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064-070-025
t 64-07-25 631-90B,P,E,M o WESTON, Mel .' 6232 Leicester Drive, Magalia t Contr: NPR Construction t (new single family) 064-070-025 05-2291 WESTON, CLEO & .BARBARA 6232 LEICESTER DR., MAGALIA Cont: CONRADS PLUMBR ,'P _ PROPANE TANK 1 r 06-0668 LEO &BARBARASTER DR, MAGALIA :LLY RIDGE HEATING PROPANE STOVE ( 1.L�1®� i..'". 3 a 1 i 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX '& MISC. ONLY) �"" Bldg. Permit # /23 OWNER (�,(S�fl/7 A.P. # 40 GENERAL . e Zoning requirements: (sideyards and number of permitted living units). V ans signed by designer. ergy Design and Compliance. Existing violations on property. Items on data sheet. PLOT PLAN 'Complete parcel size and dimensions. i �.Erading, tbacks, sideyards, easements; etc. �her buildings or structures. fills, drainage. 5! Flood hazard. 65 pecial conditions on creation map or compliance document. 'i. FAU & FAS road setback. FLOOR PLAN �. Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). FRequired windows for second exit (Sec. 1204). ,A -.'--Skylights (Chapter 34 & Sec. 5207). 45.uman impact glass (Seca 5406). /Required room sizes, ceiling heights (Sec. 1207). V/ GF,CIs in baths, garage, and exterior outlets (Article 210-8). eight fixtures, switches, receptacles, and exterior receptacles for maintenance �f--mechanical equipment. L9 Locations of water heater, heating and cooling equipment, other electrical or //gas equipment, and plumbing fixtures. BYOarage firewall, door size, and closer (Sec. 503(d)(3)). . 1 - 3'0" exterior exit door (Sec. 3304(e)). place and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS L1!/ RUFoundation plan complete enough to construct building. Z, Floor construction details complete enough to construct building. -levations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. --5-.--'Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR `'. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). L2-.—6uardrail details (Sec. 1711 & 3306(j)). !Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) -4'.' /xterior plaster - weep screeds (Sec. 4706). c�! -roper roof pitch for roof covering (Chapter 32). oof covering type - (fire hazard). ter ties or bearing ridge beam. arage door or porch header sizes. Adequate bracing. . Living area over gaga - complete 1 -hour separation required on garage side including supporting walls and posts, etc. =-1_.1_1_ oo exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). 1_2Vo.Noise otic access and ventilation (Sec. 3205). derfloor access and ventilation (Sec. 2516). mbustion air for fuel burning appliances. requirements on duplexes. 16 --Adobe soils - special foundation design. i -7 --Retaining walls requiring design. sual shape, size, or split le el house requiring la al des)gn Flashing at all exterior openin s., l/�v,` C� 5 RESIDENTIAL 64-07-25 631 0B-,P,E,M I WEST NO 7 Mel ''6232—Leicester Drive, Magalia Contr: NPR Construction (new single family) JOB 1 SIgi V=OK - . - •, .. O=Not OK Not = Not Readyable 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/ P L" ft./ /"LPG t 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 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 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/oi Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 '✓=OK O=Not OK = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s LZ Zon ing-Setbacks- Ease ments-Flood-Slope . tg., Main; Soils-Elec. Grnd.-y ' Ftg. Depth Ft arage; Soils -Steel -EI . Grnd.-/ " tg. Depth W., Porches & Decks; Soils-Steel-//ltFtg. Depth Stemwalls, Main; Steel -Blockouts-Wrapped r�Gt .e{p Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. SI ; Ste 1 -Wrapped ie ireplace Ftg.-Steel .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. G Pipe; Size -Anchors 1 Water Pipe; Test -Anchor -Regulator -Service Test 12. EI ric; Underground Pie ms & Ducts; Clearance -Material -Support -Ins. 1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date (, Card B-1 Date ,Q_ 7- eto Card B-1 Dat 24/41i2 Card -t Date Card B-1 Date PLUM G Permit OK except #'s er Htr.; Vent -Access -Combustion Air -Baffle W r Pipe; Test & Anchor -Nail Protection 1 .W.V.; Test -Fittings & Anchor -Nail Protection % 7 -'Co 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date S- /7 fj Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL Permit OK except #'s F'xture & Transformer Clearance -Ins. Protection Zrpec. Receptacles Spacing -Lights & Switches at Doors 'ze Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. equip. Ground made up w/Mech. Fastners-Bond Gas & Water CW'2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Q@"Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 13 No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light moke Detector Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. 6oeDucts Insulation & Support . vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date /7 CJp Card B-1Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI Plans) OK except #'s Sils, roper Material & Anchors 4 -Studs-Nailing, Spacing & Bracing -Plates -Sound 4 . e 'ng Walls over Girders & Floor Nailing 42!tTkr,5top in Walls (rat proof) 4 Fire S ops; Furred Ceilings -Stairs -Chases -Tub 44. aders & Beam -Size & Bearing Date RAMING (Continued) Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng. fng. F' place Ties or Type A Flue -Fireplace Throat clearance 4frAt"ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 4 . rm. Windows or Exiting Doors -Sill Hgt. & Dimensions v� 5 . G rage Fire Protection Framing 6:--' P party Line Firewall & Openings 5 . Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. S ; Width -Headroom -Rise -Run -Landing -Fire Protection 54._plyWood on Roof Overhang -Attic Vents -Rafter Outriggers 5 . iding-Nailing Veneer =ff6f3-5Fu co Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic, 58. Shear Walls; Nailing -Bolts Insulation -Walls -Ceilings / 60. Infiltration -Walls -Windows Date and B-1 Date S+ 0 Card B-1 Date - and B-1294 Date Card B-1-,"' Date F11WA FIN.Plans), 6K Wcept #'s St ps-Door & Sidelight Protection -Landings 2. porroke Detector Furnace; Vents -Clearance -Comb. Air -Connector - I arage; Above Floor-Ducts-Mech. Protection Bee Jreotf Exiting G. . & Bath Fixtures & Tub Access -Spa EI rim & Subpanel; Breaker Sizes & Labels St ' & Rails F' "place or Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. Kit.F t. & Appliance; Grnd.-Air Gap -Cooking Clearance yt. go -Outlets & Receptacles at Kit. Counter . QXage Fire Door; Swing -Landing -Closer A. . uct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. I rage; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location "ie'97 7 . Elec,. Receptacles in Garage; (G.F.I.)-Romex Protection 6?1ns tion -Foam -Looked in Attic 0 Yes uard Rails & Deck Construction -Post Caps 1,0,I-dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive es 0 No; Walks Yes ❑ No; Planters 13 Yes El No VA.rown-Finish C nit; Disconnect, Electrical, Plumbing qpe<ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings er Well; Disconnect, Electrical, Plumbing . Exterior Elec. Trim; G.F.I. Receptacle -Underground A164eDtilation Throughout House t3 ections from Previous Inspections est -Meters Tagged; Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval ,)o. y) tW1 Energy Compliance Certificate -Other Certificates Date T47Card B-1 Date, Card B-1 Date - J9 �j'1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 Ceu<ity Center Drive, Orovi Ile — Phone: 538-7541' 'y 747 Elliott Road, Paradise — Phone: 872-6307 ' CORRECTION NOTICE ER MIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date ����/ v Inspector �P 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 we ---400 (03 I-40 OWNER PERMIT NO. A routine insp tion indicates that the following violations of County Ordinance exist at the ve address and should be corrected. Please notify this office when corre ion of work is completed. If you have any question pertaining to this matter, o need additional explanation, please contact this office Immediately. a j I b+c .t ., u nn .%-'er. fin 0% / t ours e4c4, EL- T S'u IAD/+ i'��isla✓S 4„ /.J Z SiX�� ri �, A o� n1!G 4,eS ,,,'+L i;-✓ )P1 � 0-T e-js r Iq (3S Inspector V Date -'1, 13- 9c7 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 95 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. tri -�- /l �oc. �-� z s �; zs `�%'r .3�7- Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNE T NO. A routine inspection indicates that the following violations of County Ordinance exist at the ab ve address and should be corrected. Please notify this office when corre on of work is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. L, -- am % , Date / -'Z-2 !/ Inspector 119e� 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 OWN R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date -�— / � _ f,1111 Inspector 'i5 // V, r LOCATION -1 - ENERGY CERTIFICATION Ja - b-) -.*�S A. P. NO. ROOF MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE (R VALUE) EXTERIOR WALL MATERIAL FIBEGLASS BRAND NAME CERTAINTEED THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE). `a CEILING BATT OR BLANKET TYPE FIBERGLASS_ BRAND NAME CERTAINTEED THICKNESS THERMAL RESISTANCE (R VALUE) Oe LOOSE FILL TYPE_ FIBERGLASS BRAND NAME CERTAINTEED MINIMUM THICKNESS (INCHES) NUMBER OF BAGS WT PER BAG E5 LB AREA COVERED (SO FT) THERMAL. RESISTANCE (R VALUE) 3 - FLOOR, ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS (INCHES) Fi nog, (&L THERMAL RESISTANCE (R VALUE)_ -4W MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) MATERIAL BRAND NAME THICKNESS (INCHES)_______ 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. HAWKINS INSULATION 379407 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE DATE I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. ALL EQUIPMENT, DEVICES AND MERTIALS ARE OF THE QUALITY PRESCRIBED OR ARE SPECIFICALLY APPROVED BY THE STATE OF CALIFORNIA. M NAME/ ATUR'E Lt CONTRACTOR/OWNER �1 0� STATE CONTRACTOR'S LICENSE NO. r - a -� DATE -1- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATI' AND PERMIT ASSE SOR PARCEL NUMBER, ZONING 7 p— 2S BUILDING PERMIT OWNER TELEPHdNt SO. FT. OCC.1 BUILDING VALUATION 7�� J 600 NER'S MAILING ADDRESS y � � 76 CONTRACTOR• NAME & Lens . TELEPHONE 77�s'y3 o Caov /V o CONTRACTOR'S MAILING ADDRESS e Z Fireplace `t CONS UCTION LENDER UNKNOWN Total Valuation SJ 776 Filing Fee $ 10.00 LENDER'S MAILING AD RESS Permit Fee $ 3 4-3 ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ 7 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 e, 2 3 Z " 2 r ve Each Trap f 1 2.00 G rGU 9S'JrS Solar or heat pump water heater .. 