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HomeMy WebLinkAbout064-200-03164-20-31 2049-90B,P,E,M REED, Randy 6059,'Guilfordc,Circle,,Magalia (nre;singlejamily) 3-D Construction 064-200-031 02-3177 ` IVEY FAMILY TRUST 6059 GUILFORD CIRCLE, MAGALIA CONT: EDWARDS HOME RENV. "i REPLACE WALL HEATER _ �l�-aiss 7m=, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410 , i����y'�o• (Rev. 12/96) APPLICATION AND PERMIT �J / ASSESSOR PARCEL NUMBER ®�/l ^ �n�y f•�lL` C/ !S�%%� ZONING BUILDINGPERMIT OWNER Y ��7 LFPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAKING AD RESS �� �q ` O G/ G i12 CONTRACTOR'S NAME07 e- 2G_ Y lM� TELEPHONE CONTRACTORS MAIUNG AISDRE^,iS CONSTRUCTION LENDER Fireplace ' LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ • PERMIT FEE $ IAT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF /Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 17 f Describe Work:�yZ_��7` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 LE Main Service .0A OR 600V OF' 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. �f .i _ ��(X 1pq/ License Class Lic. No. �s� + OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I 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. ❑ I.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 (The above sections need not be completed if the permit is for work of a valuation VC of one hundred dollars ($100) or less.) -11 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. >� X ��te �� �7 02�. Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stones in height. Main Service TO 46.00 WEE200A CCUOOOA NEW CONST. DWELLING OCCUP. SO OR ADONS. ( & ACC. BLDS. 3.5Q�, T. NOONRESID. MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex, Occup. an0 @ Ia00 OUTLET OR FIXTURES FIXED APPLNS. OR 5.00 Ex. Occup. ourlETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under of the Butte unty Code and/or indicated a for which fees �- By PERMIT EXPIRES ON the applicable provisions olutions to do work a een paid. _ -G ate �2 Defe Receipt No. ® NA ASS SS PINK -INSPECTOR GOLDENROD -APPLICANT WHITE-D.D.S.-B. Y - _ _ _. _ .. � � _ _ ���--..-. :yl, �. ..wry .-. i� .- .. , . � -, � . d ,.- q, Name JIVEY FAMILY TRUST Addr1 JIVEY DENNIS E &VICKIE M TRUSTEES Addr2 IP 0 BOX 2151 Addr3 I PARADISE CA 95967-2151 Addr4 Comments 16420003100 CONVERTED 09/08/88 Creating D oc#1 1978R 2351074 Date Current D oc# 2002R 0020873 Date 4/23/2002 Killing Doc# D ate Asmk Desc PARADISE PINES 14 ---.j Zoning R T 1 D well I Q Acres}S g Ft 0 -- N /C 1664 S uplCnk P— Asmt # 064-200-031-000 Fee # 064-200-031-000 Status JACTIVE Status Date Tax 000 INORMAL OWNERSHIP TRA 053-014 Situs F6059 GUILFORD CI R MAGALIA Base D t 12/31 /2001 Timber Preserve AgPres j� Etal N otes B ands multi Situs Flag1 Flagg 910 MH Asmt PP Pen Tax PP Pen Appeal Pending Split Pending Land S tructure Fixtures G rowing Total L&I Fix. R F MH PP PP Exemptj 40,268 100,668 0 0 140,936 0 0 0 7,000 Netj 133,936 R!C#j T!R Dt� R!C Stat I PHY I OWN I EXP I TAX I HON I ATT j SIT j APR, j PCL �' Find f - K a RESIDENTIAL 64-20-31 2049-90B,P,E,M REED,7Randy 6059-Guilford Circle, Magalia (nre single family) 3-D Construction LT L -o je-2 } t: r OFFICE COPY Address GAS Date/ Meter By ELECTRI Date Meter By lQ-lt-S' eSr JOB FINALED (Date) Signature } 1. J=OK O= Not OK - Not Applicable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / P'Nat. or/ /"L"ft./ /"LPG 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 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 p 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or 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-Panel boards- 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 V OK O= Not QkK = Not Applicable Not Ready RESIDENTIAL (Single = Date UND LOOK Plans OK except #'s . Z - g -Setbacks -Easements -Flood -Slope Ftg. ain; Soils-Elec. -/ " Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-X,* Fig. Depth 4. F!2, Porches & Decks; Soils -Steel-/ /Ftg. Depth Ste walls, Main; Steel-Blockouts-Wrapped ko'stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 1 a Pipe; Size -Anchors ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground Z mums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C;t15. Insulation Date Card B-1 at Card B-1 Dat and B- Date Card B-1 Date P ING Permit OK except #'s pater Htr.; Vent -Access -Combustion r aff ter Pipe; Test & Anchor -Nail Protection 1 .W.V.; Test -Fittings & Anchor -Nail Protection 1 . Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 2J�-Gas Pipe; Size & Anchors Date !#I1 gD Card 8-1 Gl,J Date Card B-1 Date Card B-1 Date Card B-1 Date EL_ TRICAL (Permit) OK except #'s _ Fixture & Transformer Clearance -Ins. Protection 21.