectio --- - - ------------------ ------- -- ----------------- 2 ec. Receptacles SpacirIT<ghts & Swito4sat Doors ------------ ---- - - 2 e 8 xes & No. of Co ors -Stapled f omex Installed Close to Edge of St C.J. ----------- --------------------p --------------- --- -- - p. Ground made u w/Meeh. Fastners and as er 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------ ------------------------------------------ -------------------------------- 2 g or AI-A.C. Wire Size / / a. ------ ----- -- ------------------------------ ange� r ga. Cu or AI,Oven Circ. / / ga u or Al. Insulated NeLIral Yes @0110- ------ -----------------------------------------------q-p- ----------------- -- ---- ---- 3--------------- ----------- -----d-Main Disconnect-------- - - 31_ Equip_ Clearances Panels-Motors-Mech. Equip. ------------- ---------------------------------------------- 3L ldhes Closet Light -Shower Light -Spa Light ---------- - - - ------------- --- ---- -------------------------------------- moke Detector ------- Date �� Card B-1 -U--a-Date Card B_1 -------- ----- ------ ----- - ---------------------- Date Card B-1 Date Card B-1 Date MECH ICAL (Permit) OK except a's A.C. cts Insulation & S ort ----------------___c -- - - - - - --- - - --- ----- - --- ----- 3 nt Fan: Exhaust ve insulation --- --- 36.-ensate Dram Overflo ze & Grade - - 37.-Furnance_Ve�ss_Comb_Air_Return-AirVent_115-outlet 90, )Ath e-l+rtee� & Raidti c--------------------------------------------------------------------------- ---------------------------- -- ------------------------------------- DatetZ-- QZ Card B-1 ✓ Date Card B_1 - --- -- - DatetZ--39ZCard ----- Date Card 8-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39 s. Proper Material & Anchors --- 40 s Studs -Nailing. Spacinq�g Bracing- rates-So-und - ------------------- ----- ------- - - -------------- - ----------------------- - -- ---------------------------------- 41 -------------- -------------------------------------------- 41 44� ring Walls over Gir ers & Floor Nailing -- -- -- ---- - --- -------------------------- --- ---- raft Stop in Walls r t proof) ---------- -------- - -- ----- ---- ----------------- ire Stops: urre eiling St ii?-' ----------------------eaders & Beam -Size Baring (Single & Duplex) Date F ING (Continued) angers -Post Caps -Anchors -Con ors 4oist ties-Purlin-r of B'ac-T uss-Sla*Kg.-Rfng. A;, -fireplace Ties or Type ue-Fireplace Throat clearance 4 affles 4 drm. Windows or Exiting Do Hgt. & imensions 51. Property Line Firewall & Openings -- - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ --- --- 5_ Stairs; Width -Heady Lose-Run-La g -Fire Pry 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5 ng -Nailing Veneer ____________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic -- - 58. Sh r Walls: Nailing -Bolts -- - nsulation_Walls-Ceilings 60. Infiltration -Walls -Windows -- ----------------------------- Date Card B-1 Date _ Card B-1 Date and B-1 T Date Card B Date FINAL fans) OK except k's 6_ Ext. eps-Door & Sidelight Protection -La Ings -- e Detector Furnace; Vents -Clearance -Comb. Air -Conn or- In e: Above Floor -Ducts -Me rection 6 . edroom Exiting -------------- ----- --- ---- 6 I. & fixtures &Tub Access - -- ----- 6-- Trim & Sub_panel; Breaker S' a Stairs & 6' rept e or Stove: Clear -- ----- -- -- 6 ec. Outlets at Wood Int. & Ext. ixt. & Appliance; Grnd.- r Gap- poking Cle ante 71r—Ere—c. Outlets & Rece es at Kit. Counter ------------ 7uc_t m Garage- am _ Wtr. Htr Vents -Clearance -Comb. Air -Connector -P. , ---------------- In arage: Above Floor -Meth. Protection ----------------- �--- Z5elf Ib.. Elec. & Mech. Equip. Listed for L abed "o -n ------------- - --- ----- ---- I ------------- _ ection 7� . Insul 'on -Foam -Looked in Attic es ------------------- -- - -- --------------- - 7- u Rails & Deck Cons on -Po ------------ Fdn Vents & Crawl Hole Door -Drainage &_Wood -Earth Pleran5e Looked under Floor es - Followin instld.; Drive s ❑ No; Walks 0 Yes L_T�o; ------------------ Planters O Yes------- ------- o ---- 8t rown-Finish - A/.C�nit: Disconnect. Electrical, P mbing 83!Vents Above Roof; Plbg.-Ap nce-Fir e. -Clearance to U -16 -ter Well; Disconnect, foal, Plumbing 8 _to for Elec. Trim; G. Recnderground iee!Ven' anon Throughout House _ a . lass tion rectio from Previous Inspections __�'�� d .Gas T -Meters Tagged: Gas -Electric k $ -- - = - - -- - -- ---- a— G�--- ter & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date w�5 Q7i Card 8-1-- (3 _-___--Date Card B-1- --- ----8 _ - -- - U-- ----r -- - ---- _Date ho( * c ---_--1 �7Gt �_�_-_+ Date Card B 1 Dat 1- -013Card B-1 I/ 1� Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE s OWNER V PERMIT NO. t 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. .- fit. v� /1Qe I �r '1 , , (IJA Date �3— Spector % E14Vy-, REV 11/81 Lf COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correctiAn of work is completed. If you have any question pertaining to this matter, or/need additional explanation, please contact this office immediately. W J Date("I _ 7r-,71 • Inspectors/ ... _. .. r "-•-��L•`r' :'^r-�+...''y-._.�:+� .X.-.. -.�. .,�. �. ._ .tip.. - .,. S; COUNTY OF BUTTE , BUILDING DIVISION r:* ' 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 GA PERMIT NO. -y A routine inspection indicates that the following violations of Butte County Ordinances exist at the above �ojtre sand should be corrected. Please notify this office when correction of work is completeouhaveany questions pertaining to this matter, or need additional explanation, please con this office immediately. 0 0 Date—/- Inspector REV 10/92 Owner: Permit No. ENERGY CERTIF ICAT ION 15256 Dorrett Dr., Froest Ranch, Ca. LOCATION A.P. No. ROOF Material Thickness(inches) DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value)__ EXTERIOR WALL Material FIBERGLASS BATTS Brand Name OWENS-CORNING Thickness(inches) 64" __ Thermal Resistance(R Value)________ CEILING Batt or Blanket Type FIBERGLASS BATTS Brand Name OWENS-CORNING Thickness(inches)9Z" Thermal Resistance(R Value)`______, Loose Fill Type Brand Name Minimum Thicknesl(Inches) Number of Bags Wt. per bag lb. Area covered(ft. ) Thermal Resistance(R Value).___^___ FLOOR, ELEVATED Material FIBERGLASS BATTS Thickness(inches) 6a" FLOOR, SLAB Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) Brand Name OWENS-CORNING. Thermal Resistance(R Value) R19. _ Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)!, I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. LOERKE INSULATION CO., INC. 499150 F RM NAME/OWER STATE CONTRACTORS LICENSE NO. January 13, 1993 SIG TUBE OF INSTA ON APPLICATORDATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachinents have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO. SIGNATURE OF OE.NERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING , January 1984 AP .77 2S '"93 141'3.3 SEGODD--i SUPPL'i' it. 70-1 of S726 ...... ... .... Certificate 2, -1 THE UNDEk31GNED MANur-AcT unr-n !.icnf.