20.00 LOT NO., ;,OUBDIVISION NAME PARCEL MAP - Z Water piping 5.00 J Each qas water heater or vent 5.00 --' USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 ---- Building sewer 5.00 ^ t Mobile Home S I G W 10.00e TYPE OF WORK New/ Addition ❑ Remodel[—] Utilities❑ Installation[] Other ❑ Describe work: _ 3 3 Pd Permit Fee $ ? Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LE 0 AMP ORSLESS 10.00 jp °— Main service EA. ADO'L too AMP 2.50 Zr CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ISTNON-RESID I`]C`Il 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 Jy-f 91f l,-- Classification "i8 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNST ACCLBLDGOCC UP Z N) 2'/2¢sgft 7v NEw CONSTR ULT I -OUTLET BRANCH CIRC ITS 2.50 ea POWER APPARATUS Q SINGLE OUTLET CIR. ) r'• Ex. OCcup(OUTLETS OR FIXTURES 9A 5 0 FIXED Ex. Occup. OUTLETS ( R RESID,)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Q, 1— WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one):. ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating GQ Q ` h, Cooling Hood 3.00 j Ventilation Z .700 Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also ag a to save, indemnify d keep harmless the County of Butte against aI'liab ities, judgments c s and expenses which may in any way accrue again aid County in ns, u ce of the granting of this permit. X Date a -7 - 20 S' nature of App 'cc — Owner ❑ Contractors Agent ❑ An OSHA perm s required for excavations over S'0" d-eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST e U TOTAL EE $ �O HAZ CUA PARK s L FLD V",PD HD I e This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRE OR PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt NO. .3 5©— J`—• WHITE-D.P.W.. FELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT,QF, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CULJFOMQ A 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION D.ATA'SHEET Permit No. OWNER �Y P 1. �'. C�D n A. P. No. 0 s^ Proposed Building Use �� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................... A 2. Plot plans in duplicate/triplicate, signed -by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of1plans .. 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 f 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ......... 2. Parks paid �.................... 3. 6^ r -n 3� hoot Distrjct fees paid .............. �lD 14. Sanitation approval from of 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: ...... �Y8. Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy)�a 0. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 11 Contractor's license information (No., Name Style, Classifications .. . 2. Certificate of Workmans Compensation Insurance .................. 3--Z2 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 272 541 --3 2 and hold for pickup at Qd Afice. , Deliver w/inspector. Other Applican Date %' 1 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: iltcle i—w em not checked N,.s /, •-- designer, owner, was advised of above required data by_phone-f--inail_counter by .date .eorrtractor, designer, owner, was advised of above required data by—phone _mail_co nter by date Plans checked by Date Plans approved by � Date v a— 0-7• 6 .Sets of plans on hold In File cabinet AP folder y Copy—DPW TO Buildina D6 akment FROM: Environmental Health SUBJECT: Sanitation Clearance - Own r Location AP# Plan Approved for: Hold final for: Sewage Disposal /" Final clearance O.K.. for: Clearance for 1 bedroom magQe home. Other NOTE * * * Water Supply Water Supply Water Supply Date Sanitarian TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner Z 3 Z Z location 0 70 AP # J Driveway permit % DD Z / 6 L has been issued for the above property. 3-�-yam si ature date 0 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per,Building) A. P;: Number 09 -a s- Building Department No. School District 6)0,y- a _kp City County Q Jurisdiction Property Owner rn.P h A-eS ( (�✓l Pr•oj:ect Location/Address 4 PC ;�5�-�•- 1� ,i- Subdivis'ion -Lot Number 72406#6 Residen,tial Development: El Sq. Footage` # of Living MHI 'Addition .(Group -R) . Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id To. School District certifies that ` (Appli c a nt'. NIa/md )/ (,Phone Number) '(Street. Address) Xf (City) (State) (Zip 'Code) has complied with the requirements of Resolution No. by the pZyment of $ a t�� �U representing /�-/�!� square feet. School District Representative Date PAID BY CHECK NO. REMARKS: BANK NO /I r PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8%88)' Rer urn to DPW �0 i� c1 � AGRICULIUKAL SiTA aTEN'S' OF ACKNOWLEDGEMENT APR 03 2i2 FOR RESIDENTIACWVELOPMENT .. lection 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. r ,90-013766 Re c Fee' 5. 001 The property described herein is adjacent Cash 5.00 to ;land or included within an area zoned Recorded f or agricultural purposes, and 'residents Official Record s 1 , of this property may be subject to incon•- County of i veniences or discomfort arising from the _ Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder 1 •. and fertilizers; and from the pursuit 8:01am 6 -Apr -90 , BG, of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent ptoperty should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described'as follows: PARCEL I: Lot 105 as shown on that certain map entitled, "PARADISE PINES UNIT 12" r�• .