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HomeMy WebLinkAbout064-150-031' �PEM- 2 B5—t - 0 =3.b64-4510- �RA ERDRAPER, John'P. ' newsf---------------- � � � / ~-� � � - ` ^. ^ � ^ 30' o ' ~ ~-� t NOTES RESIDENTIAL . t PERMIT N.._ 064-150-031 01-2899 TWEEDT, GERTRUDE 14430 ESSEX, MAGALIA OPEN DECK i x r i SPECIAL CONDITIONS CHECKED i BY F SRA FLOOD CERTIFICATE' REQ. FIRE SPRINKLERS REQ. t SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER j I 4 t JOB FINALED (Date) ` V Signature = OK 0 = Not OK - = Not Applicablb MOBILE HOMES = Not Ready 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG 7. Well Clearance & Discohnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ! • ' MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 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- Sea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ./= OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (; Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" 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. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -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 Card B-1 Date Card B-1 Date 63. 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 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Hir.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive Q Yes Q No/Walks Q Yes Q No/Planters 0 Yes Q No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE 'DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING, DIVISION ' M 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/964#_1 APPLICATION AND PERMIT 01-2899 ASSESSO U11 11N M i ��4-i=;031 ZONING BUILDING PERMIT ` OWNER DETWEEIT TE`F'HONE SO. FT. OCC. BUILDING VALUATION 120 2 LM .GERTRU OWNERS W'sn, MAGALIA CONTRACTROye TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER h Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 2 240.00 ARCHITECT OR -ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ -4S 1 (1 BUILDINGT4450 ESSEX, MAMIA 144J Energy Plan Checking Fee $ $ PERMIT FEE $ 109..1.9 LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑` Addition. ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherro Describe Work: OPEN DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is`in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, ./will do the work, and the structure is not intended or offered for sale. b I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Service zoo TG uooA 46.00 NEW NEW CONST. DWEWNGOCCUP. OR ADONS. a ACC. BLOS. SO 3.5 -OFT. T. NrypµpESID. ANCHOIRCUITS T 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.SAL 20 @ I•00 o .50 OR Ex. Occup. 0 CRRE11XED APP�,6.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and. will maintain a certificate of consent to self -insure for workers' compensation; as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Policy Number (The above sections need not be completed If the permit Is for work of a valuation eTone hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those. provisions. —� •"'' ,_y X+� •' c �.� rt' . ��l�n I ��. Z--* /' I` Date `l t. {_fi / , ,�,''/'Y; Signature of Applicant - ❑ Owner O,Contractor ❑ Agent An OSHA permit is required for excavations ove.'r 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee = $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 209.10 , _ D. FEES IMP ,. _ FLOOD _ COF _ PARCEL Po HD IX IISSUE X This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions 'indicated above for which fees have been �. By r . I/ ��4'� r+' /` A Date PERMIT EXPIRES ON efe provisions to do work paid. l elf 0,l tf � f ReceiptNo. 33 iU 5 7 1,71o.9. Io WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) w COUNTY OF BUTTE - DEPARTMENT O`F DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 AP "PLICATION AND -PERMIT 01-2899 PERMIT NO. ASSESSOf61R2EL TIM -031 �GEER}TRUDE ZONING BUILDING PERMIT OWNER TWEEDT TELEPHONE SO. FT. OCC. BUILDING VALUATION 320 0 2,249 DO OWNERS Tt+MMSEX, MAGALIA CONTRACTQ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $9-9140.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BLIILDING AQ4430 ESSEXMAGALIA 1 , Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IR Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Otherx3 Describe Work: OPEN DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioon oa LEEss 23.00 CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,NOµp�,p and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, �III do the work, and the structure is not intended or offered for sale. °F"' as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (T -krabove sections need not be completed if the permit Is for work of a valuation f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ate O2% `' Z Signature of Applicanner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 46.00 200ALICENSED TONG NEW CONST. DWEWO(:CCUCU P. SO WEE OR ADONS. ( a ACC. BIDS. 3.5¢FT: MU LT0.OUTLET 97.50 OWER APPARATUS 8 SINGLE OUT .ET CIR. 20 o 1.00 Ex. Occup. OUTLET OR FIXTURES BAL so FIXED Ex. Occup. OXn RELS,D,D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee Is Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ 109.10 HAZ. _ D. FEES IMP — — FLoo0 — CDF — PARCEL — PD HD x ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON V 21ITE-D.D.S.-B.D. ate rReceiptNo. 3 o CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Oct-22-01 01:46P P-01 COUNTY OF BUTTE . DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' (Rev. 12/96), 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�I nAPPLICATION AND PERMIT MIT NO. A[sfotw ralso � �r - -J�v rows ow„[„ �r BUILDING PERMIT ®1/N� FT SO. . OCC. owriws wwr,o,e f3� BUILDING VALUATION CONr14.CTOI'f NAME ­—1-7 WAl A001n[ft CO W T WCTION u<Tcet lElO [AS 441NO AOOIEft Fire lace .acNv[CTOnammWEn uCGiE Ido.Total Valuation i Felin Fee i i00 �M ON [20.00 iWC1R[CT T'rOMeD17 N/q ri[Sf "'i�� Permit Fee = SULDINO AOOR[Ss IPlan Checking Fee = / Energy Plan Checking Fee i .OT NO fuedveDrrs w�u[ IM Wv PERMIT FEE _ 091 PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 SF Duplex O Mobllshome O Other Soler or heat um water heater 23.00 Water I in 15.00 fPeC/Y TYPE OF WORK Each as water heater or vent 15,00 New O Addition O Remodel O Utilities O Installation O Other O Gat I In stem 1 - 5 outlets 1S.00 n ..Buildingsower 15.00 Describe Work: ,V (� Mobile Home [SIG W @20.00 PERMIT FEE i ELECTRICAL PERMIT Filin Fee 20.00 Main Service °0°v ON IESs 200A oa kZSf 23.00 Main Service 700 To IOWA 411.00 ftw COMT. Maim OOCUP. OR MONS. i AM. Suis. 3. Sts. 00l to VULn-OUli @7.50 POWFA NIAMTye is O OR Ex. occu . OVTUT on sxTul ace 1.00 PAL .