-Elec. Receptac1ps Spacing -Lights & Switches at Doors 24 Size Box No. o Conductors -Stapled 2q__p;rd'xInstqJIe06ose to Edge of Studs & C.J. E uip. made up w/Mech. Fastners-Bond Gas & Water 2 ppliance Circuts in Kitchen & Conductor Size/GFI Su (feed W' a Size /I / ga. Cu or A.C. Wire Size /(/ ga. 'Gu o All ger Range Circ. /9 / ga. or-Al-9van Circ. / / ga. Cu or Al. Insulated Neutral Vs 0 No 3d. Service -Riser Conductors & Ground -Main Disconnect 3:K uip. C earances Panels-Motors-Mech. Equip. es Closet Light -Shower Light -Spa Light CZ Smoke Detector Date ('v'PCard B-1 C Card B-1 Date 7,3, • and B-1 Date Card B-1 Date MECHANICAL Permit OK except #'s Ducts Ins tion & Support Vent Fan; above insulation -3f)--Condensate Drain & Overflow; Size & Grade :H rnance-Vent; Access -Comb. Air -Return Air Vent•115 outlet 48kttic Access & Platform if Furnance in Attic Datef�1 S� Card B-1 Cj Date Card B-1 Date Card B,1 Date Card B-1 xceot #'s JJ. Proper ial & Anchors . Wallstud ailing, Spacing & Bracing -Plates -Sound 11. Beatinq Walls over Girde}s & Floor Nailing ers & Beam -Size & & Duplex) Date FRAMING (Continued) 4 nger Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac- - thng.- f F' place Ties or Type A Flue -Fireplace Throat clearance A Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing Property Line Firewall & Openings . Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 'S9 -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection $4'plywood on Roof Overhang -Attic Vents -Rafter Outriggers X55. Siding -Nailing Veneer 56. Stucco Mesh -Drip reed -Fd. Vents-Underflr. Access 57. z' - lass Pro ctio - kylights-Plastic. he ailin 9. Insulation -Wails -Ceilings 60. Infiltration -Walls -Windows Date /9 and B-1 Dat rd B-1 Date and B-1 Date and B - Date &WAL Plans oK except #'s 6 Ext. Steps -Door & Sidelight Protection -Landings L.9'�Smoke Detector L-tT Furnace; Vents -Clearance -Comb. Air -Connector - In GArage; Above Floor-Ducts-Mech. Protection Bedroom Exiting - 65. G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels 5 tairs & Rails 6 . Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance V .L1. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer 1/73. A.C. Duct in Garage -Damper 4. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 5. Plb., Elec. & Mach. Equip. Listed for Location 7 Elec. Receptacles in Garage; (G.F.I.)-Romex Protection _117. Insulation -Foam -Looked in Attic V3111es 81)buard Rails & Deck Construction -Post Caps 7 . dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor P'4es 80. Following instld.; DriveP'-Y-es 0 No; Walks n4es 0 No; Planters 0 Yes 0 No 1. Stucco; Brown -Finish A.C. Unit; Disconnect, Electrical, Plumbing %,,,iff._Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings er Well; Disconnect, Electrical, Plumbing 5. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. ntilation Throughout House 7. Glass Protection 88. Corrections from Previous Inspections r 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date ' &_ard 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: must be made each time you visit job site) LOCATION ROOF -�1- ENERGY CERTIFICATION n'l. A. P. NO. MATERIAL_ BRAND NAME THICKNESS THERMAL RESISTANCE (R VALUE) EXTERIOR WALL �— MATERIAL FIBEGLASS BRAND NAME CERTAINTEED_ THICKNESS (INCHES) 3 YL THERMAL RESISTANCE (R VALUE) 1/ CEILING BATT OR BLANKET TYPE FIRE=RGLASS_ BRAND NAME CERTAINTEED THICKNESS 10 THERMAL RESISTANCE (R VALUE) 3 0 I-OOSE FILL TYPE FIBERGLASS BRAND NAME CERTAINTEED MINIMUM THICKNESS(INCHES) l Z— NUMBER OF BAGS f .�- WT PER BAG 25 LB AREA COVERED (SO FT)_ to lat. THERMAL RESISTANCE (R VALUE) 3o FLOOR, ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS (INCHES) (p THERMAL RESISTANCE (R VALUE) 1 FLOOR, SLAB MATERIAL BRAND NAME_ THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) FOUNDATION WALL' —" 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. r1KM NHMt:L/UWNER SIGNATURE GEN. CONTRACTOR/OWNER } STATE CONTRACTOR'S LICENSE NO. 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 ORRECTIONNOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whew correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date— Inspector t COUNTY OF BUTTE •-�'' -7 .,. DEP::;:=SENT OF PUBLIC WORKS • 196 Memorial Way; oti.;co _Phone: 891-2751 ' 7 County Center Drive, Orovr,ke — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: .872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or nee itional explanation, please contact this office immediately. • hAJ � IG+I i � .e - L � � r— Lia P� !z'P2 , •' � � ,� � SN � yen., �.� lis � J �p,r (' � a,` l.✓.orTVL %/v2 g' ,qr ce i� /.�.�%� R��/�►, t t/d � /.� � XII , of C d,,d S 4r ('!•c, ' /nA46�1-'Jj err �rc� 2e• Gni Jv(s n! P Zo' �J 4'j I -aloe f /.