`. recorded in the office of the Recorder of the County of Butte, State of s r.t California, on May 13, 1971, in Book 38 of Maps, at pages 24, 259 26 and 27.x--- �c �; s Date: C(Q6 1 � )OGb State of �� ) j SS County of, )0h.oYwt,_ ) r'. o• OFFICIAL SEAL NOTARY PUBLIC • CALIFORNIA S. Gail Silva PRINCIPAL OFFICE IN SONOMA COUNTY Commission Expires December 22, 1992 Present A.P. No. On the PROPERTY OWNERS: this theLYL day of Ao , 19 9 U, before me, undersigned Notary Public, personally appeared 0 Personally known to me. 14 Proved to me on the basis of satisfactory evidence. �to be the person(s) whose name(s) ^!� subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WI NIr'SS WHEREOF, I hereunto set my hand and official seal. Nota Public END OF DOCUMENT m 30 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 'AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last NameFirst t.l� ,, S -7 LO V Nim C c7 Address z 3 Y Di. City /t// ol 6,n 2 / /--) State c/:ik Zip q.! yT)_ I Phone fr , �S3 Fax E-mail CONTRACTOR Name // C� `4G - Address —7 Z 15— City t GU State Zi Phone Lac 74- Fax E-mail ( -?,n 6 q Z Lic.# Class APPLICANT SIGNATURE X CJ-� For office use only: ARCHITECT/ENGINEER Name <� M C 6 >iD K Address CJ wAl 6 n City No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X CJ-� For office use only: APPLICANT INFORMATION Name <� M C 6 >iD K Address CJ wAl 6 n City No State Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE X CJ-� For office use only: Zoning Property Address (.,2-,51- L e/Ces>�r Flood Zone Cross Street C� 1- 7? r SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldoAoolSubRgmts.doc PERMIT NO. :. BP(- BIN P(,BIN # PROJECT LOCATION AP# 0 �1 --0-70- 09-5 Property Address (.,2-,51- L e/Ces>�r City �li>z b �iR Cross Street C� 1- 7? r WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: A aJ r—` `7-9 ^/ /r' %t- e ro (t d U IV 0 'e- v /�n v S e - Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:� , Amount: Bldg SRP, Receipt #:� 5337 Sheriff Me'(", SMIP Date: 8` r— v5 Other r✓ W Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1.Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings.only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). 0- 4. _ NPDES.Eorm. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. v REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 NOTES J - RESIDErI`rIAL PERMIT NO. 064-070-025 05-2291 WESTON, CLEO & BARBARA 6232 LEICESTER DR., MAGALIA Cont: CONRADS PLUMBING PROPANE TANK SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ot6 "'co- Pol-t _vo� JOB FINALED (Date) Sianature a l d=OK 0 = Not OK - = NotApplReady . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except 0'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-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ ' L'ft. / P Nat or/ P' L 'ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Root, Shthg-Roofing it. Ext.; Steps -Doors -Landings Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size-Spacing-Maniage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch - 11. Cert of Occupancy Date Cana B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office 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, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rfirs-Connectors Shthg-Frg-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Root, Shthg-Roofing it. 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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFl 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 L.ghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) late UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils -Flet. Gmd. / /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. .V.; Fall-Frtting-Test-2 Way C/O -Sewer Test . UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test_ -` 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Meeh Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 43. Bearing Walls over Girders & Floor Nailing 44, Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. C ljog. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 43eT1replace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdmt. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding-Nairing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 0. airs & Rails Fireplace or Stove, Clearance -Hearth -^� 72. Elec. Outlets at Wood Panel, Int & Ext. 73. KrL Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Bec. Outlets & Receptacles at Kit Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. HV.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meeh. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Manters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meeh. Equip.. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44, Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. C ljog. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 43eT1replace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdmt. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding-Nairing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 0. airs & Rails Fireplace or Stove, Clearance -Hearth -^� 72. Elec. Outlets at Wood Panel, Int & Ext. 73. KrL Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Bec. Outlets & Receptacles at Kit Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. HV.