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
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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 �
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of C d,,d S 4r ('!•c, ' /nA46�1-'Jj
err �rc�
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. Date Z/�- 9'� Inspector . fM
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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