✓. . Date Z/�- 9'� Inspector . fM } 1 a 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 ORRECTION NOTICE j -7-19 NNER P RMIT 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 `" l ` ) Inspector 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 &go, 210y7-gv 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. % M i(.JSC .9e T IF Date V/ 5/ r/ Inspector N?•.: . ' •—,-:+ ti—=: .s-�r.� _ , :ar M ,.rn ! _ . rte. ..... - ti -4" �, w>tip.�? 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 � a����� V ER 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 drk is completed. If you have any question pertaining to this matter, or ne additional explanation, please contact this office immediately. one d % R� ow?QTMF1031&M M'.41 J 1 a Date �. -' t, �1 Inspector _ / i • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS —. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMI NO. ASSESSOR PARCEL NUMBER 064-200-031 ZONING -P BUILDING PERMIT OWNER TELEPHONE SO. FT. DCC. BUILDING VALUATION 1500 R 60,000 OWNER S MAILING ADDRESS 47 CONTRACTOR'S NAME TELEPHONE 80 coy 8,000 CONTRACTOR'S MAILING ADDRESS Fireplace 1 000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Maoglia Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 10 2.00 20.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 187 NAME i PARCEL MAP 3,9_3S__y0 Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF ❑( Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 5.00 5.00 Mobile Home S G W 10.00e TYPE OF WORK New EX Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑ Describe work: SFR 3 Bedroom Permit Fee $ 50-00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS t00 AMP OR LESS 10.00 10-00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 171 IYYill I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code cand my license is in full force and effect. License No. "7 � 6 q.J 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 NEW CONST.// DWELLING OCCUP.& OR ADDNS. t ACC. BLDGS. ) 2/20sgft 49.50 NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS R (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 20@50C SAL@ 30 FIXED Ex. OCCup. OUTLETS ( R RESID,)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 82 00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. pI 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 FiIingFee 10.00 Heating dualPak-r'0. _,'A 6.00 Cooling 3 1 6.00 Hood 3.00 3.00 Ventilation 2 3.001 6.00 permit Fee $ 31.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X :tVt� I , �~ %0Ig0 ti i 4� ,�l✓� Date f Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations,over 5'0" ee,a itj;ytneo�]construet- ion of structures over 3 stories in height. O V V Mobile Home Installation Fee $ Energy Inspection Fee S 30,00 occ CONST TYPE TOTAL $ 759 .50 L FEE A E HAZ —^ CUA PARK -�� !/ PAR P HD IssuE This permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees D E OR F PUBLIC BY(27 PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date �V Receipt No. �J LJ —1'3 , WHITE-D.P.W., YELLOW -ASSESSOR, PINK-IN9PE TOR• GOLDENROD -APPLICANT Jv"43, COUNTY OF BUTTE - DEPARTMENZ..OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLIC4T.ION DATA SHEET Permit No. OWNER ��)%� LL�1 S A. P. No. Q 4` 240 ' 03( Proposed Building Use 5E 3 Building Inspector KVj Date 6"EQ- 94 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Q1� DATE RECEIVED APPROVED > 1. All items have been submitted . .................................... \� Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in du is to/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. J V_r: Engineered truss details and layout in duplicate (required prior to plan check) `7 - `! • 90 9. Mobilehome installation data including manufacturer's installation instructions. ees of $ 534.6D118- W 1 . hico Urban Area fees paid ....................................... 12. Park fees paid .................................................... t School District fees paid .............. 7 0 Sanitation approval from PaAA A;Jt Health Department City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW -14W�4_ 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 2 Contractor's license information (No., Name Style, Classification) ... " 2. ertificate of Workmans Compensation Insurance .................. V Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Letter of�si ature authorization ................................... When you issue the permit, process as follows: Mail to owner. _ Telephone 89-7-0 US' and hold for pickup at Dila office Other Mail to contractor. _Deliver w/inspector. Applicant i'�' 1& 06Lj .Date G Z0t1g0 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 or to ermlt 1 alrcle n w 1t of c e ed above). 