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meeh. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Manters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060668 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 t d Dae Issue • 03/24/2006 APN: 064-070-025-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 6232 LEICESTER DR MAG License Class : License Number: Map Index: Date: Contractor: Description: NEW PROPANE STOVE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: WESTON CLEO MELVIN & BARBARA B permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 6232 LEICESTER DR the Contractor's State License Law (Chapter 9 commencing with Section MAGALIA, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as (heir sole compensation, will do the work, and the structure is nct intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant.. WESTON OLEO MELVIN &BARBARA B owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 6232 LEICESTER DR sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of MAGALIA, CA proving that he or she did not build or improve for the purpose of 95954 sale.). I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or imprqves thereon, and who contracts for such projects with a contractor(s) licensed, pursuant to the Contractors' State License Law.). Contractor:, KELLY RIDGE HEATING & A/C ❑ 1 am Exempt under Article 3 of the Business and Professions Code `' 4" L422e� 565 SILVER LEAF DRIVE Date:, - Owner: 2!� OROVILLE, CA 95966 (530) 589-9059 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self -insure for License #: 340823 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 0 S. F. 1 certify that in the performance of the work for which this permit.is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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. Date:— ate:Applicant:2 Applicant: 2 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. �) 1 I ���( I CONSTRUCTION LENDING AGENCY This permit is er(ebby ' sued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions d rk indic ed above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY Date: G Address: PERMIT EXPIRES N• Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. 77 Print Name: W �� Signature: . i'Y) [.!/�,,_4t_- Date: '3 �4 — (o Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 r� BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES 0. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS �t 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 A FEE WILL BE REO_UIREA AT TIME OF APPLICATION BIN # Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* OWNER INFORMATION Last Name � O /V first Name 1:a Address& �3z ,L�� Ge 5 City /%v e. /9 [./ A? Stat, Zip9s5�5_�z Phone '57go_ 8 ? 3 2-� 3� Fax E-mail APPLICANT INFORMATION CONTRACTOR Name el/ 2 4/6,15 1416 '�' i71cA- Address Zip City �rovi/le Fax Stat,,,, Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address 02 l,,e I e&5 %✓ D ✓ Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K•\F0PKAg\RI III nimr, F0PhAg\R1r1nAnn1giihRnmtc rinr. PROJECT LOCATION . AP# Ly Olb- Property Address 02 l,,e I e&5 %✓ D ✓ City'4&'j r Cross Street WORKER'S COMPENSAT-ION- Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address ��pp Description or Scope of Work: 192 LC 3/00 . Sq FT- Living Garage Open Cov, - ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renewdaction on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked .and other department costs are not refundable. Pace 1 of 2 Receipt #: . Dat : Amount: SRA Sheriff MIP Other Total REV 8-12-05 E72 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A). Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8.'. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining, items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation'and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Butte County Department of Development Services. 7 County Center Drive, Oroville, CA 95965 1 (530)1538-7601vnvay.buttecountyneUdds `c°vNtl /p.RESIDENTIALry�/�++_ /�/ APN: �� �'/� d Permit No. (�/_ (P (Sl (2-g Owner. Site Address �� �'t✓iC.`-�s� Contractor. Type of Permit: CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALE r SIGNATURE: = OK Not OK MANUFACTURED HOMES MISCELLANEOUS r DATE j Lj PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat 0 or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE 10 E C K S`C O V E R S`C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs-, Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Stu ds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 16 °'� °s °'s DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GF1 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcitng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Encis rs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide oae 041 41 0`s Pool Drawing = OK 0 = No[ OK RESIDENTIAL (Single & Duplex) I DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils -Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Fig Dpth.' 