-0 Ex. Oceu oma, m,c• a 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE I MECHANICAL PERMIT Fling Fee 20.00 'PERMIT FEE PAM ;� (� 9, 0 Heatin SRA Conlin Hood E.50 SHERIFF s_ Ventilation OTI'IR PERMIT FEE ! Mobile Home Installation Fee i Energy Inspection Fee = ~� o<o COWT• TrR TOTAL FEE _ AAI 0VW RECEX"b : 1 Q �, l d - W •Mea ro w et This parmit Ie 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. "RECEIPT NVAAslR 3 �o� �� * TO Be Ptrr Zwo CoA tna ' - By Dat. PERMIT EXPIRES ON r � .. �,,- M�M1�'�\�' "T�i"•�� "�M��.J '.i��I+Y �.���•IIIi ,*J�j.��R'W,�' Y�T.�'h', P.,.l.,. '.r. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLI ; CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET << OWNER: l w1 QA E ASSESSOR PARCEL NUMBER: C' 6ocl " 156- 03 I Proposed Building Use: fbA,46o 0944/: Building Inspector U Oox 0,6 Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted....?........................................................................................................ ❑ 2. Plot plans,. 3/4 sets, signed by the preparer of plans............................................................................ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans. All engineering must be shown on plans............................................................................................. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ............... ❑ 6. Energy Design Compliance and supporting documentation . .............................................. :................ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... ❑ -8. Hazardous Material Form.................................................................................................................... ❑ 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications .............. ❑ 10. Fees of $.................................................................................. .s...................... ❑ 11. Impact Fees as shown on the attached schedule.................................................................................. '❑ 12. California Department of Forestry Plan Approval/Fees...................................................................... *15. od Elevation Certificate............nn...........................Sanitation and Plot Plan Approval L(ki xy Environmental Health Department.......... Cityof Chico Plumbing Permit............................................................................................................ ❑ 16. Plot Plan and Business License Approval from the City of Biggs ....................................................... Q 17. Planning Approval for (A) Use: (B) Parking: ........... ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel ........................... r ❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ....................... ........ ,,' - ❑ 20. Pre -Inspection for required. Request to Building Inspector •, (Date) ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... ❑ 22. Workers' Compensation carrier and policy ntimber.............................................................................. ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization........................................................................................................ ❑ 25. Recorded Copy of Agricultural Acknowledgment Statement.............................................................. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance................................................................................................ ❑ 28. Existing violations and/or expired permits.......................................................................................... ❑ A. ❑ 433 q,Grant Deed, qm.H. �itbL] Check to H.C.D. $ ..................... 30. Other 1::16A e—' rv/iG 1�� f a C6 (CCS When you issue thehermit, process as follows: ggrAail to Owner, Q Mail to Contractor. 4❑ Telephone and hold for pickup at'Sm /0 elh iW office. ❑ Deliver with Inspector. -Applicant: Copy of Haz-Mat form sent Q Health Department, ❑'—C Fire Department, C]Air Pollutio , /Date: Date: 1.1--9=01 _ By: Copy of Plans sent ❑ Health Department, Q Fire Department, ❑ Other Date: By: 1. Index permit Application for the above items numbered: Q Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by: ❑ phone, Q mail, ❑ Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, Q Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, Q mail, ❑ Build /'/I'✓ tvision counter, By: Dat Plans reviewed by: Date: Plans reviewed by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services - Building Division.. T0: Building Department C FROM: Environmental Health �0 4V� SUBJECT: Sanitation Clearance E.H. USE 04LY Plot Plan Attached Floor Plan Attached Sent to S.D. q'ex C4 Qpq-15-0-01 Owner ocation AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other IL/ X -2--,Q /, Hold final for: Final clearance O.K. for: NOTE: s Environmental Health toecialist Date 8/96 - - 5661 4W —� S•9 w cc o dc .�l'. t WILDING ®EPARiM_ - p c r a 9 z a o APPROWED • LL ti1A 1 M ocuj ,YiV.L S NIW„ 9 E %a 'XVW h w _ 0-7 .• r � dl— . 1 I � r I I � c 1H913H lltl2i�ImfH� �� • ,�' t7 t II .x Q.. J � ( h C ►W-� z cL o 3 •XV{ � p X W a s v+1 $� d o zz Jill gLLI `x w1w.VT . o � o; 1L � s< Cd t � i I C ZI-1 py c Ll -t -n VARIES 36" MIN. 0 7 ate.. �F 91 -0b i< 0., a 36"MIN. S TAIR' ,� b b" o� � C z a -4 co �o� c 3 ^A -40 Mav 1995 6.5 ^ .� C (� 0 'a ODI 771 rJ 'D d CD f < , o j O>DO0 �m m� �ai �n co �F 91 -0b i< 0., irl Z , . • I L J//HAWDRAIL NEI6HT W O �-1 �✓ . Ir f8- ;_ MAX. •0 i �``' MAX. a 36"MIN. S TAIR' ,� A W I DT4 b" o� � 7v -4 co �o� c 3 ^A Mav 1995 6.5 ^ ODI 771 rJ 'D d •I , irl Z , . • I L J//HAWDRAIL NEI6HT W O �-1 �✓ . Ir f8- ;_ MAX. •0 i �``' MAX. a 36"MIN. S TAIR' ,� A W I DT4 b" o� � 7v -4 co �o� c 3 Mav 1995 6.5 ^ C RESIDENTIAL 064-15-0-031 DRAPER, John 92-4453 BPEM 14430 Essex Ct, new sf Magalia %/- 0 L -9y L. towsa- CA2fl►fi-i i - La Ar i OFFICE COPY Address i GAS Meter Bytic�-�.e..YJ� Date "244 ELECTRIC _ Meter By Date OFFICE COPY f� Address ( ' J GAS SMeter By Date i ELECTRIC Meter By Date I JOB FINALED (Date) Signature ✓=OKE , O= 14ot OK Not Applicable Not Ready RESIDENTIAL (Single ' = Date UND FLOOR (Plans) OK except ti's i ng -Setbacks -Ease ments-Flood-Slope Fig., Main; Soils-Elec. Grnd.