1. Index permit for above items No. ( ;14 ) '- 2. Additional items required: r ; Contractor designer, owner, was dvised of above required data byl�phone_�nail—counter by ontractor, designer, owner, wa advised of above required data by_phone_mall_cou er by Plans checked by Da� Plans approved by Sets of plans, on hold in Copy—DPW 01*1 FiI .� �rAA folder date 8 - l o -o- Vf� TO Buildinq Department FROM: Environmental Health. SUBJECT: Sanitation Clearance Owner Locatioh AP# Plan Approved for: Sewaqe Disposal �_ Water Supply Fold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom a;}e-home. Other NOTE * * * Sanitari aLe TO: Building Department FROM: Encroachment Permit Section a RE: Diiveway Clearance fieD, �, -,-/ (, 5 - C,/, ��-Ef 15F- /,, d s -.r r5 U, r, 20 - -?, owner location AP # Driveway permit Q'��l 77Z - has been issued for the above property. n b sign re date 5/89 RESIDEN,TzAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER A. P . # 45W =_Z:�2-=7 .� GEENNER�AL �lZoning requirements: (sideyards ..-Valuation. Plans signed by designer. Energy Design and Compliance. Existing violations on property. Items on data sheet. and number of permitted living units). PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map or compliance document. FAU & FAS road setback. PLAN /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). Human impact glass (Sec. 5406). /Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance /of mechanical equipment.. Locations of water heater, heating and cooling equipment, other electrical or rSmFireplace s equipment, and plumbing fixtures. rage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (Sec. 3304(e)). and wood stove location, alcoves, and clearance..oke detectors (Sec. 1210). DETAILS 'Foundation plan complete enough to construct building. door construction details complete enough to construct building. /VR levations and wall construction details complete enough to construct building. oof construction details complete enough to construct building. . Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR tairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail 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) Exterior plaster - weep screeds (Sec. 4706). / Proper roof pitch for roof covering (Chapter 32). L6/ : oof covering type - (fire hazard). Rafter ties or bearing ridge beam. arage door or porch header sizes. equate bracing. 10 './ Living area over garage - complete 1 -hour separation required on garage side c'luding supporting walls and posts, etc. 1. o exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). I . Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). combustion air for fuel burning appliances. 1 Noise requirements on duplexes. Adobe soils - special foundation design. 1 etaining walls requiring design. 1 Unusual shape, size, or split level house requiring lateral design. Flashing at all exterior openings. &-)A s . ` . �'L /'�- NJ 2 rA UST" ��" � i �N C COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-Oroville; California 95965 - Telephone: 916/538-7541 PERMIT NO. ASSESSOR PARLEI_ NIIAARCC APPLICATION AND PERMIT ZONING OWNERU(Q - 3 e -T- I BUILDING PERMIT- . SO. FT. OCC. BUILDING r l VALUATION OWNER'S MAILI G R ADDESS-549,1 `aRIO e Lame ►� s9�� CONTRACTOR'S'NAME Is- 111 �- TELrEJPHONEE CONTMAC�'S MAILING ADDRESSLS (, r CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ Filing Fee �� $ I 10.00 I LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER Permit Fee $ LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Energy Plan Checking Fee Penalty $ $ J 00 5 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 LOT NO. SUBDIVISION NAME PARCEL MAP•-- Each Trap or heat pump water heater Water piping 6 2.00 20.00 5 rte Each qas water heater or vent Gas piping system 1 - 5 outlets 5.00 5.00 USE OF STRUCTURE SF ® Duplex[] Mobilehome❑ Other SPECIFY Building sewer Mobile HomeS G W 5.00 0.00 e �f TYPE OF WORK New CK Addition❑ Remodel[] Utilities❑ Installation El Other ❑ Describe work: S, 2 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 LESS Main service 6,00V OR0 AMP 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑eAL030t 1, as the owner, Of my employees with wages as their sale compen-EX. 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 EA. ADD'L 100 AMP NEW CONST, DWELLING OCCUP.aj OR AODNS. ( ACC. BLOGS. NEW CONSTP- ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 �2QS q ft 2.50 ea r POWER APPARATUS e ( SINGLE OUTLET CIR, Ex. Occup(ourLETs OR FIXTURES 20030t Occup. OFIXED APPLES. OR UTLETS IRESI D,1 EA.) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee S 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 Cooling Hood 3.00 , Ventilation 2 Pe It Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ 30. occ CONST TYPE TOTAL FEE $719-1 HAZ CUA PARK sCHL FLD I PAR PD HD 25r� ISSUE I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Count of Butte to enter upon the above-mentioned property for inspection purposes. y I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Th's permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable resolutions have been WORKS Date provi- to do paid. / o Receipt No.# &&963 -tm 22 S.Sa WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT _.� BUTTE COUNTY DEPARTMENT OF HEALTH �. DIVISION OF ENVIRONMENTAL HEALTH 196 MEMORIAL WAY SEWAGE DISPOSAL PERMIT CHICO, CALIFORNIA 95926 747 ELLIOTT ROAD 7 COUNTY CENTER DRIVE Phone: 891-2727 PARADISE,'CALIFORNIA 95969 OROVILLE, CALIFORNIA 95965 Phone: 872-6308 Phone: 538-7281 Date Issued Z Permit Issued to of //mac%rP C �Y To construct as sewage disposal system for: S- " Located at: _4 11 i, I'll W / e? -le ./l"a ',old - SEPTIC TANK SYSTEM REQUIREMENTS Septic Tank (Inside Measurements) Leaching Field 'Length: ... , ft, Total Length: /SD Width: . . . . . . . . . . . ft. Trench width:. inches Liquid depth: . . . . , ft, Minimum No. of lines 2 Liquid capacity: �, , eals. R,.,.i..._a__ . '�l"%i:;��"Gipt�+Y+'Y�?;S's_;,.{K`" 5.:.i.�r'�:.t��yl��"Y,�^�rrr•s++u�''�ry•�'''"'yr,.—v ..,.^.'a..—. ,...s:.. ...... ,-�...� _1._y��i�""" •a�'rr �cp�..c,,...�..-� '^+i:y.�..-yr-+ti.,.••+As=+��,.,•«..... BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per.'Building) A.P. Number 6&4-200-631 Building Department No. School District e4k-A City n County Jurisdiction Property Owner Project Locati subdivisions ;((,���Q,�� � p/) Lot Number Residential Deve pment: Sq • .Footage � 5� # of Living MHI Addition (Group R) Units Commercial/Industrial: f D Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) Y District Id No. b " (Applicant Name) ( Street Address) I �J ..tJ�-o! School District certifies that F7g 0t ( Phone Number) City) (State) (Zip'Co has complied with the requirements of Resolution No. by the p ment of $ 3 �Q,� representing _square feet. h qlc7o S dol District Representative IDafe PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) ' * - m OWNER'S NAME: RECEIVED PERMIT NUMBER: 12,049 —9O A . P . # : to - 2b A DATE RESIDENTIAL F� NON RESIDENTIAL RECEIVED BY REQUIRED PRIOR TO PERMIT ISSUANCE FROM DATA SHEET [X REQUESTED BY PLAN CHECKER ❑ OTHER, REQUESTED BY CORRECTION NOTICE -,,Fl YES ❑,] 4 LOCATION IN BUILDING WHERE.CHANGE WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner �(Aa'dress) Mail to contractor ITEM: (Name and Address) Call and hold for pickup at liver with next inspection. REVISED PLAN CHECK FEES PAID: office. $15.00 $30.00 Additional Fees Not Required e' ����� ���� �:�� ����,� .j�j jo �a - 9� G��� Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9'0%- 4.0 09.4 FOR RESIDENTIAL 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 ; to land or included within an area zoned V0-040094 ; Rec Fee 9.001 for agricultural purposes, and residents ; Check. 9.00 of this property may be subject to incon- Recorded' ; veniences or discomfort arising from the Of f kcia 1 Records ; use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte ; and fertilizers; and from the pursuit Candace J. Grubbs.; ' of agricultural operations including, Recorder but not limited to cultivation, plowing, i :21pm 18 -Sep -90 ; X 3. 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: Sept. 8, 1990 PROPERTY OWNERS: e State of ) On this the day of V9 before me, SS. the undersigned Notary Public, personally a peared County of ) Personally known to me. 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 WITNESS' WHEREOF, I hereunto set my hand and official seal. Present A.P. No.MA 1Q6 DII DOG Notary Public � e 0 0 ~UcU '4�Ir tl • _ • j v 7r ' ' • r State of California ss County of Butte 90-40094 6�11 On September 18, 1990, before me, the undersigned, a Notary Public for the State, personally appeared GEORGE T. DAVIS, personally known to me (or proved to me on the oath of ALAN S. AVIS who is personally known to me) to be the person whose name is subscribed to the within instrument, as a witness thereto, who, being by me duly sworn, deposes and says that he was present and saw LINDA DAVIS-REED and RANDY REED, the same persons described in and whose names are subscribed to the within and annexed instrument as a part thereto, executed the same and that said affiant subscribed his name to the within instrument as a witness at the request of LINDA DAVIS-REED_a.nd RANDY REED. OFFI:E. AL SEAL VALERIERICHARCSONNOTARY PC • CAUFOHNIABUCOUNTY4D My Comm. res Feb. 18, 1992 VALERIE E. RICH RDSON {i1 V 1J4 �� Order No. Escrow N3. Loan No. neounTED E3Y. a-, WHEN RECORDED MAIL'TO: George T. Davis -850 Howe Lane Paradise, CA 95969 MAIL TAX STATEMENTS TO: - 90--40094 90=019026 -19016 3i Rec Fee <5:00 ,, I Check 5.00. Recorded 1 Official Records 1 • S ti`. i " County of 1 �,. Butte 1 ;Candace J. Grubbs 1 .