-;B Y CERTIFIES that the 31rUctural 'wood productu, identified below and marked with a collective rnad( of J:trnarIcn-n %illood Syslems, (AWS) were mAn- ufactured In accordance with the specifications indicated below. ft ANSI Standard A190.1-1983, for Structural Glued LaminaloclTimber 0 Job NIMI) --SLQUOIA L'UPPLY Job Location'— ,\. Custumm's Ordw Nu. Dale Ordor No. 1?.K0Q1' LUAU13.J &ID •XMITS Signature QUALITY COITMOL company HOSBORO LUMBER CO. Add,,*, ....ornINWIELD, UTIE001-4 Dale IT IS HEREBY cERTIFIED that the structural glued larninated timber production of thLi above-narned manobictur(ir whir ' :h cmrrikis a collwAivii ma(k of Ar.,iericao Wood SyMerns (AINS) is subject to regular audit by American Wood Systems, such audit consisting of the inspection with roap.011able frequency of the manufacturing process, wiih adequate 6arnpling to verily vio quality of glulam construction and the adequacy of OlUe tw)nd. r SEAL MI by Michael R, O'Halloran Executive Vice President . . ....... ....... ON ---- ---------- P. 2 A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, Cal`ffornia 95965 - Telephone: 9r5- 541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER --- 063-130-023 063-1 —023 TM -5 BUILDING PERMIT DW avid L. & .Tan Culp TELEPHONE 891-1710 SQ. FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS 2 6 Forest Ranch 95942 T RENEWAL CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee 1 F e e $ 307.50 Plan Checking Fee $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Laguna,CA 92677 Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - Permit fee $ 322.50 15956 Darreu Dr PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF® Duplex❑ Mobilehome❑ Other New Steinsj�amily FV Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: 1st Renewal of B.P. #92-0633 Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee 15.00 Main service 200A OR LESS 18.50 ONTRACTORS LICENSE LAW I declare under a It of p y perI y (check one): ❑I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for t i reason Main service 200A TO IOOOA) 37.50 NEW CONST. ( DWELLING OCCUP.�\ 3.64sq.ft. OR ADDNS. \ ACC. BLDGS. / NEW CONSTR MULT I' OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20 76i FIXED APPLNS. Ex. Occup. OUTLETS ((RESID IRE A.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare un er penalty of perjury _(check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ' con eq nc of the granting of this permit. MAY /9j /993 __ Signature of Applicant — Owner'g Contractor ❑ Agent 1:1 An OSHA permit is required for excavations over eep and mo'%t;an or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 322.50 HA z DFEES IMP FLOOD CDF PARCEL PO HD IssuE This permit is hereby issued under the applicable provi- sion sions of the Bu County a and/or resolutions to do Work Indic abov f ich fees have been p id. E O PUBLIC WORKS By Date S Z/ PE M EXPIRES Date 571 94 Receipt No. _ WNITE-D.P.W.,LLOW-ASSZSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r -.r-. � rt..♦ ;-tint'V''ri-'}."r"p'"*�Ft7�-�'-'-II'�-^-��t7'+.r.v.'k-ier rye.=�j,.,�..-w��-i.r�(`�..�,i� .-,,.,..�»..^ ...� ..., .. .'t..N'4.» .,, .a . COU NTYOF BUTTE - DEPARTMENT OF DEVEJ9O,PMENTSERVIBUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIAM95965 - TELEP t(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER 4ap Aj G v % Proposed Building Use .ate Building Inspector A. P. No. -6 _7 0 Z 3 -- Date C 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 . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plari approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ' 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for Preanspeclon req"st required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list . ..................................................... 33. -34. When you issue the permit, process as follows: _-4,44ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of.Public Works 7 County Center Drive, Oroville, CA 95965 O14NER-BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to ,avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I. (have/have-not) f4 A\15 signed an application for building 'permit' for the proposed.work. t 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. L will provide some of the work but I have contracted persons to provide the work indicated: Name Address Phone B 4' 5 F0. l -,o x 704- 5 43 - 6,11-7 Mc. CLE LL OD 690 Tmvr4mgepL7 bgI- ('102 OL -FC 338$c RW%(.3Z 345 -0114A L.ar=RKE o• Bo)( 1927 all l - 53110 JC --FF- E 1 13eN faox 11 345 -- 814 BILL CNAwME-K P, 0. 333,Co PiYS - `i3 ALL IZOOPW& P.o. Oon 3160 O: _4- 4 .14 F•oozusi& 136(o t,oNaEeLLcyV 342- 5; NO-rc- : A u L -C R C- t4 FW l_ ^ R E L- � G r tJ S G D S igned : Property Owner Social Security Number Date /Vl � /'? 9 (hired) the following Type of Work . 'V1 EC HP- N1GJ _Lc-e7R►ca INSut-A"TJOK PR-(yV ALL CA13 INC✓?S 6143 - FLOOR I N CC N TRA-c7-0RS NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be,completed' and .returned 'to our office before we are per- mitted to issue the permit. David L.. &. Jan Culp P:0. Box 296 Forest Ranch, CA 95942 Dear Mr. & Mrs. Culp: f utteCount BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES / COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965.339/ TELEPHONE: 1916! 5367541 FAX: 1916) 53:32140 April 12, 1993 RE: Building Permit # 92-0633 Expiration Date 5/1/93 A.P. # 063-130-023 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: Permit work started, but not completed. Permit may be renewed for 2 the JA I original building permit fee (plus a $15.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Chico _ office. Thank you for your prompt attention concerning this matter. JFG:hla cc: Building Inspector •-l'fif&! olirs very" truly, J.F. Glander Manager, Building Inspection Attachments: [ Renewal Application Owner -Builder Information �} Owner -Builder Verification Chico - 1469 Humboldt Rd/891=2751 Paradise - 745 Elliott Rd/872-6307 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N(; 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT , ASSESSOR PARCEL NUMBER 063-130-023 ZONING TM -5 BUILDING PERMIT OWNER D TELEPHONE 1-1710 SO. FT. OCC. BUILDING VALUAT 1706 R 87 006 OWNER'S MAILING ADDRESS -0-Earest Ranch 95949 1099 C 14.287 C ON T R A C TOR' S NAM Ownpr TELEPHONE 8 M 1,512 C7'F 17 Jl CONTRACTOR'S MAILING ADDRESS Fireplace "Aft 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 104,305 Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ 615..00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 307.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGIN ER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 957.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 90.