-/IZP' Ftg. Depth & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng. -Ring. Ftg., Garage; Soils-Steel-Elec. G .:4&' Fig. Depth - 4. C. Porches &Decks; Soils -Steel-/ /Ftg. Depth - _ ---- &,I§temwalls, Main; Steel -Bloc kouts-Wrapped 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 49. Bdrm. Windows or Exiting Doors -Sill Hot. & Dimensions emwalls, Garage; Steel- Blockouts-Wrapped ---- _ _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 6a. Held Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test J . UUF. Gas Pipe; Size -Anchors - yard gas piping: size -test Alf'Water Pipe; Test -Anchor -Regulator -Service Test 12--E ttric; Underground 1-�ums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples ' W -Access & Ventilation 16. Insulation Date Luny Card B-1 [�� Date Card B-1 Date �1-Ct-c1 Card B-1 CG Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -- ---------------------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection - - -19. Shower Pan: Test. First Floor -Tub Access ---- --- ----- 20. Test Tub & Shower. Second Floor -Tub Access --------------------------------- 21. Gas Pipe; Size& Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22.' Fixture & Transformer Clearance -Ins. -Protection ------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -------------------------- ----------------------------------------------- 24. Size Boxes & No. of Conductors-Stapled ------------------------------------------------------------------- ---- - 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------------- 26. Equip. Ground made'up w/Meeh. Fastners-Bond Gas & Water -------------------•------------------------------------ ------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------ -------------------------------'------------------------ ' 28. Subfeed Wire Size ! r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No •------------------------------------------------ - -- - - -- - ------------- -- --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect ---------------------------------------------------------------------------- 31.- -------------- -- 31. Equip. -Clearances Panels -Motors -Meth. Equip. ------------- ---------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------------- -- 33. Smoke Detector ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 --------------------- ----- ------------------------------ -- ------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s ------------ 34. A. -C. -Ducts. Insulation & -Support--------------------------------------------------------------- 35. Vent Fan; Exhaust above insulation -------------------------------------------------------- -- - ----- --- 36. Condensate Drain & Overflow; Size & Grade --------------------.---- 37. F-urnance-Vent:--Access-Comb--Air-Return -Air Vent-115-outlet- ------------------------------------------------------- -- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------------ --------------------------------- -------------------------- --- --------- Date Card B-1 Date Card B-1 ---------------------------------- - ------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- ------------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------- 41--- Bearing Walls over -- Girders- -& -Floor Nailing - -------------------------- ---------------------------- 42. Draft Stop in Walls (rat proof) ----------------------------------- ----- ----------------- ----------------------- ------------- 43.. Fire Stops Furred Ceilings -Stairs -Chases -Tub__ 44. Headers & Beam -Size & Bearing 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection --- - - --54.. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. -Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic -------58_Shear Walls; -Nailing -Bolts Wj , SXAEhkt_111-o-51 59. Insulation -Walls -Ceilings ------------- 60. Infiltration -Walls -Windows -------------- ------------------------ -- Date _______ --Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date F .Plans) OK except ti's Ext. Steps -Door & Sidelight Protectio and' m �J.�- oke Detector 1tFurnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ----------- --------- tA# f. edroom Exiting -..------------- ----------- -- . G.F.I. & Bath Fixtures & Tub Access -Spa - Iec. Trim & Subpanel; Breaker Sizes & Labels -------------- ---------------------- &wrs & Rails ------------- ------------- --- Fireplace or S ve: Clear ces-Hearth 6t=. Iec. Outlets at Wood Panel: Int. & Ext. _ - -- - X7 Fixt & Appliance; Grnd -Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter G FCi i! Garage Fire Door; Swing -Landing -Closer . Duct in Garage -Damper -------.---------------------------------- - 74-%tr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection --------------------------------------- - 7� b.. Elec. & Mech._Equip. Listed for Location tlec. Receptacles in Garage; (G.F.I.)-Romex Protection 7. Insulation -Foam -Looked in Attic ❑ Yes 7*---8uard Rails & Deck Construction -Post Caps - ----------------------------------- V. dn. Vents & Crawl Hole Door -Drainage & Wood -Earth -------- Clearance Looked -under Floor--- ❑ Yes --------------------------------------- - 'Oc ,Following instld.: Drive ❑. Yes 07No: Walks ❑ Yes No; Planters ❑ Yes �No ------------------------- ---- al Slucco: Brown -Finish ------------- - --- �2!A.C. Unit: Disconnect. Electrical, Plumbing 42r -'Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 8+1-'W ter Well: Disconnect. Electrical, Plumbing --------------------------------------- LV5 Exterior Elec. Trim; G.F.I. Receptacle -Underground - •------------ --------- ut Hous --------- Venti- --------- 1 -- Throughout House s- /Glass Protection gd Crrections from Previous Inspections - - Gas Te Meters Tagged; Gas -Electric %____ 9,Q�Water & Sewer Connected -C/O to Grade -HD Approval _ Energy Compliance Certificate -Other Certificates ---- ..---------------------- ---- --- Date 9 . Card B-1 Date Card B-1 Date r r Card B-1 Date Card B-1 -IW, 1-----------�----- Date 1 (,�4!:' and B-1 G-6 Date Card B-1 Comments at Final_ �ft.5 oiJ O= OK O = Not OK = Not Applicable' = Not Rdady 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" (t. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date Card B-1 Date Card 6-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 f MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card 6-1 Date Card B-1 Date Card B-1 Date Card 8-1 fr COUNTY OF BUTTE - DERARTM�NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANDYERMIT ASSESSOR PARCEL NUMBER 064-19-0-011 ZONING RT -1 I BUILDING PERMIT OWNER TELEPHONE JOHN DRAPER 0 72- 507 OWNER'S MAILING ADDRESS t7C1 94; qfffmr! CONT TE nWnpr SQ. FT. OCC.1 BUILDING VALUATION 77,544 505 M 9,090 CONTRACTOR'S MAILING ADDRESS Fireplace A 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS - Filing Fee $ 15,00 Permit Fee $ 548.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 274.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $ 857.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 11 5.00 Solar or heat pump water heater 20.00 LOT1NO. SUBDIVN NAME ISI52 PAr PiNAME nes 13 PARCe3`8M3� 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EIX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S FETWT @ 15.00 TYPE OF WORK New EIX Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ Other ❑ Describe work: 3 bedroom rr- Permit Fee $ 104-00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profesvns Code and my license is in full force and effect. �.-g ��/ License No.! Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) 37.50 .50 NEW CONST. ( ACC. BLDGS. DWELLING OCCUP.ai 3.60 OR ADDNS. II NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &1 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7611 454 1 Ex. Occup. OUTLETS P(RESID )FIXED APLNS.REA.1 I 3.00 Temporary service 1 15.001 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee 11 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �j I have placed on file with the County of Butte Building Department. L}� 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 k ,--9:00 Cooling 3 1 11.00 Hood 6.50 (• 50 Ventilation 3 4.50 13.50 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 Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue against Coun in consequence of the granting of this permit. X q�\- Date ZJ h Z- Signature of Applicant - Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5' " deep and e,�n� o or c str c ion of structures over 3 stories in height. /a�f �(t% J55O0 Mobile Home Installation Fee $ , Energy Inspection Fee $ occ R-3 CONST TYPE VN TOTAL FEE $ 1all HAz -- DFEES IMP FLQpo X CDF PAPfL x D kjp rj u po This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do ork indicated above for which fees.have been paid. D L) PU I WORKS By Date PERMIT EXPIRES Date e} Receipt No. 12A7og4is4 no ��-�a _���''VC) WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT a TO: FROM: Building Department Environmental Health Not flan Au shed Flour flan Anached Sent to B.U. / SUBJECT: Sanitation Clearance Owner Location APS. Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: L- ironmental Health Specialist 8/92 /06,2A Date FROM: Encroachment Permit Section RE: Driveway Clearance Jo 20 r�A• owner location AP # -� .`� 3 3 -Driveway permit 7� -has -been*. issued for the above property. .i lz) s i ature date-- TO: ate__TO: Building Department FROM: Encroachment Permit Section E.H. USE ONLY Plot 1'I:m Auaclicd F floor 1'I:m Anached r\ TO: Building Department��= O FROM: Env'otmtrital Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom \1 home. Other �(= V Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/92 04 Y%V17''1P ffiP a wr � COUNTY OF BUTTE„-PARTMEN,.OF RUBLIC WOF, BUILDING DIVISION 7 COUNTY CENTER DRIVE- OROVILLE, CALIFORNIA 95965 - 'TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER !/ &,t/ �� .f} �(j !k . No. Proposed Building UseIC Building Inspector Date f 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 CT installation instructions, 2 sets. ......... . --�--� 0. Fees of $ Fl / Y . , y p ci .......... 11. Impact fees as shown on attached schedule .............................. . 12. California Department of Forestry plan approval/fees. ........................ 13—Flood elevation letter (100 year flood) y qalifornia Engineer. .. j� Sanitation and plot plan approval Health Department. ...........f . / 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:fC6ntact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy) .. ... . st 20. Pre -inspection for to Building lo",ector required. . to Building Inspector (Date) " 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... "!Owner -Builder Verification (Given to owner , , Mail to owner _) ............ 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 . .......................................... j 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. ........... y Existing violations/ x ired permits. ... :. �.. . Plan check list. 34. When you issue the permit, rocess as follows: "Mail to owner. Mail to contractor. Telephone, - D7 and hold for pickup at fice. Deliver with inspector. Other Parcel Creation J n _ /* - f k Acreage Applicant ,I/� 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 neviLite cke 1. Index permit for above items No. 2. Additional items required: r Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was d *sed of above 77ired data by _ phone _ mail Counter by _ Date Plans checked by�� Dates 5 Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works X i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTYCENTER-DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541 DWNER PROPOSED BUILDING USE A. P. N0. ('7" — �a—� 3 / DATE 2- 13 � ��- REC. # DATE REC School Distric Fees. PO S D (paid.at District Office) .......... SheriffFees 3 (paid at Building Department) 'Residential...........I - X3 do =$ 3 nit amt. Commercial(per sq.f t.) - $ sq.ft. amt. 3.• Urban Area Fees (paid at Building Department Residential (per ,unit)_ x _$ units _ amt.' Commerical(per sq.f t.) % _$ sq.ft., amt. 4. Recreation District Fees (paid at District Office) Drainage District Fees (Contact Land Development) �73vs-6 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior-- :o rio-=o issuance of the permit. APPLICANT DATE z �l Owner: Permit No. ENERGY C E. R T IF ICAT ION 14,430 Essex Ct.