� Recorder 1 8:02am 10 -May -90 1 CD SPACE ABOVE THIS LINE FOR RECORDER'S USE George T. Davis X.. Computed on the consideration or value of property conveyed; OR' 850 Howe Lane Computed on ni o sale.. r-a�the sideration or value I ens or encumbrances ->Pads�e-,--.-C-A-9596remaining at t 9 •- _... - -- --- ._. Signature of aclarant or Agent determining tax — Firm Name A/P # 064-200-031-000 GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, GEORGE T. DAVIS and ANNA T. DAVIS, TRUSTEES of the DAVIS FAMILY TRUST dated 9/11/89 hereby GRANT(S) to RANDALL D. REED and LINDA DAVIS-REED, husband and wife the real property in the Ctty ut Unincorporated area County of BUTTE , State of California, described as Lot 187, as shown on that certain map entitled, "PARADISE PINES UNIT 14", which map was filed in the office of the Recorder of the County of Butte, State of California, July 15, 1971 in Book 38 of Maps, at pages 37, 38, 39, 40, and 41. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that.any and*all mining operations shall be done•to the surface of said land. Dated APRIL 19.90 STATE OF CALIFORNIA Iss. COUNTY On 23rd April 1990 I before me, the undersigned, a Notary Public in and for said State, per- sonallyappeared George T. Davis --and Anna T navis personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are -subscribed to the within instrument and acknowledged to me that he/she/they executed the same. WITNESS my hand and official seal. f GE RG .'DAVIS, TRUSTEE, /-i ANNA T. DAVIS, TRUSTEE M SEALAVISALIFORNIATYb. b. 1993 ( ` / (This area for official notarial seal) Signature )n\ 1 / L •.) 1 l��e•'L•' ./ �j MAIL TAX STATEMENTS AS DIRECTED ABOVE E[V18 FID if 'T. (6/82) 1. Ceiling Insulation 2. Wall Insulation 14 Number of stories 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 1 R-19 0.50 -176 -84 -54 1 0.30 -102 49 -32 0.10 -26 -13 -8 1 - 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 14 4 Single Single 5 1 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 -24 -10 • • 0:80 -153 .-114. -76 ' 0.50 -91 -68 -46 0.30 -47 -36 -24 f ..0.10 0 0 0 • 0.08 4 3 2 0.06 9 7 5 } 0.04 14 11 7 L 0.02 19 14 10 0.00 l 24 18 12 3. Raised Floor Insulation 12 28 Insulation In.Floor -18 -10 Number of stories 5 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 -- 0.60 0.50 0.40 0.30 c 0.20 0.10 y 0.08 0.06 0.04 0.02 0.00 -144 -120 -95 -69 -43 -17 -11 -6 -1 4 10 -70 -58 -46 -34 -21 -8 -6 -3 0 2 5 5. Infiltration (Air Leakage) specificato - Points Standard 0 - 6. Glass Heat Loss Total 14 4 2 5 U -value na Percent 12 3 .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) - - ERecUre Perceni Glass (percent Its x SC) Effective %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na Controlled Ventilation Crawlspace 14 4 2 5 1 na Two 12 3 3 5 2 na -46 11 3 3 5 2 : na -38 10 2 3 5 2 1 -33 9 2 3 5 2 2 -22- 8 2 3 5 2 2 .-14 7 1 3 4 2 2 -5 6 1 3 4 2 3 -4 5 1 2 4 2 3 -2. 4 0 2 3 1 3 0 3 0 1 2 1 3 1 2 0 0 1 0 3 3 1 -1 -1 -1 -1 2 2 0 -1 -2 -4 -2 0 Controlled Ventilation Crawlspace -14 -48 Number of stories -64 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 -26 -- '- -"- -33 Number of Stories 10 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 7 -4 -14 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 na = not allowed 1B. Shading (Shade Closed) Effective Percent Glass (percent titm x SC) Effective ' Glass North Etat Sotto West %fit 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 0.1 -26 -36 -33 na 10 .-7 -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 1 4 6 8 8 9 9. Interior Thermal Mass Interior Single- :: Slab Floor Raised Floor Mass Wall Stories Family MU16 Stories Mass ]CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4- -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2. -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -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 ti 13 14 14 •., 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- :: Single - _ -3 Wall Family Family MU16 3 Mass Detached Attached _ Family 0.00 0 0 0 Zonal:Control? ( Y / N) 0.20 3 2 1 16 or 0.40 5 4 3 +15 0.60 8 6 4 -8 0.80 10 8 5 -7 .6 1.00 13 10 7 or 1.20 13 12 8 9.0 1.40 12 13 9 -1 i 1.60 10 13 11.. Solar 1.80 10 12 12 2 2.00 10 11 13 6 5 11. Heating System 3 2 11.0 10 SE or KSPF 6 4 3 (assumes ducts In attic) ... 13 11 17 14 9 12 Sum of 1-6 5 6 _ SE -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 6.6 EfTective SE or HSPF -4 -4 (SE or HSPF x duct efficiency) .