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub, Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts lnsultn & Support 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic �C �C o' o` DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs . In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, CImc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run -Landing -Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 Insulin -Walls -Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 CImc Drnge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish o'er o`er o'er a?� 88 AC Unit Dscnnct, Elec-Plmb 89 Vrits abv Roof, Plmb-Appinc-Frplc-CImc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Pimb 40 Fxtr & Trnsfrmr Clmc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or [:1 AL 98 Address Posted AC Wire Sz ga ❑CU or DAL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or ❑AL Oven Circ , ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No °�� 0•�` o'er ops 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector a`` X as BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES . BUILDING PERMIT 24 HOUR INSPECTION.V (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52291 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/25/2005 APN: 064-070-025-000 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 License Number: Site Address: 6232 LEICESTER DR MAG : Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). XJ I, as owner of the property, am exclusively contracting with ` licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code J L` /79 W .""- Date:Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: Map Index: Description: NEW PROPANE TANK AND APPLIANCE Owner: WESTON CLEO MELVIN & BARBARA B 6232 LEICESTER DR MAGALIA, CA 95954 Applicant: WESTON CLEO MELVIN & BARBARA B 6232 LEICESTER DR MAGALIA, CA 95954 Contractor: CONRADS PLUMBING 954 E LASSEN AVE CHICO, CA 95973 (530) 893-1124 CONRADSPLBG@SBCGLOBAL.NET License #: 670692 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This permit is hereby issued under the applic Resolutions to do work indicated above for w. PERMIT EXPIRES ON: provisions of the Butte County Code and/or fees have been paid. Date:_ -26— 05 ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ • Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. Cl Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives off jButte County to enter upon the above mentioned property for inspection purposes. Print Name: t�j v�! (.f% E'S�o , Signature: Date: eO wher ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor • 1. Ceiling Insulation Interior 1V.1Ss/CFA TYPE 2 MASS AREA Effecdve Pei cc Number of stories SEER R -value One Two Three R70 -103 -49 32 R-19 -8 .40 2 R-30 -2 -1 -1 R-38 0 0 0 -90 -37 -26 -14 0.50 -176 -84 -54 0.30 •102 -49 732 i 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 -17 -9 -2 2. Wall Insulation 13 26 ' Single- Single -1 j Family Family Multi - f R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 i R-13 2 2 1 R-19 8 6 4 U -value -9 -3 3 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 i 0.02 19 14 10 0.00 24 18 12 17 16 -20 i ' 3. Raised Floor Insulation '4 ._-. _._. Insulation In Floor - -17 Number of stories 10 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 15 19 11 ' - •- 0.60 . -144 -70 -46 {. 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 - -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace 0 Number of stories -5 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 17 15 13 11 9 Number of Siones• 0.95 8.71 R -value One Two Three R-0 0 0' 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.30 275 -73 -64 -56 -47 0.90 -4 3 -1 ' 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 .4 S. Inriltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss- Total oss Total Interior 1V.1Ss/CFA TYPE 2 MASS AREA Effecdve Pei cc class U -value SEER Percent (percent Slaw x .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 •-53 -39 -24 -10 4 40 -90 -37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 .12 3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -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 •6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 '4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 ' 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 ' 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Interior 1V.1Ss/CFA TYPE 2 MASS AREA Effecdve Pei cc class Raised Floor SEER Mass (percent Slaw x SL' (assumes ducts In attic) Effective ' Two Three 0.0 -8 -5 %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2. 2 8 2• 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 10 11 13 14 14 & Shading (Shade Closed) 14 .15 Effective Percent Glass . Exterior Wall Single. .. Family (Decent glass x SQ 9 Mass Detached 4 Mull 9.0 16 Glass NoM East 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 5 -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 -x-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 allowed 17 15 13 11 9 7 9. Interior Thermal Mass Interior 1V.1Ss/CFA TYPE 2 MASS AREA Interior Slab Floor Raised Floor SEER Mass Stories x Stories (assumes ducts In attic) 1CFA 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 5 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 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 it 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 Wall Single. .. Family Si Fefiu7y 8.0 9 Mass Detached 4 Mull 9.0 16 At whed Family 7 0.00 0 0 0 4 0.20 3 2 1 . 