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SFRI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 9,00 Building sewer 15.00 Mobile Home S G W 15.00 TYPE OF WORK New [] Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: New 2 Bedroom Single Family 1 Permit Fee $ 99 00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO1000A1 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. / 3.64 sq.ft. 62.65 NEW CONSTR. ULTI.OUTLET NO N.RESID BRANCH CRC., TS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. EX. Occup. OUTLETS (RESID )REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 9 .15 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �l shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating . Cooling 3 TON 9 9.0 Hood 6.50 6.50 Ventilation 131 4.50 1.3_.50 Permit Fee $ 53,00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun in cons Lien a of the granting of this permit. X Date _71 -91f2 -This Signature of Applicant - Ow er .l�lry 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 $ 40.00 OCC CONST TYPE I TOTAL FEE $1245.65 HAz 1 11FEES I IMP I FLOOD I C0F PARCEL I Po I HO ISSUE permit is hereby issued under the sions of the Butte County Code and/or Indic d a v r work which fees I OF PUBLIC By PERM EXPIRES Date S applicable provi- resolutions to do i have been paid. i WORKS Date S / 9 Z Receipt No. 109936 PC $387.50// ((S�(z6r��� WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916-'538-7541 APPLICATION AWPERMIT PERMIT NO. ASSESSOR ARCEL NUMBER ZONING I M-� BUILDING PERMIT OWNER d PAVI V L. CuL TELEPHONE $qi- 1-1la SO. FT. OCC. BUILDING VALUATION 7 OWNER'S MAILING ADDRESS P.O. ao- �,T qS / a CONTRACTOR'S (9WAi�ME ���`��� TELEPHONE CONTRACT,, O R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS✓/ Permit Fee $ ARCHITECT OR ENGINEER 'T LICENSE NO. Plan Checking Fee $ C L. CUL Energy Plan Checking Fee $ aU, ARCHITECT ENGINEER'S MAILING A� R�SA���� C I7-7 Penalty $ �• Vie G IrLG BUILDING ADDRESS 195 2 Co DO R E T -r C>JZ Permit lee $ , PLUMBING PERMIT Filing Fee 15.00 RAI�C� C� ' Each Trap 5.00 50, TZ'�CST Solar or heat pump water heater 1 20.00 LOT NO.SU BDI VISION NAME PARCEL MAP Water piping 7.00 �O o Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 t�C7 SF � Duplex❑ Mobilehome❑ Other Building sewer 15.00 Mobile Home S FG7W 1 915.001 SPECIFY TYPE OF WORK New %, Addition ❑ Remod I ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: ���� Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW DWELLING OCCUP.&\ 3.6Gsq.R. NEW CONST.OR ADDNS. l / ACC. BLDGS. I I declare under penalty of perjury (Check one): NEW CONSTR. MULTI -OUTLET @ 5.00 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID BRANCH CIRC ITS POWER APPARATUS & and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. License No. Classification I, as the owner, or my employees with wages as their sole compen- Ex. Occup( 20 76d p OUTLETS OR FIXTURES A FIXED PPL Ex. Occup. OUTLETS IRESID )R EA j 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, licensed Mobile Home Facilities 15.00 as the owner, am exclusively contracting with contract- ors.(Sec. 7044) Misc. Iyirin g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate oI Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject Cooling g Hood 6.50 to the W. C. laws of California.Ventilation Notice to Applicant: If after making this statement, should you become subject f to the W. C. provisions of the Labor Code, you must forthwith comply with such permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building Energy Inspection Fee $ Q construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 'ifS PE 1 also agree to save, indemnify and keep harmless the County of Butte against TOTAL F E $ all liabilities, judgments, costs, and expenses which may in any way accrue HAY 0FEES IMPFLoo COF PARC Po ssuE against said County in c sequence of the granting of this permit. r 1 I X Date 9 Z This permit is hereby issued under the applicable provi- Signature of Applicant — Ow er ❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excovatia o er 5'0" deep nd de olition or construct- work indicated above for which fees have been paid. ion of structures over 3 stories in height.IT DIRECTOR OF PUBLIC WORKS Receipt No. By Date PERMIT EXPIRES Date WHITE-O.P.W., YELLOW -ASSESSOR, PINK -1 3PECTOR, GOLD ENROD-A LICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC. WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPL'ICATION�DATA SHEET Permit No. OWNER A�Pll V/O ��� GiJL-� -63-/-3- Proposed 3 -'� A. P. o. Proposed Building Use IS/47 Building Inspector Date % Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted...........................DATE RECEIVED APPROVED.......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .. C,r- Fees of $ F�, /..................................... 'S- I - 9 2 . Chico Urban Area fees paid ....................................... 12. Park fees aid 3• Cf— US School District fees paid .............. . 1131 too • Sanitation approval from tr e r2 Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18.Amprovements may be required. Contact Land Development Section DPW . Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. reques to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 2--. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) ..... 24. Recorded co .. . �- copy of Agricultural Acknowledgment Statement i, 25 25 W en $'(-Q you issue the permit, process as follows: Mail to Owner. Mail to contractor. Telephone and hold for pickup at CHIoffice. Deliver w/inspector. Other l.upy of ~iaz-iviaT Torm sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri p s u a : (CC n ew t ghecked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data b by —.date by—phone----Mai counter b .date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by dale Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder COPY -DPW TO: Building Department COUNTY OF 9UTTE FROM: Encroachment Permit Section eUP-DINGDEPT RE: Driveway Clearance MAR 13 owner location. AP # Driveway permit &ng 1?ee c1 has been issued for the above property. date si ature " TJ Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owndr Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Cleararde for bedroom mglgffse home. Other NOTE *** Water Supply Sanitarian ,; Date COUNTY OF BUTTS - Deoarcmenc or PubLic cJorks 7 Councy Cancer Drive, Orov4-11a, C*% 95965 Phone: 916-538_73,�J OWIER- BUILD ER VERIFICATION attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. r Please complete and return chis information ac your earl:.est opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) .2. I (have/have not) AtVVle- signed an application for a building permit for the proposed work. 3. I have contracted .with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of 6Jork Signed : Property Owner Social SecuritT Number 'Date 3/9 9Z MOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This veri`ication must be comoleced and returned to our ofce before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER UL P PROPOSED BUILDING USE A. P. NO. Co — 3 O Z 3 DATE REC. # DATE REC l/ 1. School Distric Fees 6 C' (paid at District Office) .........I ............. .. 2. Sheriff Fees (paid at Building Department) Residential ......... / X 366) =$ unit amt. Commercial(per sq.ft.) X =$ 3. sq.ft. Urban Area Fees (paid at Building Department amt. Residential (per unit) X =$_ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) „ ........................ 5. Drainage District Fees (Contact Land Development) „ ....................... 6. Other 7: Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 7 RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC.•ONLY) 91dg. Permit # o� _ OWNER A.P. # -{i 3 Plan Checker ti - GENERAL Zoning requirements: (sideyards and number of permitted living units). ,,,--Zoning aluation. � Plans signed by designer. %4,-�Proper description of work on application. Existing violations on property. 