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HomeMy WebLinkAbout064-200-04964-20-49 529-90B,P,E,M Illa 6068 Abraham Ct, galia (new single family) ._ 1 Abraham Ct _fam —91y) ga 52 9 1 ja am ly) 7711 3_96BPE M to KER 1. Permit#2465-90B,P,E,M TRANS owner. to KU Real 064-200-049 06-0143 JOHNSON, JAMES 6068 ABRAHAM CT, MAGALIA Cont: ELITE CONTROL HEAT PUMP, HVAC PACKAGE F/ Abq-1, 31 1`7 / 0(p cc-�= Butte County Department of Development Services. e�T% RRA 7 County Center Drive, Oroville, CA 95965 530 538-7601 �ouH<y- ( ) unvw.buttEcoiinty neudds, RESIDENTIAL "PN' — 064-200-049 06-0143 Owner JOHNSON, JAMES 6068 ABRAHAM CT, MAGALIA Site Address: _ Cont: ELITE CONTROL HEAT PUMP, HVAC PACKAGE Contractor-, Type of Permit: ZS 3--s SPECIAL CONDITIONS CHECKED BY Q SRA ❑ FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID ENV HLTH CLEARANCE ERS �5T C)Fi cftR4jlG/E DATE JOB FINALE�D: 1� SIGNATURE: i OK = Not OK RESIDENTIAL (Single_ & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub•Acc 6 Stemwalls Garage; Steel-Btockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test \� 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 61 AC Ducts Insultn & S ort 14 Girders-Sills-Anchr Bolts Joists -Vets -Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63Cansate Drain & Ovrflw, Sz & Grade 16 Insulation F64' urnace-Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 16 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Meth Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frpic Throat Clmc 72 Elec Trim & Subpnl, Breaker Sis & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landin g -Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv flr 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn- LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-Skytts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pals 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Drnge Planters ❑Yes ❑No °�• �� 87 S co Brown -Finish 0; °�. AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs DATE E LT R I C A L 90 Wtr Well, Dscnnct, Elec, Plmb xtr & Trnsfrmr Clrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GF1 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 93 ❑ CU or ❑AL 98 Address Posted AC Wire Sz 9a ❑ CU or ❑ AL 99 Fire Sprinkler 48 Range Circ 9a ❑ CU or ❑ AL Oven Circ ga❑CUOr❑AL—(�`OCa �5 Insulated Neutral ❑Yes ON. 49 Se lice -Riser Cndctrs & Grnd Main Dscnnct 500Egp Clmcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector' +=OK n = imt nK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LP❑ Inch Sz FtLngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -00 to Grade 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S -C O V E R S`C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsStee I 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof-, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis °'• °mac °; e?� DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel -Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI _ 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide c o"• o��c d'P 0: °'• �c °'• 0c Pool Drawing Ca10ERTS - Certificate Page 1 of 1 CERTIFICATE OF FIELD VERIFICATION >& DIAGNOSTIC TESTING (Page 1 of 8) CF -411 6068 Abraham Ct Elite Control / 817517 Project Address Contractor Name / License No. BP060143 Contractor Contact Telephone Permit Number Michael Hughes (530)828-4031 16242 HERS Rater Telephone Sample Group Number February 16, 2006 CC14-1798356824 Certifying Signature Date Certificate Number Firm: Mike's HERS Rating HERS Provider:CaICERTS Street Address: 14485 Holmwood Dr. City/State/Zip:Magalia / CA / 95954 Cooies to: Homeowner, HERS Provider and Buildina Department This CF -411 has been registered with the CaICERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was R Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system Is fully ducted and correct tape is used before a CF -411 may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and signed CF -6R has been received for the sample and tested buildings. The installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system Is fully ducted (i.e., does not use building cavities as plenums or platform returns In lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used In combination with cloth backed, rubber adhesive duct tape to seal leaks at dud connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1EnterTested Leakage Flew .