-,, Magalia, CA. LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material FIBERGLASS BATTS Thickness(inches) 3 5/8" CEILING Batt or Blanket Type FIBERGLASS BATTS Thickness(inches) 92" Loose Fill Type FIBERGLASS Minimum Thicknesi(Inches) 121," Area covered(ft. ) 636 FLOOR, ELEVATED Material, FIBERGLASS BATTS Thickness (inches) 64" FLOOR, SLAB Material Thickness(inches)' Width(inches) FOUNDATION WALL .Material . Thickness(inches)_ Brand Name Thermal Resistance (R Value) Brand Name MANVILLE:-SCHULLER Thermal Resistance(R Value) R13 Brand Name MANVILLE-SCHULLER Thermal Resistance(R Value) R30 Brand Name CERTAINTE:E:D- INSUL SAFE 3 Number of Bags 13 Wt. per bag 35 lb. Thermal Resistance(R Value) R30 Brand Name MANVILLE-SHULLER 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. IRM NAME/OWNER c VeC4 PAl SIG TUBE OF INStALlAybN APPLICATOR 4991.50 STATE CONTRACTOR'S LICENSE NO. January 24, 1994 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 materials are of the quality prescribed or are specifically approved by the State of California. 136i (TS Z13 FIRM•NAME OWNER Please prin - STATE CONTRACTOR'S LICENSE NO. ♦ r i Z? SIGNA RE OF OrNERAL tONTRACTOR OWNER I bATk 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 44 i 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 ��rxP�tL 9�_Uu�� 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. Xk 6-0c�r A . •.� G < ► . f Date �i— Qty Inspectors t� ell r Date �i— Qty Inspectors t� kr.,..t� � .. ♦' - r�i . - .�.....-u a^':rl..�;-r....� �7+s....t5—;^. x.+......r ' .r - y - . - _...ir.. �,f�s -,_ COUNTY OF BUTTE BUILDING DIVISION _ DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (9164-89:1.-2751 7 County.enter Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 • i CORRECTION, NOTICE i'✓�a.e�,c� �/710'?.`�Z OWNER PERMIT NO. • a 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.# you have any question's pertaining to this matter, or need additional explanation, please con ct this office immediately. t; s • 3 J C'o,� � 1p t C pf z> �- . rTa 13 i Date I Aj - Inspector REV 10/92 Date i 1 Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico' CA - (91'6) 89.1-2751 7 County Center Drive, Orovilie, CA -- (916) 538-'754.1- 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of BLitte 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. 0 rl),j .,^A,,4 J Date i 1 Inspector REV 10/92 `.� 93-048449 - 93-048449 93-WA8449 ! Rec Fe• S.OCY ROcorded t 011icial Records i County Of Butte Conduces J. Grubbea I ` ROCOrder 1.0, 00am '-�Iov-93 t ' Pum XX 1. Return to DPW ' !'s AGRICULTURAL STATEMENT OF ACKNOWLEDG rF�'fE►�1T FOR RESIDEN¢'IAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent' • 93-048449 to land or included within an area zoned s for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort . arising from the NOT COMPARED WITH use of agricultural chemicals, including, ORIGINAL DOCUMENT but not limited to herbicides, pesticides, and fertilizers,; and from the pursuit of agricultural operations including, NOV 0 i 1993 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 property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real. property. situate in the County of Butte, State of California, described as follows: L _T I �-Z � 45 Shd.r.�r-f o � �'► Ct'!C'i aiv� +"',gyp end; f LE�Q ; P)4aQ4'-C p,)O S `t4l < of 6 i4F 3,j mc -,.+13, t9-11, -.P,% (ud 3S (;J- M pvs c c-' P o g p C5) z. I h (L,4 3Z . d,ro C ��2 �w subs cc s I w i' �f`OLPr3i o..,M �'� r�`2- OPE(1-6�-On5 SWI BE' �low� © ri G�c s a��-Siad -Phi SAlC' ac.c_ 0.(L_EeN_ O E L '(%j I o, *4tj C- l� Su4�c Sac Date: Narch 31, 1993 State of California) ). SS. County of Butte' ) ®amm�msooma®®amoo®ma®® REBECCA AHOLD NOTARY PUWCtA=RNIA �® My Commission�xpires April s2$',0 a0®�mme®o®m®m®e®®ame® PROPERTY OWNERS: John Draper. On this the . -31st day of March 19 93 ,.before me, the undersigned Notary Public, personally appeared John Draper . 12 Personally known to me. [] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand nd ficial,segl. Present A.P. No. 064-150-031-000 Notary Public RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX'& MISC. ONLY) Bldg. Permit #� OWNER A. P. # 1� - /, Plan Checker L,� ;? rGENER requirements: (sideyards and number of permitted living units). tion. signed by designer. r description of work on application. Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). 4E6 . Recorded notice of violation. PLOT PLAN 0omplete parcel size and dimensions. . Setbacks, sideyards, easements, etc. ther.buildings or structures. ding, fills, drainage. ood hazard. pecial conditions on creation map, VFAU stible, and foundations). & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). { w. ,,-Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). �uman impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). ,GFCIs in baths, garage, kitchen, and exterior outlets (Article Light fixtures, switches, receptacles, and exterior receptacles 1—tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other or gas equipment. ;,,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. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. DETAILS 210-8). for main - electrical J Standard bracing or engineered design (Table 25V) Unusual shape, size, or *split level house requiring lateral design. Cl estory requiring balloon framing and/or engineering. ree story building requiring engineered calculations and plans. foundation•plan complete enough to construct building. �loor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. ireplace construction details and calcs if necessary. 7. Rafter ties or bearing ridge beam. r.'Garage door or porch header.sizes. �- Stud heights. 3—Adobe soils - special foundation design. Retaining -walls requiring design. Special Inspection required. building 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR k. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). • Roof covering type - (fire hazard). 4Y Foam insulation - protection. 36" halls and stairways. 9t.Underfloor �iving area over garage - complete 1 -hour separation required on garage side cluding supporting walls and posts, etc. o exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). tic access and ventilation (Sec. 3205). access and ventilation (Sec. 2516). mbustion air for fuel burning appliances - L.P.G. requirements. ise requirements on duplexes. ergy design. ashing at all exterior openings. F responsible area requirements. 4 �2 .look . vZ OF zI C-:: �� ��.�!•:3�L��[..