6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). corded notice of violation. PLOT PLAN Complete parcel size and dimensions. etbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- usti.ble, and foundations). FAU & FAS road setback. Building or utilities across lot lines (Record form). FT.0r)I? PT AN . omplete to scale plan with dimensions. /�cRequired windows for light and ventilation (Sec. 1205). �,. Required windows for second exit (Sec. 1204). %Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). equired room sizes, ceiling heights (Sec. 1207). �FCIs in baths, garage, kitchen, and exterior outlets (Article Light fixtures, switches, receptacles, and exterior receptacles /tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other or gas equipment. O—Garage firewall,. door size, and closer (Sec. 503(d)(3)). . 1 - 3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stove location, alcoves, and clearance. moke detectors (Sec. 1210). 1umbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 210-S). for main - electrical -i' Standard bracing or engineered design (Table 25V) •-2' Unusual shape, size, or split level house requiring lateral design. ,� Clerestory requiring balloon framing and/or engineering. -ft- Three story building requiring engineered calculations and plans. -S— Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. --4-- Elevations and wall construction details complete enough to construct -8- Roof construction details complete enough to construct building. --9' Fireplace construction details and talcs if necessary. 4-6' Rafter ties or bearing ridge beam. garage door or porch header sizes. Stud heights. A e soils - special foundation design. Retaining walls requiring design. pecial Inspection required. building 8/91 RESIDENTIAL PLAN CHECKING GUIDE ITEMS TO LOOK OUT FOR o Stairway details: landings, rise and run, head clearance, handrails 3306). ,�Sec. uardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). jerior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). %Roof covering type - (fire hazard). Foam insulation - protection. -'36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 9." o exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). I_ic access and ventilation (Sec. 3205). r. Underfloor access and ventilation (Sec. 2516). V ---Combustion air for fuel burning appliances - L.P.G. requirements. r-.- Noise requirements on duplexes. 5' nergy design. lashing at all exterior openings. r.-'CDF responsible area requirements. 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DATE Ta S o rro1= s�9x q y °, y / le-, i2oo�C' � to /Ci- ^ tom $ s� so 'A, 0 co JOB Cy(p - ENGINEER DESIGN OF CULP AND TANNER STRUCTURAL ENGINEERS SHEET NO. 6�7 - DATE 'IlzoPF TD lz ^ �A)/J j� AIF S /6 3x (fvvzr�t = A294F7V uJ hL�2 S �oZ%z 7DO Z, 5,KjZ2- JOB Clxto ENGINEER DESIGN OF A - .6 AND � I . , - CULP AND TANNER STRUCTURAL ENGINEERS S. t)jo, (r -x ( �v ' �J ,Pow r /o% �' _ /1 7Z T1 SHEET NO. DATE /c) L 7-0 7' v�V,y��G��� - -s� 1,,3 Al.l that real property situate in the CounLy of Butte, State of California, described as follows: 1, A RbRT►aN 8t -THC-- WGST ONS 64A�L_f= OF - t4r= STH WAST (RUARTER ©F S EcT (00 `7 'TOVJ N s 41 F 23 NORTIA RAM&E 3 r-As•T M • D, 13, M. At4v BW-I,IJG A VoRT joW of >-�C I OF S=-C-1-100TioN 7 S. A Poi-? 1 o N OIG 'T'+4o S E GG 1zTA I N 4>A R CELS OF LAOD W SeCTION 71 I'ow WSN1 f 23/ NOPTk i?'.AW&1_ 3 9AST'/ M, v. B. A MI W NIG}i PARCELS WmRC AeQvIFzc-p E3,( TI44:--:' SZAT� of C-AL.WoRNtA, BNC VeeV Ct FEC-ORDSC2 VN SooiZ 1101 AT PAG m $1 AND LIED (Z) FILE'S 1 N �� K 1103 tl'T PA C�tr 34'31 o F1=1G 1�L� �ECo RDS OF By-r7C CO, Date: Tll Il PROPERTY OWNERS: "PAS/ (p ' t_ . c.__ JAN C -T State ofFpe/IJ//J) On this the TIy day of J9Q9, before mc, SS. the undersigned Notary Public, personally appeared County of '��_) _bAUI L L. 0.0 L P _ I t u .................... O EI OFFICIAL SEAL " JILL LYNME HOTTINGER NOTARY PUBLIC — CALIFORNIA �. COUNTY OF BUTTE �' • Comm. Exp. Aug. , 28 1992 � _--. - A-kef 0,,- CLI -L=P Personally known to me. E] Proved to me on the 1)Iisis of satisfactory ev:i.deii(.-c. Lo be the person(s) whose name(s) Ae _. subscribed to the within instrument and acknowledged that h"� executed the same .for the purposes therein contained. TN vrrNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No.(�j��--.�aj"'�� c Notary Public END OF DOCUMENT O 948 1 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT _ FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded.. prior to issuance of a building permit. 1 92-010948 1 Rec Fee 5.00 The pr.opert.y described herein is adjacent 1 Cash 5.00 to land or, included within an area zoned Recorded I for agri.C!LIIAur.a'l. purposes, and residents Official Records of this properLy may he subJect to incon- County of vc•n:i.ences or d i.scomfort arising from the Butte 1 use of agricultural chemicals, :including, Candace J. Grubbs but not .1 imiLed to herbicides, pesticides, Recorder and ferOl.izers; and from the pursuit 2:55pm 13 -Mar -92 I PUBL XX 1 of agri.cu.l[ural. ope:raLions including, but not. J im:i ted to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has estrabL.ished agric.u]- Lur.al zones which have as a priority use for productive agricultural. purposes, and r.esi.dow s within sai.d zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. Al.l that real property situate in the CounLy of Butte, State of California, described as follows: 1, A RbRT►aN 8t -THC-- WGST ONS 64A�L_f= OF - t4r= STH WAST (RUARTER ©F S EcT (00 `7 'TOVJ N s 41 F 23 NORTIA RAM&E 3 r-As•T M • D, 13, M. At4v BW-I,IJG A VoRT joW of >-�C I OF S=-C-1-100TioN 7 S. A Poi-? 1 o N OIG 'T'+4o S E GG 1zTA I N 4>A R CELS OF LAOD W SeCTION 71 I'ow WSN1 f 23/ NOPTk i?'.AW&1_ 3 9AST'/ M, v. B. A MI W NIG}i PARCELS WmRC AeQvIFzc-p E3,( TI44:--:' SZAT� of C-AL.WoRNtA, BNC VeeV Ct FEC-ORDSC2 VN SooiZ 1101 AT PAG m $1 AND LIED (Z) FILE'S 1 N �� K 1103 tl'T PA C�tr 34'31 o F1=1G 1�L� �ECo RDS OF By-r7C CO, Date: Tll Il PROPERTY OWNERS: "PAS/ (p ' t_ . c.__ JAN C -T State ofFpe/IJ//J) On this the TIy day of J9Q9, before mc, SS. the undersigned Notary Public, personally appeared County of '��_) _bAUI L L. 0.0 L P _ I t u .................... O EI OFFICIAL SEAL " JILL LYNME HOTTINGER NOTARY PUBLIC — CALIFORNIA �. COUNTY OF BUTTE �' • Comm. Exp. Aug. , 28 1992 � _--. - A-kef 0,,- CLI -L=P Personally known to me. E] Proved to me on the 1)Iisis of satisfactory ev:i.deii(.-c. Lo be the person(s) whose name(s) Ae _. subscribed to the within instrument and acknowledged that h"� executed the same .for the purposes therein contained. TN vrrNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No.(�j��--.