-2 Effective -25 or -24 to -14 b d to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3: 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4. 3 2 2 i 12. Cooling Syst,1m -5 -4 _ -3 = SEER' Two +. 3 3 2 2 (assumet ducts In attic) 1 • HSPF [0.5615.153 12. Cooling,System Stm of 7-10 Zonal:Control? ( Y / N) SEER [ .5] '-25 or -24 to r14 to -416 +6 to 16 or SEER less -15 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 .6 -5. -4 3 to or Type. Type less J1699 9.0 -4 -3 3 2 2 -1 i 0.. 0 0 or Solar 12 00 4 3 3 2 2 11 a 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 L13.0 15 20 13 11 17 14 9 12 7 9 5 6 3 SE None -37 -24 -18 -15 -12 Effective SEER Solar -1 -1 (SEER xduct efficiency) t 0 0 0.6 Sun of 7-10 -18 -12 Effective -25 or -24 to -1410 -4 to +6 to 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 .9 6.0 -12 -11 -9 -7 3 -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 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 ' Zonal Control Adjustment j 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two +. 3 3 2 2 2 1 • HSPF [0.5615.153 12. Cooling,System X- Zonal:Control? ( Y / N) SEER [ .5] Duct Efficiency 10.741 Effective SEER [7.031 Single -Family Detached and Attached ?lyW [SGl . . Ii.p t.4 ...W 141.7-V.d .i_bl Unit Size (sQ Water i 199 j 12M 1700 2200 2700 Heater Credit or ; to to to or Type. Type less J1699 2199 2699 more SG None 0' I 0 0.. 0 0 or Solar 12 8 6 5 4 HP- - -HWR ' 8 5 4 3 3 0.2 WSB 5 3 3 2 2 1.7 POU 8_ 5 4 3 3 SE None -37 -24 -18 -15 -12 4.6. Solar -1 -1 -1 0 0 0.6 HWR -18 -12 -9 -7 -6 2.1 WSB.. -25 -16 -12 -10' -8 3.5 POU. --1.0 _-12 -9 -7 -6 IG None =5 -3 -2 -2 -2 1 Solar 7' 5 4 3 2 24 POU .3-- 2 1 1 1 IE None -28 -19 -14 -11 -9 5.4 Solar 8 5 4 3 3 1.4 POU -10 -6 -5 -4 -3 ; 2.8 Multi -Family (individual units) 17 3.9 4.1 4.3 Unit Size (sQ n 4.9 Water 5.3 699 700 . 1200 1700 42200 Heater Credit or b to to `or ' Type Type less 1199 1699 2199 more' SG None 0. 0 0 0 0 1 or Solar 14 7 5 4 -,3 ' HP HWR 9 , 5 3 2 /2 , 15 WSB 9 4 3 2 2` 4 POU 9 5 3 2 2 SE None -45 •-23 -15 -11 '.g - 1.4 Solar 2 1 1 - 0 0 28 HWR -23 -12 -8 3 -5 4.3 WSB -25 -13 -8 -6 -5 5.8 _e0U_ _23 -12 -8 -6 1.4 IG None -8 -4 -3 -2 _-5 ; -2 - Solar 6 3 2 1' 1_ 4.6 POU 1__0 5.2 0 0 5.9 IE None -30 -15 10 -8 . - -6 1.7 Solar : 18 9 6 4 4 - POU -8 3.8 -3 -2 -2 Interior Mass/CFA TTvx 1 PASS Exterior WallMass 11. Heating System %A x _Zonal Control? ( Y / N) SE or HSPF _ • �♦ i > • HSPF [0.5615.153 12. Cooling,System X- Zonal:Control? ( Y / N) SEER [ .5] Duct Efficiency 10.741 Effective SEER [7.031 13. Water Heating C, ?lyW [SGl . . Ii.p t.4 ...W 141.7-V.d .i_bl 4 TYPE I MASS (UIMC 4.2. ie: ex scd �- slab) - 0% 5% 10% 15% 20% 25% 30% 35% '49 4i% W% 55% 60% 6Si4 70% 75% 60% 65% 90% 95% 100% 105% 110% 115% 120% 125- 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.S 1.7 1.9 21 23 ZS 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6. 4.8 5 5.3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 23 2.5 2.7 .2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 15 17 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 22 24 26 2.8 3 3.2 3.5 17 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 15 1.7 1.9 21 23 15 27 3 32 3.4 3.8 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 ` 6.1 5S% 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 2.3 25 2.7 2.9 3.1 3.3 3.S 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 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 22 25 21 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 15 1.7 .1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 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 4.0 5.1 5.4 5.6 5.6 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 63 6S 67 90% " 1.5 1.7 2 2.2 24 26 2.6 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 2 2.2 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.6 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3A 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 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 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.S 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 50 '6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 65 6.7 7 7.2 7.4 - Point System Summary: Climate Zone 11 ; SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) Measures 3b or R-v,/ue [38J U -value [0.030] /C /' or R -value 11) U -value (0.098) or R -value [ 1) U -value [0.037] or R -value (0] 0.-4-4 Type (double) ........,,, t_1 1i Point Scores -a O 0 0 U -value 10.651 % Total Glass (16) Sum 13 % Glass SC Eff. % Glass ,S • x . 7 = 0 0x -12 a / 5/ = , G X % Glass SC Eff. % Glass a. North I_ x 3.13 b. East d x c. South d. West / • x • (e (e _ • y it e. Skylight 0-F x 77 = ' ��• TYPE 1 MASS AREA 9. Interior Thermal Mass COND. FLOOR AREA - $ �+ r Interior Wass/CFA TYPE 2 MASS AREA _ � /7 10. `ExterioWall Mass e � i . COND. FLOOR AREA . 