0.40 5 4 3 30 0.60 8 6 4 13.0 0.80 10 8 5 ; 1.00 13 10 1 10 1.20 13 12 8 1.3 1.40 12 13 9 24 1.60 10 13 f' 11 . 1 1.80 10 12 12 Two + 200 10 11 13 [I) 11. Heating System 5.9 509. Unit Size (sQ 1.1 SE or HSPF i 199 r 1200 1700 (assumes ducts In attic) 2700 Heater Sum of 1.6 ; b to _ .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 QQ.75 6.88 3 3 3 2 2 1 b.80 - T33 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 None Etrective SE or HSPF -18 -15 (SE or HSPF x duct efficiency) Solar Effective -25 or -24 to -1410 -4 to +6 b 16 or SE HSPF less -15 5 +5 +15 more 0.30 275 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -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 Zonal Control Adjustment -3 27 System Type units) 3.3 3.5 3.7 Resistance 10 9 7 6 4 3 Other 6---5 4 3 2 2 12. Cooling Syst!m Interior 1V.1Ss/CFA TYPE 2 MASS AREA ExteriorWan Mass SEER 11. Heating System x _ % (assumes ducts In attic) SE or HS F Duct Efficiency [0.78] Effective SE or Stm of 7-10 10.5615.1 12. Cooling System C x -25 or ,24 b -14 to -4 b +6 to 16 or SEER ' less -15 +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 j 120 15 13 11 9 7 5 , `3.0 20 17 14 12 9 6 . `4.2 ' 4.4 Effeetive SEER 4.8 ` 5 ..... 5 3 t (SEER xduct effldency) 0.2' 0.4 0.6 Sten of 7.10 1 1.2 Effective -25 or ,24 to -1410 -4b 46 b 16 or SEER less ;5 5 +5 +15 more 5.0 30 =25 -21 -17 -13 .9 j 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 .4 -4 -3 .. -2 -2 7.0 0 0 0 0 0 0 8.0 9 8, 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 ' 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 I Zonal Control Adjustment 5.3 5.6 10 8 7 6 4, .3 1.3 To Cooling System Installed 1.9 Stories 24 26 2.8 3 One -5 -4 4 -3 .2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached 5.9 509. Unit Size (sQ 1.1 Water iS i 199 r 1200 1700 2200 2700 Heater t redrtor ; b to to or Type Type -fess_ 1699 2199 ' 2699 more SG None 0 0 0..• 0 0 or Solar 12 8 6 5. 4 HP •HWR 8 5 4 3 3 3 WSB 5 3 3 2 2 4.3 POU ._8 5 4 3 3 SE None 37 -24 -18 -15 -12 1.2 Solar -i .1 -1 0 0 25 HWR -18 -12 -9 -7 5 3.8 WSB... -25 -16 -12 -10 -8 S POU r18.=12 9 _7 6 IG None '15 .3 -2 -2 -2 1.9 Solar 7 5 4 3 2 3.2 POU 3 _ 2 1_ 1 1 IE None 28 19 14 •11 -9 5.7 Solar 8 5 4' 3 3 1.4 POU -10 -6 -5 -4 -3 27 Muld-Family(individual units) 3.3 3.5 3.7 Unit Size (sQ 4.1 Water 4.6 699 700 12W 1700 22M Heater Credit or b to b or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP Hwa 9. 5 3 2 2 6.3 WS8 9 4 3 2 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 4.5 Solar 2 1 1 0 0 5.8 HWR '-23 -12 -8 -6 '-5 1.4: WS8 -25 -13 -8 -6 -5 2.7 eQU_•. _23 12 8 -6 -S IG None -8 4 t-3.' .2 -2 - Solar 6 3 2 1 1 65 POU 1 0 0 0 0 IE None 30 -15 -10 -8 __t- 6`Solar 3.4 Solar 18 9 6 4 4 4.7 POU -8 -4 .3 -2 .2 Interior Mass/CFA Ime IPASS Interior 1V.1Ss/CFA TYPE 2 MASS AREA ExteriorWan Mass = e ND. L OR AREA 11. Heating System x _ % Zonal Control? (Y / N) SE or HS F Duct Efficiency [0.78] Effective SE or 10.72/6.HSPF 10.5615.1 12. Cooling System C x Zonal Conlfol? ( Y / N) SEER 19-51 Duct Efficiency 10.741 Effective SEER [7.03] ` 13. Water Heating SEAWR 6 o.I otea.. 1 (..rp.t" ._bi Type [SG] ^ Credit [none] TYPE 1 MASS (UIMC ► 4,2• is: e: sed slab) f 1 0% 5% 10% 15% 20*. 2S% 30% 35% 40%.45% 50% 55% 60% 6576 70% 75% 80% •tis% 90% 95% 100% 105% 110Y. 115% 120*. 125-14 _ OY. 0 •. :-0.2 0.4 • 0.8 0 8 - 1.1 d.3 ' 1.5 1.1 1.9 ' 21 23 25 2.7 29 -3.2 3.4 3.6 • 3.8 4 ` `4.2 ' 4.4 4.6 4.8 ` 5 ..... 5 3 t M. 0.2' 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 27 29 3.1 33 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2.• 24 27- 29 3.1 33 3.5 37 3.9 „1.1 4.3 4.5 4.8 5 5.2 5.4 56 ' 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 Z6' 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 10Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.8 3.8 ' 4 ' 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 509. 0.9 1.1 1.3 iS 1.7 1.9 21 23 2.5 27 3 32 3.4 3.5 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 .1.4 1.7 1.9 21 23 25 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' S 5.2 5.4 5.6 5.9 6.1 6.3 65% 1.1 1.3 1.5 1.1 1.9 22 2.4 2.6 2.8 3 3.2 3.4 3.8 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 _4.3 4.6 • 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3. 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.5 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 S.S 5.7 5.9 6.1 6.3 6.5 8". 1.4 , 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4: 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8, 5 5.2 54 5.6 5.9 6.1 6.3 65 67 WY.". 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 .1.8 '1.9 2 22 25 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 13 21 2.3 25 28 3 3.2 3.4 3.6 9.8 4 4.2 4.4 4.8 4.9 5.1 5.3 5-5 5.7 5.9 6.1 8.3 6.5 6.7 7 105% 1.8 2 22 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 So 7 110*. 1.9 21 23 2.5 21 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.5 4.8 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 . 4.3 4.5 4.7 49 5.1 5.3 5.5 5.7 5.9 6.2 6.4 -6.6 6.8 7 7.2 120% 2 2.3 25 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.8 4.8 5 5.2 5.4 5.6 58 6 6.2 0 6.7 6.9 7.1.- 7.3 125% 21 23 25 28 3 3.2 U 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 S.S 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point system summary: comate Gone 11 _ SCORE CARD - Measures Point Scores 1. Ceiling Insulation J�j �j i� or d Ra [381 U -value [0.0301 2. Wall Insulation'_ ` _L� or -� R -value [11] U -value (0.098] 3. Raised Floor Insulation !