�aj"'�� c Notary Public END OF DOCUMENT COUNTY OF C ')EPT- OF PUBLICBWoUTTKS MAR 191992 r 0 M 400. _ M BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number Building Department No. School District City M County Jurisdiction Property Owner �� Project Location/Address ZS7 ZS 436WAZE-77. DIZ, � Subdivision Lot Number Residential Development:f COU p�E E] a Sq. Footage # of Living MHI Addition (Group R) MAR 13 1992 Units M 1—t �72 a _ 9e?6 Commercial/Industrial: F-1 . S q. Footage New Addition (Including Exterior Roofed Areas) ilding apartment Representat ve h� Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that n 7-J�J J (Applicant(,ame) (Phone Number) (Street Address) y ate ^. V2_ p Code) has complied with the requirements of Resolution No. by the payment of $ /, 5`� 7. �� representing �JS� square feet. School District Representative Efate PAID BY CHECK NO. �� REMARKS: W BANK NO 3 S � "Icn � PAID BY CASH z> white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) J COUNTY OF BUTTE BUILDING DEPT 15256 Dorrett Drive MAR 13 1992 Forest Ranch, CA 95942 March 9, 1992 Butte County Department of Public Works Building Division 7 County Center Drive Oroville, CA 95965 RE: - Letter of Intent New Construction at 15256 Dorrett Drive, Forest Ranch Upon completion of the house at the above.referenced address, I will remove the mobile home which is.currently situated on the property. This will take place. within '30 days after final inspection. If you have any questions, please feel free to call me at 891-1710. ; Yours truly, David Culp cc: Chico Unified School District n PERMItNOO.. �+F1�6y=%�P�E P i E M MH UTIL.' PERMIT NO. " PERMIT EXPIRES /�/�•���1� OWNER Margie Provenchere CONTR. owner LOCATION (A.P. 63-13-09 d :,dE/S`of Hwy 32, 800' N. of Dorett Rd., Forest Ranch -0 Ile ? - Ad { Temp. Power Pol Called PG& { YteryfElec. erv. Called G&E 3-11—:2 4-• -5- �a Temp. G s Serv. Ca ed PG&E INALEDQ (Date) (Signature) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall! Reinf. Stee ' Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING"INSPECTION (RECORD BUILDING BUILDING (Cogt'd) PLUMBING Firewall 14 Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Prov. for physically handicapped Conformance of ex. structure Final FIREPLI Footinq FIRE SPRINK Final MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer — —% Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final 5—//— ELECTRICAL //— ELECTRICAL Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final r — J I "u-a;ws.r fF» =7�� �� �7.,;,, -,� �K s a.'ti� i°}o-�"`lt Js .�'•?,r^'` :`_'.lvc..�vr"'.it'° COUNTY OF BUTTE .DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the reqquirements of the C li ornia A ministrative Code, Title 25, Ch pt er 5, and r permit number for the following location: SU' n //U 0- F DOA? C=am" Owner zG / E Q VE N /Z Owner's Address PC 15 Mobilehome Mfg. q — ModelYear,—, Insignia No. 3�� ( Serial No. Z2 It is hereby certified for occupancy at the above described location and may'be occupied. r Director of Public WoFk� Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED -MOBILEHOME' INSTALLATION INSPECTION CHECK LIST 1. Is"'the mobilehome located wit required separat-ion from lot lines and buildings and generally conform to.plot plan? Yes` No 2. Does the mob ilehome have 'required clearances above ground? (Sec. 5085) Yes f 3. Are footings and supports properly sized, spaced, and braced as per proved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesNo 4. Is the mobilehome level? (Sec. 5088) Yes! No 5. If more/&n�gle unit, are crossover connections properly installed? (Sec. 5088) Yes 6. Water A. Is fle�xiib e connector o ade ate size and properly installed (1/2" ID min.)? (Sec. 5566)_ Yes e/No �j am�� c. � B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes,—o C. Ba 1 coach is not State of California approved, does station have backflow device a p e e -re lief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each ,end?�Ye�c B. Does it have minimum 4" per foot slope and is it properly supported? Yes1-- No C. Are any leaks detected in drainage system after running 3-ga ns of water through each fixture including washing machine standpipe? Yes No D. If a not State of California approved, does station have required trap and vent? Y 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an 'approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile a gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes " No 1. Open all appliance connector valves. 2.. Shut of ppliance burner and pilot valves. 3, test with manometer to 10"=14" water column,. or test Edith slope gauge (minimum j ;•6oz.-maximum 8 ,z:) calibrated in tenth pound increments. Test for 10 min, without drop. ect gas meter to mobilehome with,connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yeses No `' yry 9. Electrical ^ A. Is service large enough to provide adequate amperage -to mobilehome (must equal ra ing of mobilehome with a minimum -of I mp) and other facilities onLot, i.e., water pumps, garage, cabana, etc.? Yes "YNo B. Is there proper clearances around panels? Yes r C. Is power supply cord or feeder assembly properly fused? YesA- No_ D. Is continuity test satisfactory as per the following procedure? Ye s� No 1. De -en gize electrical wiring system of the mobilehome at the pedestal. 2. e sure that the power supply cord or feeder assembly conductors, including neutral Z,condtor, have been disconnected. 3. all breakers and switches in the mobilehome to the "on" position. 4. nect'one lead of a test.instrument to the'mobilehome grounding conductor and apply tie other lead to each m.obilehome supply conductor, including neutral. 5. 1 non-current, carrying metal parts of the mobilehome (aluminum siding,•gas line, water line , including fixtures and appliances, shall be tested for continuity from such e pment and the grounding conductor. 6. on completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the, site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome: Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBII.EHOME DATA Manufacturer and/or Namestyle Length CP �_ Width Vehicle Serial No. `6 Ls -3 State Identification No. ��J -7 / 31 Additional,Infration o mments- d ®R 3-//r 7(, F I WFA ARM To.�.�o�oae 62-z� 63 S //21 SEC. 7, T 23 N.. R. JI E. s�- 39 pg1 1= a 4 of ma .e 4.45 Ac. 3 57A0 14 264 17.35 Ac. LO 9OP 9 > 001 240 Ac. 01 777- I Q- 770 tEss4'f� / A�j 5,? 4C n 760 - 228 _ 2 w LOT 10 V v (55.23) B 74c 4O n o 1343 '9a V O ti 9 iztc 3 0 ' .rI •ncoe ue rwso v4.0)1 m - • 'k.. Assessor's Mop No. 63-/3 NOTE -ASSESSOR'S PARCEL BLOCK 8 LOT NUMBERS SHOWN County of Butte, Calif. IN CIRCLES FEBRUARY 1964 J COUNTY OF BUTTE — DEFI RTMENT OF PUBLIC WORKS 7 County Center Drive.. — Oroville, California 95965 ��Q 7 —7� Telephone: 534-4541 � - APPLICATION AND PERMIT BUILDING Owner S •�• FT. OCC. BUILDING VALUATION Mailing Address 011 0 Telephone No. Fireplace Contractor CIDTotal Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 oO () Q E Each Trap 1.50 % �W1V Repair drainage or vent piping 1.50 Water piping 1.50 .0— 0Each Each gas water heater or vent 1.50 A. P. No. V Zoning 8 s Gas piping system 1 - 5 outlets 1.50 f to Each additional outlet .30 Building sewer 5.00 —tom F 4kfW. Sanig on Fire Dept. FireZ Use Permit EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im ro ments p Lawn sprinkler system 2.00 dg. ans Recd Parcel Approval P ons Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 Q Q Main service incl. 1 meter C9 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home,K Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 ,2u Light fixtures ,a Receps.., switches & fix outlets 20P 5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home racFlities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ �� $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. \M I certify that in the performance of the work for which this VJ1 permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dat r $ig ature of�Permiteeee or A ent Receipt No` 2% < White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE I$ISS,160 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P IC WORKS By Date B ' ding permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ttroville, California 95965 IL7 �%/6Telephone: 534-4541 l APPLICATION AND PERMIT above-mentioned property for inspection purposes. - V y SFV Inis permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated I above for which fees have been paid. �X Date ''g +� DIRECTOR OF PUBLIC WORKS Si ture of Iermitee or Agent ey '�3 3 ; Receipt No/�� 6? 