%U�_. ' �3 Psi 03 WI!�✓).�. L� 7.s1 -7 Z '.r.� L -A-0 rWSn'L"� I� =- 25�► b7' fS= j-&/� 4p ux 51 .nJoKLLrA-5 A -S CSV -4-j 4� d 7 )b /� t3M w 5 Guu�•� �, t 4S S (�At.�,G G' 4 ...---•---- __.._ ..--' - ---' ---- ----- -. ... A� F l.�c�.. _ 13 wc,,t•�.gc. A. •D�1�•c.�.--�'r 'T� c3 � _.'1: �?. .. d..3, art 93 OF zI C-:: �� ��.�!•:3�L��[..%U�_. ' �3 Psi 03 WI!�✓).�. L� 7.s1 -7 Z '.r.� L -A-0 rWSn'L"� I� =- 25�► b7' fS= j-&/� 4p ux 51 .nJoKLLrA-5 A -S CSV -4-j 4� d 7 )b /� t3M w 5 Guu�•� �, t 4S S (�At.�,G G' 4 ...---•---- __.._ ..--' - ---' ---- ----- -. ... A� F l.�c�.. _ 13 wc,,t•�.gc. A. •D�1�•c.�.--�'r 'T� c3 � _.'1: �?. .. d..3, SHEAR PANEL SCHEDULE ALLOVABLE ANCHOR UPPER FLOORS 140. DESCRIPTION SHEAR [LB/FT) BOLTS SILL NAILING 0 1/2' GYPSUM WALLBOARD s/ 5d COOLER NAILS SPACED • S - 125 1/2' • 60'0.0. 2-168 • 16'0.0. 7' a.a. AT EDGES AND 1N FIELD [BLOCKED) . D - 250 1/2' • 4010.0. 2-16d.8 6' o.o. [UBC TABLE N0, 47-1) . Q 1/2- GYPSU" WALLBOARD s/ 5d COOLER NAILS SPACED • 6 - 150 1/2- • 500 *.a. 2-168 • 12'0.0. 4' 0.0. AT EDGES AND IN FIELD ®.LOCKED) D - 300 1/2' • 36-o.o. 2-16d • 6' o.o. [UBC TABLE N0. 47-13 ® t 5/8- GYPSU" WALLBOARD s/6d•000LER NAILS SPACED • 6 - 175 1/2' • 48-0.a. 2-16d • 12'0.• 4' o.o. AT EDGES AND 1N FIELD [BLOCKED) D - 330 1/ 2'� • 32-9.e. 2-16d • 60 0.6. NBC TABLE NO. 47-13 Q 7/8- STUCCO OVER PAPER BACKED WOVEN VIRE LATH ./ 15 GA. STAPLES SPACED • 60 0.0. AT EDGES AND 1N FIELD 6 - 150 1/2' • 46'0.0. 2-16d • 12'0.0. PROVIDE la4 DIAL. LET -IN BRACING AT CORNERS AND • D - 360 1/2'� • 32'0.0. 2-16d • 6' 0.0. 25 L.F. "AX. INFERVAL6 NBC TABLE NO. 47-13 © si 7/0' STUCCO OVER PAPER BACKED WOVEN WIRE LATIN s/ 16 CA. STAPLES SPACED • 3' o.o..AT EDGES AND 1N 8 - 325 1/2' •32'0.0. 2-168 • 0. 0.0. FIELD. PROVIDE Iso DIAG. LET - IN BRACING AT CORNERS D - 6501/2 • 48'a.a. 2-15d • 40 *.a. AND • 25 L.F. HAX.. INTERVALS IICBO REPORT NO. 1823 FEB. 1973) OR tICSO REPORT N0. 1318. FEB. 197M ® 3/0- STRUCT. 11 OR STD. SOTG. PLYWOOD ■/8d.NAILS SPACED • 6' a.a. AT EDGES 9 12' 0.a. IN FIELD. 6 - 254 1/2' • 36'0.a. 2-168 8- o.o. PROVIDE DOUBLE'STUDS AT EACH END OF PANELS• D - 528 1/2' • 48'o.e. 2-16d t 4' o.o. NBC TABLE NO: 25-9-1) © 3/8- STRUCT. I1 OR STD. SHTG. PLYWDOD s/8d NAILS SPACED o 4' a.e. AT EDGES l 12' o.a. 1N FIELD. S - 384 1/2' 24'0.•. 2-16d • 6' 9.0. PROVIDE DOUBLE STUDS AT EACH END OF PANELS. D - 758 1/2' 48'0.6. 2-160 i 3' a.o. NBC TABLE NO. 1) ' Q 3/0' STRUCTo 11 OR-6TD. SHTG. PLYWOOD 'w/Bd NAILS 6 - 492 1/2' • 48-0.a. 2-154 • 4' 0.0. SPACED • 3' o.o. AT EDGES 1l 12' o.o. 1N FIELD. D - 984 1/2' • 4B'6.o. 2-160.2 1/200.04 PROVIDE 4s PUT -AT EACH FND OF PANELS. NBC TABLE NO. ES -.K-1) �•� 1/2" STRUCT. 1 PLYWOOD.giBd NAILS SPACED • 3' AT EDGES S - 510 1/2'i • 48-o.o. 2-15d.8 4' e.0. a.o. R. 12' e.o. 1N FIELD. PROVIDE 4a D - 1020 1/2'� • 48'0.6. 2-16ds2 1/200.0. POST AT EACH END OF PANE46. NBC TABLE NO. 25-K-1) ® 5/8' T 111 W000 SIDING 0/8d t4111LS SPACED AT 6' 6 - 180 1/2'! • 4D'q.o. 2-t6d • 12'0.0. a.6. AT ALL FRMlNG If HERS D - 350, 1/2'� 6 32'0.0. B-164 • 6' 9.9. GENERAL NOTES , 1 - ALL ANCHOR BOLTS TO BE A 111N. 10' LONG WITH 3 - S INDICATES SHEAR PANELING ON Ow A t11N. EMED11ENT OF 7% 11AX. SPACING OF SIDE OF SHEAR WALL ONLY ANCHOR 80LT�_TO 81 6o'`q.o. _ ._ . D INDICATES 'SHEAR. PANELING ON BOTH 2 - ALL 3/8' PLYWOOD SHEAR PANELS TO BE APPLIED SIDES OF SHEAR PALL. DIRECTLY TO fRAHIING TO ALLOW FOR A BOX INCREASE OF TABULATED VALUES IN UBC TABLE NO. 25-K-1. 0 L�-r Irl or t -- CA LX-.o --CALX-.0 (.0k7 1000 ,�O%1 tQ 'On.Av0F�✓Z- 0(04 -(SO -03 J 13?-*- 92,_ 4453 L -ois.a y ) . �ActaViA, cA. COUNTY OF BUTTE BUILDING DEPT OCT 2 5 1993 SH- = iSP � 9 2 -•¢ X53 -T'�� S�rS�} �"� � � � t� � S � G i4lLrS / S A IDa✓L7 r a L, D p� ! S -� /z..� ,� ��� r,.1��- �-- dam•.-?� r'eL � 5•� ,,,s �J� 3'Tu✓L7 �.�,�,5 u4. 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Alr `"• f�'� "n.t� ��u�,� : , � •�w;� , 4d7�L �t ,O� U ri t : �f'�� l v Y' � a .� $��i to3 � 35 31 k -m-as / d— G X-4-7' V G 7 Co �Otr+'re FLD�.�� � ��.'� d � �. tom• �,j ,,.•I 4�a-�l��z 5o h �."w� 5 T Z9 2- s� M me- h C o• OTT d�c &A— r Cir Gu-- w/ G 2` X3'7 •, �..r '` �) G''j7 F� t.� c.�0^A- -� p ptfT►�v-� Count �- - __iA�4b o0 Na - 'RAL \rVALTH' A N 0 3=.a UT BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 L. J. Warner DATE: October 19, 1993 P.O. Box 421 Magalia, CA 95954 RE: Lateral Design at Draper. Residence Dear Mr. Warner: A.P:'- 064-150-031 B.P.#• 92-4453 With reference to the above subject, attached is: [XX3 Plan check list [ ] Red marked calculations [ ] Red marked plans Other: ACTION REQUIRED: [XXJ Comply with plan check list [XXJ Resubmit plans with revisions as required [XX4 Resubmit calculations with revisions as required. Remarks: If you should have any questions; please call (916) 538-7541, between 3:00 & 5:00. cc: John Draper Ver "truly yours, Joh-e. Henry Plan Check Engineer Permit Applicant: John Drapef ' Permit # 92-4453 Da t e : 10/19/93 The above referenced building plans were reviewed by this office. Provide additional information and/or make appropriate revisions to plans, specifications, and calculations as follows: The lateral design submitted is incomplete. Provide complete shear transfer details showing connection of roof diaphragm tb walls. Refer to enclosed documents: (a) Requirements for Engineering Documents (b) Engineering Design Criteria (c) Lateral Design Guidelines �.�4'ii:«��`• �At�.ds�s.ae�:kh.�d'��ji�1�''��i�`''�#'�!='t+r"�-a'"�w.rrr,...-„�,�,...s,', ,t BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District F Building Department No. A.P. Number&076#—,! /O a 3/ Jurisdiction 0 City � County 77 Property Owner J0H/(/ Dleg Property Location /Address s Subdivison ”' _ Lot No. Residential Development 0 No. o"f'Living MHI Units Sq. Footage Addition (Group R) Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Departm t Representative Date (Floor Plans reviewed by School District Personnel) District Identification No. J -O��Y� f School District certifies that (Applic ntt))/ 1�7A �- % (Stree ddress) (Phone Number) .(City) has complied with the�iequirements of Resolution No. representing �'7---1 square feet. — .7in/j, School Distract Representative (State) (Zip by payment of $ 0 O"IL0�• 0 . /0Ab3 Date `. Paid by Check Number ` i J o Remarks: Bank' Number Paid by Cash i If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmki (4/92) =ift.