0.A Point Total. �1 Exterior WallMass 11. Heating System %A x _Zonal Control? ( Y / N) SE or HSPF _ Duct Efficiency [0.78] Effective SE or �♦ i (0.77/6.61 r"; • HSPF [0.5615.153 12. Cooling,System X- Zonal:Control? ( Y / N) SEER [ .5] Duct Efficiency 10.741 Effective SEER [7.031 13. Water Heating C, ?lyW [SGl . Credit [none] 0.A Point Total. �1 cejruticate oit Comptiance: Resiidentfai Climate Zone 11 Project Title ,�/ 0 feY _ fa �a,4W Building Permit# ! 4 1.5 'e--15 Project Address _ A' ret' �� re% a Chedted By / Date r!v �c1 Chi// � �/ Documentation Author Telephone I Enforcement Agency Use Only BUII.DING DATA NoG l= Area % Glass rth Conditio ea 1500 Number of Stories _� East O O SlabA Number of ,Units �_ South -5 ['I"_$_ingle Family Detached (SFD) (] Addition -Alone west_ [ ] Single Family Attached (SFA) [ ] Existing Building Skylight /_ 0. [ ] Multi -Family (NM [ ] Existing -Plus -Addition Total e BUILDING SHELL INSULATION- ' - Component .Insulation Locatfon/Cpmmenits Type R -Value (attic..ta garages cipical. etc.j Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING shading Devices Glazing Area Glass Type . Interior Exterior Overhang Framing Type Orientation (sf) ' (single. double) (oller blind. etc.) (shadescreen, etc.) (yeshto) (metaltw22 y North ( ) C' '7_ --��01 North ( ) EastEast ( ) South Sou th West ( )_ - West Skylight.......- r THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Locadon/Description (kitchen% bath etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner. heat Dumn) (SE, SEER,HSPF) (attic, etc.) R - Value (Stull) (or approved equal) �'• � ^err 30 �U maximum rumace Heating Vutput: HOT WATER SYSTEMS Manufacturer/Model # SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -IR F N 5'rE Lowrise residential buildings subject to the Standards must contain these ontaasuru es regardless o[ the oom�Iianee r approach used. Items marked with an asterisk (•) may be superseded by mote stringent compliance requirements fisted l on the Certificate of Compliance When this checklist is incorporated into the Qerrnit docliierts, the features noted t be considered by all panics as binding minimum component performance spear ieaitons for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCRIPTION Buildinig Envelope Measures ' §2.5352(a): Minimum ceiling insulation R-19 weighted average. b §2.5352(b}. Loose fill insulation manufactumt s labeled R -Value. ' §2.5352(c): Minimum wall insulation in famed walls R-1 I weighted average (does net apply to exterior mass walls). • §2.5352(kr Slab odge insulation - water absorption rate no greater than 0.3%. waw vapor transmission rate no greater than 2.0 pcmVuneh. §2-5311- Insulation specified or installed moots California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(n: Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infil[ration/Exftltration Controls a Doors and windows between conditioned and unconditioned spaces designed to Emit au leakage. b. Doors and windows certified. c. Doors and windows weadterstrippcd: all joints and penetrations caulked and sealed. §2.5352(e): Special infiltration barrier installed to comply with §2-5351 moos CEC quality j standards. §2.5352(d): Installation of Fueplaoes 1. 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(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2.5352(h) and 2.5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Duct- constructed, installed and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have dampercontrols. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(i): Water heats insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): rust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Excep6on 1): Pipe insulation on steam and steam condensate mum dt recirculating piping - §2 -5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater: 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 §2-5352(1): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators, refrigerator -freezers, freezers and nuorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This Certificate of compliance lists the building features and performance specifications needed to comply with Mlle 24. Chapter 2-53 and Title 20, Chaptrr2. Subchapter 4. Article 1 of the California Administrative code. This mitifcate 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 purchaser of the building. Designer Building Owner Nana: Narnc T,dC/FWW Tide/Fum: Address: Address: Telephone: Telephone: l,ic. 0: (signature) (date) (signature) y (dart) Documentation Author Enforcement Agency Name: Name: Tttle/FWW Agcy Address: Telephortc i