002L, Date White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit expires Date BUILDING Owner �— �- ��- Q. FT. OCC. BUILDING VALUATION Mai I i ng Address ® rG T C' Telephone No. --- Fireplace Contractor <� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee Building Address �= C� 3 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �S Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ——Q Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Saa�tai+err FireDept. FireZone- Use Permit Building sewer 5.00 EQA ParkinDecla Plansati'� a ion Parcel Map, 60' R/W Improvements Lawn sprinkler system 2.00 d Parcel A proval Plans A val Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 G �/2/N/% Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service OVER eoov 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBL GOCCUP. &) 2¢sgft NEW CONSTMULTI-OUTLET NON-RESID R.( BRANCH CIRCUITS) 2.50ea NEW CON STR. (POWER APPARATUS & NON -RE SID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name s tyle of: Ex. OCCUp(OUTLETS OR FIXTURES BAL @251 09 ( FIXED APPLNS. OR Ex. QCCURESID.) EA) 2•00 P•OUTLETS ( Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that -in the performance of the work for which this AJ permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby -+k-;- S GG TOTAL PERMIT FEE j Q. OC $�j�. (x above-mentioned property for inspection purposes. - V y SFV Inis permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated I above for which fees have been paid. �X Date ''g +� DIRECTOR OF PUBLIC WORKS Si ture of Iermitee or Agent ey '�3 3 ; Receipt No/�� 6? 002L, Date White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit expires Date GRANT DEED (joint,Tenancy) �5' :5J.7 also known as FRANCES A. FITZGERALD Foe value received WILLIA:4 F. FIT, an,I 'j, h',3 GRANT -------0O F7:U) 3. and as JOINT TENANTS 11 L 'le' st A kv-16:1 r Z:' F" R• ,&e. u. odi, STATI OF CALUKMMA co-op 4 .. . ...... ...... ........ ........ Nw-j P.W., I- A..fid C_ QFCORDED AT Tll[ H[,uk SI of _21TM raLlNLlV rIT1 rn . . ... . ............ — -- - - ------- brm b..*. mml PSI Cwor. M Vo! P. pav P:j I I u.*.! 1 ,�n M EMU M. C oulity Rec-ordt ey 113 a .. 6 a r at teal property situate in the County of _%!tte State of California, desaihed as follow:: A portion of dw ,Jest one 1:i;:x o!- tiit- SOut!o,E.,st quart --r or S,.:t4U:: tow"'LiP Z3 :-'O"tt,, :th:li;l I-,., ,;nd 5'rw 9 of a:J.J1 S�etinn 7 :aid Tore )&rticularly d.:s,.ribP.(: as i*I:jot1s. ::o=-.encin,- at z. 'It in,m 4 inch by 18 inch stw:u mar.:in,, tr.:. _1�co t:.w, cornor If sa.1d Section 7 ana ruming thence !jouth d"O 1:;' .%Lst C,2. &long t:10 SouU. line if said S-!ction ? to an iron nine In I'vnc- .P' marking easterly ed Ke of t!.e existing Humboldt iuL,-.; thffoe-! f011ovinq six courses wil distannes: i4orth 1'10 1.;-' '!l;st 115.66 260 u81 ::;,at S31-15feet; N*orth 2,'0 1,71 ::est 331 .0 1:4st 3M.0; fe,-t; :io rtt. 120 321 t "0!;.? at.; Nn; th 11.0 •J'i' fust to an iron pine marking the point of beginning for t.l.is tl:pnce fry - , a! �.nL. '.nning t -. h,- f-�ncmarv.Ini,, Ur c:.st r lint.. Of th, existing Hunboldt road, North C ' 2V hO 2*,',, Fast 'r^.7? fust to an iron nirr.; then' 1,,::vi.r.j, afor- line South AP6 15' Fast parallel srith bnd 227,Y)", r. ..t _rthorly &n(!lpa from the South line of said Ser -tion 7 a disti,nce or 6 -6.:% f• • t t-, an iron pipe; thence continuing !;imth R80 15, :'.art 2t:2 f,.pt more or if the easterly Line of said West one -hall' Of th' Sou!!,W_'St q,:Lrti,r ^I' Section 7, bcir-g the easterly line of said Lot ?; thr-ner, south« --.-;v ....... ni: said jastcrly Iii ne a kiistbr-ce of 0) feet, rore or less, to a Ioj.; bears South 88 IS' 4st 95h.5 feet more or leas fr..,r, cint of thence 'forth 880 Cinning; 15' west ParallLI with zin..i 180J f•:,!t n:wt..-:_,JY &t right angles fron said Sash !Inc of shill octicti 7 o. .1 feet mor- or less to an iron rapt; Vhct b ars South of 663.50 feet from. the truc point of beginning; thenze %zrth 6.'n !"-I ....st a distQncc Of 8"3.50 foot to the point of he J_nnin, an I c, r tai 11 ni I);- it -u -rrom- or 1.0s. 'le' st A kv-16:1 r Z:' F" R• ,&e. u. odi, STATI OF CALUKMMA co-op 4 .. . ...... ...... ........ ........ Nw-j P.W., I- A..fid C_ QFCORDED AT Tll[ H[,uk SI of _21TM raLlNLlV rIT1 rn . . ... . ............ — -- - - ------- brm b..*. mml PSI Cwor. M Vo! P. pav P:j I I u.*.! 1 ,�n M EMU M. C oulity Rec-ordt ey 113 a .. 6 A 1// 6 .tondo- tonflo- Cklc-+n— --A 1---.L: z t- -I I 14 + ------ U Z-11 j ;pt Jr. 1 Jill I] i kA A I I TI -Q11 a,l,dj ,OrJUA A! F L iRnv I I ng,-- G 1 D E PA Q %-Ufl in OrAle 1D. YL41 h, 61 1 -k i 7 i I rT.%l I j i 4 plans 4-1 If flu Dn LILL- I T P- V,1 '1 -1 1 1-7 YCIUI `777---2�!-g q J -I I TH'ASS 1 ;04 nr4j e -T LI I- I It 1 Vv 3 01 querallon-k �on —60L-'-'- , §C-- L-1 -T it E %��D VENCII 6,,I"2 I f Jill I i 1j TA i I I t IW it 1 1 Will )n j%,v �m —7 1-7T -7 1 i t Lj I n, 14 1 1 %y ------ is ;pt Jr. 1 kA A I I TI -Q11 a,l,dj ,OrJUA ng,-- G 1 D E PA Q tt h, 61 1 -k i 7 i I rT.%l I j i 4 plans a,nH i c, I T J -I I TH'ASS 1 ;04 nr4j e -T LI I- I It 1 Vv 3 01 querallon-k �on —60L-'-'- , §C-- L-1 -T E %��D VENCII 6,,I"2 14 1 1 %y ------ is ;pt Jr. 1 kA A I I TI -Q11 a,l,dj ,OrJUA ng,-- G 1 D E PA Q tt h, 61 1 -k i 7 i I rT.%l I j i IN ik- Z,V I= JI I T LI —60L-'-'- , §C-- L-1 -T E %��D VENCII 6,,I"2 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: /j 2. Installer's name: 3. Is the site currently under permit? Yes No _1 (If yes, furnish permit number OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields. and clear of all setbacks and easements? Yes .L&/ No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- ,t'� Amps 6. What is the.mobilehome site service rating? --------------------- �L ��� Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: load) s) 9. What is the mobilehome site gas pipe size? __________________ �ZL (in. ) 10. What is the type of gas.service?----------------------------- k1ftural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome j 0 !J (ft.) 12. :What is the mobilehome gas demand? --------------------------- 4) O (BTU --- (/ (This information not required if,pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.).. t MOBILEHOME SUPPORT DATA Mobilehome Mfr. �� Setup Model No. Year `1 Width /Z (ft.) Length (ft:) -Expando Size �ft.x ft. (Draw support details below) . On all mobilehomes,-;manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets :(if. not .on .file with the County of Butte). 51A� Center Support-- Locations Center Support --Foo-t3 - Stizes (in.- =- x in.tin.) - in --�*04 x .... ....... . ,,� -: • ! - � ......... (in•)(in.) ....... ................ 4. 1l in.)l �.,(rn .) (in.) f *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Foot ings-- (check . one; 1. Wood:either , pressure treated -or fdn. -grade.:: 2. -:Concrete pad. 3.. Other,-:- specify Supports (check one) / / 1. Concrete block 2. Concrete piers 3. Steel piers Other, specify Typical Support Footing Size BUTTE COUNTY BUILDING DEPARTMENT APPROVED 7 o V �5 NC km ML. CLEAN`- mm� C 1. Ceiling Insulation 2. Wall Insulation - Number of stories Single-Single- R -value One Two Throe - ..R -0 -1C3 -t9 32 R-19 -8 .4 -2 R-30 -2 -1 .1 R•38 0 0 0 U•value 4. Slab Edge Insulation 4 0.80 .