•'' .moi:". - _ t�:�r1i::: T. ,:: r:- 1'.:: . ,. l l r 7 io b >. 1 .7 I. :`� :,s,.i,rr t aC - •>s''L'A7• 1, .IC. . f M "ip f�t �3�+yI. �.� .. , _ ' .21 ; •,a::s`'�;t 3 �- $iS� � 1. r!l y` •-•w I I{ . .....6 - : r.'+ -4 ?Vi'ri+r'Cr `k c 1 " . ('�' yy//��yy,,,.. . , x % �ii` .. �;� 0 1. � . . , . ` = t. Y... . t -..2 !4 v "".,R- � fly%- � S I- . " ♦ �'", - 1 .� ,'� yr i.'..: :!,. , .1 •,•r C ! r,yi . �'Y/ i� j , , "f'..'-, IL . . . . , . 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Oif"ji' r= : �. ; y �' r�; y�i�fP�� ii .. `f ?•i' ,fit•'. .k. 1 ^ 7 �., - 4 ,� ` :. -'r "J:L:'+.k�,•u.. :'c:_ .l•. :iii"' ..aj-,::.`,�. ;(:, nP' - ~•' , . w� ai V . is .,w -I ,S\ . •.) r ,. \ ` !' !, , r a>r ' e 3 ••• ;•a' ' S;', jj .. ✓. . 1 • •• v f's-f'v11. .;t_^: ,. 4i;•'.. J - - rhe 1'. 'r' "1 ;a,•. ii.:�,ra:.`�If: .SR:' is �T`4. :.': � d.. , . iif. :f •• .. moi,' - ;�', r t� •r. .. . , s ��,`. t' r -, y-'•• %"" �T•o.. - ':. ;:.' ^�.. , .:.tom . . Certificate of Compliance: Residential Climate Zone 11 Project Titre 3 O Documentation Author Telephone WLDING DATA Condit r Area SlalpmisFWl Shea a Family Detached (SFD) (] Single Family Attached (SFA) [ ] Multi-Family(MF) Number of Stories Numberof.Units [ ] Addition -Alone [ ] Existing Building [ ] Existing -Plus -Addition BUILDING SHELL INSULATION Component Insulation Locafforuromments Type R -Value (tulic..tc garage. t►-ipi . em) Wall .............., Wall... Roof............. Roof ............. Floor ............. _ Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Bwl" Permit O L. S ZL- S' Checked By / Date & forcentant Axency Use Only North Glass Va East South West Skylight Total % Glass 3.3 S•7 Overhang Framing Type North ( ) ' tU /8 L w/ North ( ) East ( ) East ( ) Souch Sou L11 ( ) West ( ) ' West ( ) ltJ S Skylight ....... ' THERMAL MASS " Type/Covering Area - Thickness (slab/exposed, tile. etc.) ' (SO (inches) Location/Descri2tion (kitchem bath, etc.) HVAC SYSTEMS Minimum. -e Duct . Type (furnace, air Efficiency Location Duct Output conditioner, hent pump) (SE. SEER.HSPF) (attic. etc.) R -Value (Btuh) Manufacturer / Model # SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lownw residential buildings subject to the Standards must eortutathese mesaoes regardless of the compliance approach used. Items marked with an asterisk (-) may be superseded by mom stringent compliance mquntawAb Used 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 spenfr•la^n• for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures -62.5352(a): Minimum ceiling insulation R-19 weighted average. 62-5352(bY. Loose rill insulation manufacturer's labeled R -Value. • §2-5352(c): Minimum wall insulation in framed walls R- I I weighted average (does not apply to exterior mass walls). 12.5352(k). Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/mch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards Indicate type and form. §2-5352(0: Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Inrdtration/Esrtit ation Convols a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weathersuipped: all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with 12-5351 menu CEC quality standards. 12.5352(d): Installation of Fuoplaees I. Masonry and factory -built fireplaces have a Tight filling, closeable metal or glass door b. Outside air intake with damper and control c Flue damper and control 2. No continuous buming gas pikxa &IW*v . HVAC and Plumbing System Measures 12-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(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•furd space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment. water heaters. showenccads and fauces certified by the CEC. §2-5352(1): water he= insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): first 5 feet of pipes closest to tank insulated (R-3 or greater). 62.5312(Exception p: Pipe insulation on steam and steam condensate Mum Qt recirculating piping. §2-5318(d): Swimming Poci Heating 1. System has: a. Onloff switch on heater. b. Weathcrproof instruction plate on hater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4• Time clock. 5. Directional water inlet. Lighting and Appliance Measures 62.5352(j): Lighting - 25 lumens/watt or greater for genera( lighting in kitchens and bathrooms. 12.5314(c): Gas fired 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. COMPLIANCE STATEWIENT Thu certificate of compliance lists the building feam a and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter2, Subdhapter4. Article I 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 tm nsmit the certificate many subsequem purdhaser of the building. Designer Nan= Trt effliS : Address: Tekpiwne: Lic. 0: ' (signature) (date) Documentation Author Name: Tttle/FW, Address: Building Nam= Tttk/1=arm- Address: Telephoner (signature) (date) Enforcement Agency Name Atawy. r Telephoner y2c. 1. Ceiling insulation F2 factor 0.90 -4 Number of stories 0.80 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R38 0 0 0 U -value 4 2 .51 to 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -21 -13 -4 Single- Single - 29 -58 Family Family Mul6- R-value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value .1 7 14 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 31 -6 0 5 3. Rased Floor Insulation 16 19 Insulation in Floor -4 1 6 Number of stories 16 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 -17 1 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 20 8 Number of stories 12 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 6. Slab Edge Insulation 2 0.70 6.42 " Number of stories 7 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 .3 F2 factor 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Inriltration (Air Leakage). Spadfiation Points Standard 0 7. Shading (Shade Open) Effective Pa It Class (Percent =lass x SC) Effective -14 -48 -69 -64 na e North East South West Skylight 18 ` 6. Glass Heat Loss 1 4 1 Total 16 4 2 5 U value na Percent 4 2 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 leas 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) Effective Pa It Class (Percent =lass x SC) Effective -14 -48 -69 -64 na %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 16. Sbading (Shade Closed) Effective Per+cmt Class (Pereea►t fttaw x SC) . %Glow; Nattt Ead Sou1t Wet Slgrtpltt 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 .29 -40 -37 na 11 -7 -26 -36 33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 38 5 -2 .9 -11- -10 -30 4 -1 -6 -8 .7 .23- 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na - not abm*d 9. Interior Thermal Mass North b. Interior Slab Floor Raised Floor Mass Stories Stories -4 ICFA One Two Three One Two Three 0.0 -8 -5 -4 .2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Effective Exterior SUVIe- SOV18- 4610 16 or Wall Family Family Muth Mass Detached Attached Family 0.00 0 0 0 -17 0.20 3 2 1 -12 0.40. 