�/ or R -value [ 91valu�e [ 91 U -value [0.037] 4.� Slab Edge Insulation or R -value (01 F2 factor [0.77] t . S. Infiltration Standard `. _ p " 6. Glass Heat Loss' Type (double] U -value [0.651 %Total Glass [16] Sum 15 7. Shading (Shade Open) % Glass ' SC Eff. % Glass a. North of • a` x�'�- b. East c. South _ -�-- d. West x e. Skylight _ 8. Shading (Shade Closed) % Glass SC Eff. % Glass i a. North ?. a x _ r. 45 b. East • Q' x • �(, _ _ c. South - �( _ x 4 d. West_ x e. Skylight t2- x 9. Interior Thermal Mass TYPE 1 MASS AREA COND. FLOOR AREA 10. Exterior Wall Mass Interior 1V.1Ss/CFA TYPE 2 MASS AREA ExteriorWan Mass = e ND. L OR AREA 11. Heating System x _ % Zonal Control? (Y / N) SE or HS F Duct Efficiency [0.78] Effective SE or 10.72/6.HSPF 10.5615.1 12. Cooling System C x Zonal Conlfol? ( Y / N) SEER 19-51 Duct Efficiency 10.741 Effective SEER [7.03] ` 13. Water Heating SEAWR Type [SG] ^ Credit [none] 4 Sum 7-10 - PninlTn/nil• Certificate of Compliance: Residential Climate Zone Ll Project Title 63D Building Permit # ...Project Address '1 7 aCLAS �P� Checked By/ Date Documentation AuthorTelephone Enforcement Agency Use Only BUILDING DATA Conditioned MmrArea Sl ed Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ J Multi -Family (MF) Number of Stories Number of .Units I [ ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition BUILDING SHELL INSULATION.' Glasssjea % Glass Type North Wall .............. lig 1- 3 -Wall .............. East Roof ............. a• 8' Roof ....... Floor ............. South West Floor ..........:.. Duct Slab Edge ..... conditioner,:•heat pump) GLAZING. _. Shading Devices Glazing Skylight Orientation (Sf) (single. double) (roller blind etc.) (shadescreen, etc.) (yesino) (metal/wood) North ( ) Total a aXn East ( ) BUILDING SHELL INSULATION.' Component Insulation . Locaffon/Comments , Type R -Value (attic, to garage ripiael, etc.j• Wall .............. lig 1- 3 -Wall .............. 1 HVAC SYSTEMS Roof ............. Roof ....... Floor ............. Type (fttnece, air Floor ..........:.. Duct Slab Edge ..... conditioner,:•heat pump) GLAZING. _. Shading Devices Glazing Area. Glass Type Interior Exterior Overhang Fraying Type Orientation (Sf) (single. double) (roller blind etc.) (shadescreen, etc.) (yesino) (metal/wood) North ( ) `� L A) North ( ) East ( ) " Maximum Furnace Heating Output: East ( ) South System T (storage ( ) SOU IllWest equal) S cial Feature(s) L Y 5• � R,h West (,) ' , Skylight......:... �_ n/ —r,^�—• THERMAL MASS Type/Covering ''Area Thickness (slab/exposed, tile, etc.) (so (inches) LocadoNDescription (kitchen, bath, etc.) i 194 1 HVAC SYSTEMS Minimum Duct- . Type (fttnece, air Efficiency Locationi, Duct Output Manufacturer /Model # . conditioner,:•heat pump) (SE, SEER,HSPF) (attic, etc.) R-Valpe (Btuh) (or approved equal) - t IL . " Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System T (storage gas, etc.) Capacity or approved equal) S cial Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) A , Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise rrsidentW buildings subject to the Standards must contain these measures regardless of the t:omoiattee approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance tequtremetns listed on the Certificate of Compliance When this checklist is incorporated into the permit documents. the features noted shall be considered by all panics as binding minimum component performance specifications for the mandatory measures :.....__. whether they arc shown elsewhere in the documents or on this checklist only. DESCUMON 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-1 I weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perrnitnch. 12.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unto nditioxKd spaces; designed to Emit air leakage. b. Doors and windows certified. e Doors and windows weatherstripped: all joints and penetrations caulked and sealed §2-5352(e): Special infiltration barrier instilled to comply with 02-5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces I. Masonry and factory -built fireplaces have a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment siring: attach calculations. 12-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12-5316(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 eenified by the CEC. §2.5352(1): Water heats insolation blanket (R-12 or greater) or combined into ior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has. a. On/off switch on heater. b. weatherproof instruction plate on heater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency.. 3. Pool cover. 4• Time clock. 5. Directional water inlet. Lighting and Appliance pleasures ' §2.5352(1): Lighting - 25 lumcns/watt or greater for gcnera�Eghting in kitchens and. bathrooms. §2.5314(e): Gas feed appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. DESIGNER I ENFORCEMEM r ..COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance spedfications needed to comply with Title 24. Chapter 2-53 and Title 20. C luptcr 2. Subchapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purtcltaser of the building. Designer Name: Address. 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