-153 0.50 .176 -84 -54 0.30 -102 •49 32 0.10 -26 •13 -8 0.08 -18 •9 4 US -11 -5 -4 0.04 -4 -2 -i O.C2 4 2 1 0.00 11 5 3 2. Wall Insulation - Number of stories Single-Single- R -value One Famlly Family Muld. R -value Detached Attached Family R-0 38 -51 •34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 4. Slab Edge Insulation 4 0.80 .-153 .114 -76 0.50 -91 -68 46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 34 -22 0.20 0.04 14 11 7 , 0.02 19 4 10 0.00 24 18 12 3. Raised Floor Insulation Insulation In Flow -- - Number of stories Number of stories 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 4. Slab Edge Insulation 4 40 0.60 . -144 -70 - �6 0.50 -120 -58 38 0.40 •95 -46 30 0.30 49 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 Cnwlspace &NW- Slab Floor Number of stories Effective PCseot Class R -value One Two Three R-0 -11 .7 -5 R-5 -4 -4 3 R•11 -2 less 50 R•19 -t -2 -2 4. Slab Edge Insulation 4 40 -- Number of Stories -26 R -value One Two Three ' R-0 0 0 0 R -S 8 5 2 R-7 8 6 3 F2 factor 29 -58 -20 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) Specfie�tcn Points Standard 0 6. Glass Heat Loss Total &NW- Slab Floor Sum of 1-6 Effective PCseot Class U•value East Percent West Skylight .51 10 41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -S3 •39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 •9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 •7 0 7 14 24 -43 -12 •5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 -34 -7 •2 4 10 15 20 -31 4 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 i6 -20 0 4 9 13 17 i5 -17 1 6 10 14 17 14 .14 3 7 10 14 18 13 -12 4 8 it 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 it 14 17 19 9 .1 10 13 15 17 20 8 2 12 14 i6 18 20 7..Shading (Shade Open) Erfeeetl►e Percent Clan (yerceat glace x SC) t!. Shading (Shade Closed) &NW- Slab Floor Sum of 1-6 Effective PCseot Class EGlass 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 -i .1 -1 2 0 -1 •2 -4 .2 0 na n not allowed -8 -7 -23 3 t!. Shading (Shade Closed) &NW- Slab Floor Sum of 1-6 Effective PCseot Class Mass Family Stones (percent Its x SC) Detached Effective Famk /CFA One Two Three X Glass Norft East South West Skylight 18 -14 -48 49 -64 na i6 -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 -14 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 4 -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 .. , - ..e .&-of 7 8 10 11 9. Interior Thermal Mass Imanor &NW- Slab Floor Sum of 1-6 Raised Nor Mass Family Stones Masa Detached Stones Famk /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 •1 0.1 •8 -5 3 -1 0 0 0.3 -7 -4 •2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 •5 •2 -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 S 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 S.5 5 8 9 it 12 12 6.0 S 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 &NW- shvie- Sum of 1-6 Wall Family Family blul6 Masa Detached Attached Famk 0.00 0 0 0 0.20 3 2 1 . 0.40 .... 5 4 3 0.60 8 6 4 . 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 - 9 1.60 10 13 11 . 1.80 10 12 12 200 10 11 13 11. Heating System SE or IT.SPF (assumes duets In attic) 12: Cooliag System Eff. % Glass Sum of 1-6 or --^ R -v tae 1381 _ SEER -L5 or -24 to -14 to -4 to +6 to i 6 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 10.5 7 Effective SE or HSPF 3 2 (SE or HSPF x duct efficiency) 9 7 6 Ellective -25 or -24 to .1410 3 -4 to *610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73 44 -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.eO 7.33 25 ZZ 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 9 Zonal Control Adjustment .. 29 - 24 System Type 15 10 06 1 1.2 1.4 Resisance 10 9 7 6 4 3 Otter 3.3 6 5 4 3 .2 2 12: Cooliag System Eff. % Glass ( or --^ R -v tae 1381 _ SEER Water 5- X 11% 1200 1700 (assume duce In atilt) 7. Shading (Shade Open) Heater Credal St,m of 7.10 . to to to • TSR 7 Mfi -25 of -24 to •1410 -4 b 4.6%0 16 or SEER less -15 4 +S +15 more 8.0 -14 .12 -10 -8 -6 -4 8.5 -9 •7 -6 5 -4 3 8.9 -5 1 -4 J -2 -2 9.0 -4 -3 •3-2 3- • -2 -1 9.5 0 0. 0 • 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 -• 120 15 13 11 9 7 5 13.0 M 17 14 12 9 6 WSa POU -25 -•18 EffedveSEER -12 -9 -10' -7 0% (SEER x dues efficiency) 10% 1SL 20% Stm of 7-10 30% 35% Elfocik-25 a -24 to -1410 •410 +6 In 16 Or SEER less .15 4 +5 +15 more 5.0 -30 -25 -21 -17 -13 •9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 4 -a 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 ' 7 5 10.0 Z2 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 .. 29 - 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories one - -5 . -4 •4 3 -2 -2 Two + 3 3 2 2 2 1 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration Single -Family Detacbed and Attached 6. Glass Heat boss Eff. % Glass ( or Unit Size (so R -v tae 1381 _ U -value (0.030) Water 5- X 11% 1200 1700 Interior Mass/CFA 27M 7. Shading (Shade Open) Heater Credal or . . to to to • TSR 7 Mfi GOND. FLOOR Type_ Type_ less 16M _ 2699 more ND. YMOR ARiA SG None 0 0 0. 0 0 a. North _ or Solar 12 8 6 5 4 1e•"9t K -.. le 1 . WS8 5 3- 3 2 2 t TYPE 1 KASS (UleeC . 4.2• lei e*oo■ed slab) 8 5 4 3_ 3 d. West SE None 37 -24 -18 -15 -12 -; Solar -1 -1 -1 0 0 e. Skylight i NWR -18 -12 -9 -7 -6 i WSa POU -25 -•18 -16 -12 -12 -9 -10' -7 0% S% 10% 1SL 20% 25% 30% 35% 4O% 4S% SOX 55% 60% 66t 70% 75% 60% 6SY. 9(:% 95% 100% 105% ito% 115% 120. 12: 0% 0 0.2 04 06 0.8 1.1 1.3 1.5 1.7 1.9 21 23 2.S 2.7 2.9 32 3.4 36 38 4 4.2 44 46 4.6 S 53 907E 0.2 04 06 0.6 1 12 1.4 1.6 1.9 ZI Z3 25 2.7 2.9 3.1 3.3 SS 3.7 4 4.2 4.4 46 48 S 52 54 20% 0.3 0.5 06 1 1.2 1.4 1.5 1.6 2 2.2 24 ZI Z9 3.1 3.3 3.S 17 39 4.1 43 4.S 46 S 52 54 56 3o% 0.5 0.1 09 1.1 1.4 1.6 1.8 2 22 24 26 28 3 3.2 3.5 17 3.9 4.1 4.3 4.S 4.7 49 S.1 53 56 5e 407: 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 Z4 26 Z6 3 32 3.4 36 3.8 4 4.3 4.5 4.7 49 S1 S3 5.5 S7 S9 50% 0.9 1.1 1.3 13 1.7 1.9 ZI 23 23 27 3 32 14 3.6 11 4 42 4.4 4.6 4.6 5.1 5.3 5.5 5.7 5.9 6.1 SS% 0.9 1.1 1.4 1.6 1.6 2 2.2 24 2.6 26 3 32 35 37 19 4.1 4.3 4.3 47 4.9 5.1 53 56 $8 6 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 33. 35 3.6 4 4.2 4.4 46 4.6 S 52 54 56 5.9 61 63 65% 1.11.3 15 1.7 1.9 12 2.4 26 2.8 3 3.2 34 36 38 4 4.3 4.S 4,7 4.9 5.1 53 55 57 5.9 61 64 70% 1.2 1.4 1.6 1.6 2 Z2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.6 5 52 54 56 56 6 62 6e 75% 11 1S 1.7 1.9 Z1 2.3 23 Ll 3 12 U 16 3.8 4 4.2 4.4 41 4.8 5.1 5.3 u 5.7 5.9 61 6.3 6.5 60% 1.4 1.6 i.1 2 2.2 24 26 26 3 3.3 3.S 3.1 3.0 4.1 4.3 4.5 4.7 4.9 5.1 54 56 56 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 27 2.9 3.1 33 3.5 34 4 42 44 46 4.1 S 52 54 S6 59 6.1 63 6S 67 907` 1.5 1.7 2 2.2 14 Z5 28 3 32 34 3.6 34 4.1 4.3 4.5 4.7 4.9 5.1 53 SS 5.7 59 62 64 66 6e 95% 1.6 1.8 2 U 25 27 2.9 3.1 33 3.5 17 3.9 4.1 4.3 4.6 41 S 3.2 5.4 56 58 6 6.2 6.4 67 69 100% 1.7 19 21 2.3 ZS 26 3 12 3.4 3.5 It 4 4.2 4.4 4.6 4.9 S1 5.3 SS 5.7 19 6.1 6.3 63 6.7 7 105% 1.6 2 2.2 2.4 2.6 26 3 3.3 IS 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.4 56 56 6 6.2 64 66 68 7 1107: 1.9 11 23 2.5 27 Z9 11 3.3 36 38 4 4.2 4.4 4.6 4.6 S 5.2 5.4 5.7 5.9 61 6.3 65 6.7 69 71 its% 2 22 24 2.6 2.6 3 32 34 3.6 3.6 4.1 4.3 4.5 4.7 4.9 5.1 53 S.S 5.7 59 62 6.4 6.6 68 7 72 120% 2 23 25 2.1 Z9 3.1 3.3 IS 3.7 3.9 4.1 4.4 4.6 4.6 S 5.2 5.4 5.6 56 6 62 6S 6.1 6.9 7.1 73 125% 21 23 25 Z8 3 32 14 16 3.6 4 42 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.S . 