5 4 3 -4 0.60 8 6 .4 3 0.80 10 8 5 0 1.00 13 10 7 0 1.20 13 12 8 5 1.40 12 13 9 16 1.60 10 13 11 5 1.80 10 12 12 13 2.00 10 11 13 26 11. Heating System 15 12 8 SE or HSPF 30 26 22 (assumes duets In aide) 14 9 Sum of 14 33 29 24 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33. 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 ._20 18 - 15__ 13 11 8 HWR ___9 Efrective SE or HSPF 5 (SE or HSPF x duct einciency) 2 Effective -25.or -24 b -14 b 4 to 46 to 16 or SE HSPF Mas _-15 -6 +5 4.15 more 9 0.30 2.75 -73 .64 -56 -47 38 30" na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22- -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 3 System Type IG None. -8 Q;!Ji_ : -4 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Sysc m North b. East c. South SEER -5 -4 -4 -3 -2 (assume, ducts in attic) 3 3 .. 2 Str of 7-10 2 1 Single -Family 11uached and Attached 25 or -24 to ►14 to -4 to +6 to 16 or SEER leu -15 ; .6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 3 -4 3 8.9 -5 .4 .4 3 -2 .2 9.0 -4 3 -3 -2 .2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12. 9- 6 -1 -1 Effagive SEER 0 0.4 -HWR (SEER xduet efficiency) -12 -9 -7 Sun of 7-10 1.9 WSB._: -25 Effective -25 or -24to -141c -410 4610 16 or SEER less -15 .6 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 .11 .9 -7 -6 -4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 j 11.0 26 23 19 15 12 8 i 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Orem Zonal Control Adjustment 10 10 10 8 7 6 4 3 1699 No Cooling, System Installed more SG .-Stories North b. East c. South One -5 -4 -4 -3 -2 -2 Two + 3 3 .. 2 2 2 1 Single -Family 11uached and Attached t T7►[ 2 MASS Unit Size jsQ Water ;199 120^ 1700 2200 2700 Heater U-9dit . or -i to to to .or Type Type less 11699 2199 2699 more SG None "0 ' 0 0 0 0 or Solar 12 " 8 6 5 4. HP -HWR 8 5 4 3 3 WSB 5 3 3 2 2 10% POU 8_ 5 4 3 _ •3 - SE None 37 -24 -18 -15 -12 857E Solar -1 -1 -1 0 0 0.4 -HWR -18 -12 -9 -7 3 - 1.9 WSB._: -25 -16 -12 -10' -8 3.4 POU _ -11-8 __-12 4 -9 -7. -6 IG None . :-5 3 -2 -2 -2 0.8 Solar 7_ 5- •4 3 2 2.3 POU 3_ 2 1 1 1 E None -28 49 -14 -11 -9 - Solar 8 5 14 3 3 1.2 POU -10 -6 -5 -4 -3 21 Multi-Faady (Individual units) 3.3 3.5 3.1 3.9 ( 4.3 4.5 Water 5 699 700 12M 1700 2200 I'festar Orem or to 10 10 or Type Type Me 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR ___9 1.5 5 3 2 2 2.6 WSB 9 4 3 2 2 4 POU 9 5 3 2 2 SE None -45 -23 -15 -it -9 1.5 Solar 2 1 1 0 0 3 HWR ' 23' -12 -8 3 --5 4.4 WSB -25 -13 -8 -6 -5 5.9 -12 -8 3 -5 IG None. -8 Q;!Ji_ : -4 -3-2_1.-.2 2 - �1 _ Pou_1 28 3-2- o - 0 1 0 3.7 IE None 30 -15 -10 -8-6 5.3 Solar - 18 9 6 4 4 12 POU -8 ; -4 -3 .2 -2 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation or R -value [381 U -value [0.030] 2. Wall Insulation or R -value [I I ] U -value [0.098] 3. Raised Floor Insulation or R -value [ 1 ] U -value [0.037] 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a.. North. Interior Mass/CFA East c. South d. West e. Skylight 9. Interior Thermal Mass t T7►[ 2 MASS 11.7.Y2RC-4.21 Ic.tfa.d .�.bl a ;YPE 1 M11SS (eIMC • 4.2. le: *xpasod slab) ' 0% 6% 10% 15% 20% 25% aft 35% 407E 45% 50% 55% 60% 6916 70% 75% 80% 857E 90% 05% 100% 105% 110% 115% 120% 125` 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1A 1.6 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 S 5.2 54 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 2.4 21 29 3.1 3.3 3.5 3.1 3.9 4.1 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 2.2 24 26 2.8 3 32 3.5 3.7 3A 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 so 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 53 5.7 59 .50% 0.9 1.1 1.3 1.5 1.7 1.9 21 2.3 2.5 2.1 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.6 2 2.2 2.4 2.6 28 3 32 3.5 3.7 39 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.6 5.8 6 6.2 60% 1 12 1.4 1.7 1.9 2.1 2.9 25 2.7 2.9 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 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 13 1.7 1.9 2.1 23 2-5 2.7 3 9.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 S.5 5.7 5.9 6.1 6.3 6.5 BOY. 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.0 4.1 4.3 4.5 4.7 4.9 5.1 54 5.6 5.8 6 6.2 64 66 85Y. 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.6 4 4.2 4.4 4.6 4.6 S 52 54 S.S S.. &1 6.3 BS i7 90%' 1.5 1.7 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 22 2.5 27 2.9 3.1 33 3.5 3.7 39 4.1 4.3 4.6 4.8 S 5.2 S.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100Y. 1.7 1.9 21 2.3 25 26 3 3.2 3A 3.5 3.8 4 4.2 4.4 4.6 4.9 S.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 S.4 56 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 23 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 52 5.4 5.7 6.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 S.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 S.4 6.6 56 6 6.2 6.S 6.7 6.9 7.1 73 125% 2.1 2.3 2.5 2.8 3 3.2 3A 3.6 3.8 4 4.2 " 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation or R -value [381 U -value [0.030] 2. Wall Insulation or R -value [I I ] U -value [0.098] 3. Raised Floor Insulation or R -value [ 1 ] U -value [0.037] 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a.. North. b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior -Wall Mass or R -value [01 F2 factor [0.77] Standard / • Type [double] 1.1 -value [0.65] % Total Glass [ 161 % Glass SC Eff. % Glass -3.3 X :5 X =q_391 X= X _ 3.110 X . % Glass - . _ SC Eff. % Glass 3-3 X _ .s• ] X X _ TYPE 1 MASS AREA $ LlteriorlJ`ass/CFA COND. FLOOR AREA TYPE 2 MASS AREA 8 11. Heating System X = Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or _ [0.72t6.6] HSPF 10.56/5. 151 12. Cooling System X = Zonal -Control?.( Y / N )_ _SEER [9.5] Duct Efficiency [0.741 Effective SEER 17.031 13. Water Heating Type [SGl Credit [none) Point Scores 10 / -/-/ Sum 1.6 Point Total: ..�Su�m 7-10