6.7 7 7.2 7 e Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration Single -Family Detacbed and Attached 6. Glass Heat boss Eff. % Glass ( or Unit Size (so R -v tae 1381 _ U -value (0.030) Water 5- X 11% 1200 1700 2200 27M 7. Shading (Shade Open) Heater Credal or . . to to to or GOND. FLOOR Type_ Type_ less 16M 2199 2699 more ND. YMOR ARiA SG None 0 0 0. 0 0 a. North _ or Solar 12 8 6 5 4 b. East 1 . WS8 5 3- 3 2 2 C. South POU 8 5 4 3_ 3 d. West SE None 37 -24 -18 -15 -12 -; Solar -1 -1 -1 0 0 e. Skylight i NWR -18 -12 -9 -7 -6 i WSa POU -25 -•18 -16 -12 -12 -9 -10' -7 -8 -6 8. Shading (Shade Closed) IG None -5 -3 •2 -2 -2 Solar POU 7 3 .- 5 2 4 1 3 1 2 1 a. North E None -28 -19 -14 -11 -9 b. East Solar 8 -10 5 -6 4 -5 3 -4 3 -3 C. South Multi-Famlty (individual units) d. west Water '699 Unit size (aQ 700 1200 1700 2200 e. Skylight �e< � or 'us Ing 1st 2109 more 9. Interior Thermal Mass SG None 0 0 0 0%%- 0 i J or Sciar 14 7 5 4 •3 ' f 10:4Exterior Wall Mass HPwsa y � 3 3 2 2 2 r� 2 . POU 9 5 3 2 2 1'1: ,Heg patin $ stem y' SE None Solar -45 2 -23 1 .15 1 -fi ,�69 0 • --.r,.-,7• * w Zonal -Control? ( Y/ N) HWR .23 -12 8 -6 5 tA• :* r. • : t"�. 37 23 _12_ a -6 s „12:�Cooling System IG _PQU None 'a -4 .3 -2 1-2 �°.` j Zonal ConQoI? (Y / N ) Solar POU 6 I. 3 0 2 0 1 0 , 1 0 r 1.� - 13. Wa'terfHeatingf !E None -30 -15 -10 -8 -6 Solar 18 9 6 4 4 POU -g -4 •3 •2 -2 Measures SC Eff. % Glass ( or R -v tae 1381 _ U -value (0.030) or 5- X R -value ( 11 U -value 10.0981 or R -value J 19 U -value: (0.0371 or . R -value 101 F2 factor 10.771 Standard - InteriorN»<s/CFA GOND. FLOOR Type (doublet U -value 10.651 % Total Glass (161 % Glass SC Ef. . % Glass A X-1- X = 0.5 X = • 3 % G.lass SC Eff. % Glass 5- X {/ X D•5 X _ TYPE 1 MASS AREA InteriorN»<s/CFA GOND. FLOOR AREA • ' TYPE 2 MASS AREA e Exterior WallBlau ND. YMOR ARiA e 7A X .of = , SE or HSPF Duct Efficiency IDS) Effective SE or 10.72/6.61 _ HSPF 10.36/5.151 X SEER 19.51 Duct Efficiency (0.741 Effective SEER (7.031 . Type (G j Credit (none] 0 Sum 14 Surn f • 0 Point Total: t Certificate of Compliance: Residential Climate Zone 11 Project Title Address Documentation Author BUILDING DATA Conditioned Floor Area -N=FL Number of Stories a Sla sed Floor Number of Units �<?,'n a Family Detached (SFD) [ ] Addition Alone (] Single Family Attached (SFA) [ ] Existing Building (] Muld-Family (MF) (] Existing -Plus -Addition BUILD IN G SHELL INSULATION Component Insulation Loca4lon/Comments Type R -Value (atria to garages =ice -t, ete.j Wall ..............[ Roof............ Roof ........... - Floor ............. Floor ............. - - - -- Slab Edge..... GLAZING Shading Devices Building Permit 0 �s 3 -/Z- Cbecked By i Date Frforomtmt Agency Use Only Glass Area % Glass North East South West'411, Skylight Total �a �oi h f5 Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single, double) roUer blind, etc.) (ahadescreen, etc.) (yeslno) (metaVwood) North North ( ) East ( ) 45 East ( ) South ( ) �_ '' •r South ( ) West ( ) '' , 'e West W Witcl Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exoosed• tile, etc.) (Sf) (inches) Location/Deseripcion (kitchen. bath, etc.) UL HVAC SYSTEMS Mi-,dmum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat puma) (SE. SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) -- 9 - Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # Svstem Tvoe (storaee eas. etc.) Caoacity (or amoved equal) -_ S re(s) y v SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lo -r= rmudenual buildings subject to Nc Standards must ce nuts these measures regardless of the complia= approach used Items martcd with an astcr= (*)may be supcaeded by mars stnngc t eompiLw= toquutincna listed on ue Cwuficye of Comply,.... Wlwn this chwkbst u incorporated into tier permit documents. the features noted shaU be cons+oerrd by all paries as binding rmuumum component performance speafrauons for Ute mandatory measures whether t ey ars shown c1sewr+ee to ue documents or on this •hecklist only. DFSCRIFTION DESIGNER ENFORCEMENT Buildint Envelopt Measures , ' 0-53520): Minimum ceding insulation R•19 weighted average. 42.5352(by.. Loose rail insulation manufacturv's labeled R -value • 12.5352(c): Minunum all insulation in framed walLs R-11 weighted avtTage (does not apply to cataaor mass walls). 12.5352(kY. Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater thin 2.0 permlveh. 12.5311: Insulation specified or instalkd meets Cal•ilornia Er+cgy Commission (CEC) quality standards. Indican type and form. 12.5352(rr Vapor earners mandatory in Climate Zones 14 and 16 only. 12.5317: InfiltrauaVEsriltrationControls a. Doors and .u+dows between condaucined and unconditioned spaces desiV-4d to limit air leakage- b. eakageb. Doors and windows ccrtifed. e Doors and wudows weaMcrutipped* all pints and pueexions Caulkcd and sealed 12.5352(e): Special infiltration barrier installc4 to comply with 12.5351 meet CEC quality standards. 12-5352(dr Installation of Fireplaces 1. Masonry and factory -built ruepLa= have a. Tight Cuing, closeable metal or glass door b. Outside air intake with damper and coned e flue dumper and control 2. No continuous beaming gas pilots allowed. HVAC and Plumbing System Measures 12.5352(8) and 2-5303: Space conditioning equipment siring utas—k-lations. 12.5352(h) tad 2-5315: Setback thermostat on all applicable heating systems. 12.5316(a): Ducts concerned. installed and insulated per Chapter 10. 1976 LLMC 12.5316(b): E.%" systems have damper controls. f2.5314(cr Gas-fired space heating equipment has intermittent ignition devices. 12-5314: HVAC equipment water heaters, shorerteads and faucets certified by the CEC. " 12-5352(ir water hcuc insulation blanket (R-12 or garner) or combined interiorkstuior _ insulation (R-16 or greater): rust 5 feet of pipescloses w tank insulated (R-3 or greater)• 12-5312(Faeeption (): Pipe insulation on steam and steam condensate return k mcireulming piping, 12-5318(d): Swimming Pod Hating " 1. System hac a. oNoff switch on heater. b. Weatherproof instruction plate on heater. e Piumbed to allow for solar, 2. 75 percent thermal efficiency. 3. Pool cover. - 4. Ttmc clock. 5. Duvetiorul water inlet Lightint and Applonce Measures ' 12-53520 Lighting - 25 lumens/wart or greater for general lighting in kitchens tad badvooms. 12.5314(er Gas rued appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators, refrigerator-freerars, fry=ers and 0uoreseent Lamp ballasts certified by the CEC Indicate make and model number - COMPLIANCE STATEMENT This cerdficate of - - pliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4. Article 1 of the California Administrative code. 'This certificate has been signed by dx individual with avaall design responsibility and the building owner. who shall retain it copy of it and trarlsmit dx certificate to my subsequent purdLaser of the building. Designer - Name I UklFura Address: Tckphwnc tic. 11: (signattuc) (date) Documentation Author Name: TititJFtaarL Add:csa: Building Owner Name Address: __._ ._ _ .�•_ • TckpSonc r (signarix c) (ditc) Enforcement Agency Name: Atgx7- Telephortc