- _r�teEFWr� N/A 2 Fan Flow: Calculated (Nominal 0 Cooling 0 Heating) or 0 Measured Enter Total Fan Flow In CFM: 1200 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow In CFM from CF -6R: Pre -Test of Existing Duct System Prior to Dud System Alteration and/or Equipment Change -Out. 758 5 Enter Tdsted Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Dud System Alteration and/or Equipment Change -Out. 200 6 Enter Reduction In Leakage for Altered Duct System [Line 4 - Line 5] - (Only if Applicable) 558 7 Enter Tested Leakage Flow In CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage <= 6% [ 100 x ( Line 5 / Line 2 )]: ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass If Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: ❑ Pass Fail 10 Pass If Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inypgction 74% 0 Pass El Fail 12 Pass if Sealing of all Accessible Leaks and Verification by SmokZ Test and Visual Inspection JE1 Pass ❑ Fail Pass if One of Lines #9 through #12 pass I I 0 Pass ❑ Fail http://www.calcerts.com/cf4r_print_certificate.cfm?lots=16242&RequestTimeout=100000 2/15/2006 .' :t INSTALLATION CERTIFICATE 3of1 CF -6R Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS ❑ DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Fan Flow Test Leakage (CFM) If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity in Thousands of Btu/hr, enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) = Pass if leakage fraction < 0.06 ❑ (ti b Ka,'c�lOt& Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ Pressure pan test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections ❑ ❑ Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ ❑ Yes is a pass Pass Fail ❑ DUCT DESIGN I ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. 2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R. Measured Fan Flow = ❑ ❑ Yes for both 1 and 2 is a Pass Pass Fail ❑ 1, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requireme4Date credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employeesertifying that diagnostic testing and installation meet the requirements t for rccompliance credit.] Tests igna Installing Subcontractor (Co. Name) OR Performed General Contractor (Co. Name) COPY TO: Building De artment HERS Provider (if applicable) Building Owner at Occupancy S�x NeXT 16LJ J2—Fo r � �G� C_Lk �� o s Nfiw CF �o2 PcuyH Compliance Forms August 2001 A-25 1P INSTALLATION CERTIFICATE Site INSTAI C_k - (Page 4 of 12) CF -6R Permit Number COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ MTested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ("Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. the connection points ® If the house rough -in duct leakage test was conducted without an air handler installed, inspect P between the air handler and the supply and return plenums to verify that the connection points are properly sealed. l*lnspect all joints to ensure that no cloth backed rubber adhesive duct tape is used CWew Distribution system is fully ducted (i.e., does not use building cavities as plenums or platforms returns in lieu of ducts . ✓ ❑ DUCT LEAKAGE REDUCTION P._a. jnm for field verification and diagnostic testing ojair distribution systems are available in R,4 CM, Appendix RC4.3 NEW CONSTRUCTION: Measured Duct Pressurization Test Results (CFM Q 25 Pa) Values I Enter Tested Leakage Flow in CFM: Fan Flow.. Calculated (Nominal: ✓ ling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfmhon x number of tons or as 21.7 clin/(kBtflow in CFM hex Heating �!DO Capacity in Thousands of Btu/hr output, enter total calculated or measured fan flow 3 Pass if Leakage Percentage_ 6% for Final or <— 4% at Rough -in: f 100 x [ (Line # 1) /(Line # 2)11 ALTERATIONS: Duct System and/or HVAC Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5 system for Duct System Alteration and/or Equipment Chana-Out. Enter Reduction in Leakage for Altered Duct System 6 r (Line # 4) Minus (Line # 5)] — (Only if Applicable) 7 1 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) [EntireNew D�System - Pass if Leakage Percentage<_ 6% for Final8: # 5) / Line # 2)11 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change - Out Use one of the following four Test or Verification Standards for compliance: o Pass if Leakage Percentage <-15% [100 x [ (Line # 5) / — u— (Line # 2)J] 10 Pass if Leakage to Outside Percentage 510% 1100 x [ _(Line # 7) / (Line # 2)]] Pass if Leakage Reduction Percentage z 60% [100 x L_(Line # 6) / (Line # 4)]] 11 and Verification by Smoke Test and Visual Inspection 12 1 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection Pass if One of Lines # 9 through # 12 pas ✓ ✓ ❑ Pass ❑ Fail ✓ ✓ I Pass ❑ Fail ✓ ✓ ❑ Pass ail ❑ Pass ❑ Fail Mass 0 Fail Q Pass ❑ Fail LWMs ❑ Fail ✓ 01, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Copies to: BURRING DEPARTMENT, HERS RATER (IF APPLICABLE) BUa.DING OWNER AT OCCUPANCY Residential Compliance Forms September 2005 l BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060143 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/20/2006 APN: 064-200-049-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Site Address • 6068 ABRAHAM CT MAG effect. �y Number: l License Class: V License Map Index: Date: LIZContractor Description: new heat pump, package unit hvac OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Owner: JOHNSON JAMES HERRICK Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 6068 ABRAHAM CT to its issuance, also requires the applicant for such permit to file a MAGALIA, CA signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 95954 7000) of Division 3 of the.Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: ELITE CONTROL, INC. intended or offered for sale (Sec. 7044, Business and Professions 4133 STATE HWY 49 Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does DIAMOND SPRINGS, CA. such work himself or herself or through his or her own employees, 95619 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 530-622-4324 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business Contractor: ELITE CONTROL, INC. and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, 4133 STATE HWY 49 and who contracts for such projects with a contractor(s) licensed DIAMOND SPRINGS, CA. pursuant to the Contractors' State License Law.). 95619 ❑ 1 am Exempt under Article 3 of the Business and Professions Code 530-622-4324 ate: owner: License M 817514 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 Architect: Labor Code, for the performance of the work for which this permit Engineer: is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Total Square Ft: 0 S. F. Carrier: Valuation: $0.00 Policy#: Census Code: certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ' /r Applicant: *workers' v WARN IN ailure to sec re compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. . CONSTRUCTION LENDING AGENCY This permit is her5ply,issued under th6 ap cable p visions of the Butte County Code and/or indicat been I hereby affirm that there is a construction lending agency for the the for this is issued 3097 Civ.) Resolutions to work above or whic ees have paid. performance of work which permit (Sec Name: By: Date: PERMIT EXPIRES ON: 2 eo 6 Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code. which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or doc ment of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: �. Oy y����q Z21) Signature: --6lo Date:. 1::::Z26-61,, ❑ OwnerContractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY - "/""'Ve*3:� 7 CONTRACTOR ' W_ .e _ Elm WOW Fax State Zip "/""'Ve*3:� 7 CONTRACTOR ' W1 d .r'. 1/ _ Address Elm City Fax State Zip Phone Book Fax E-mail "/""'Ve*3:� 7 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address rp City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name a Address City State rp Phone Fax E-mail For o ce use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP 0 BIN # PROJECT LOCATION AP#o y OG (1-2-00 Property Address City Cross S reet WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descri tion or Sc a of Work: Sq FT- Livingl Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receivveed/ by: Amount: Bldg Receipt #: ( Sheriff SMIP Date: v Other Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND 1N INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if. required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. 1111. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5.. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ & Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant of (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 RESIDENTIAL 2y�. S29 - 9 o 81 64-20-49 ,K2465-90B,P,E,M P..ARK!ER,, Neal 6068 Abraham Ct, Magalia (new sf)�HS 4 Address OFFI CF COPY i GAS Meter BY � Meter gy Date ELDate Meter B R/C pDaly Date JOB FINALE Signature J=OK O=Not OK ' -=Not Applicable ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /'L"ft. / /'Nat. or/ /"L"ft./ /"LPG 7. 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 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists-Decking-Bracing-Siairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Corineeiions-Splice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmo: 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-Panelboards-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 OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date UNDE COOK (Plans) OK except #'s o 'ng -Setbacks -Easements -F -Slope tg. ain; Soils -Flet. f— ?' Fig. Depth tg., Garage; Soils-Steel-Elec. Grnd.- - Fig. Depth 4. Ftg.,.Porches & Decks; Soils -Steel-/ /Fig. Depth temwalls, Main; Steel- Bloc kouts-Wrapped 6?0emwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 4. Pie =Fireplace Fig.- e W.V.: Fall -Fitting st- Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors ;11.—Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground ienpm9' & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date� rd B-1 ate and B-1 Date ✓ and B-1 Date Card B-1 Date PLUMBING (Permit) 6K except #'s 1g.',�Vker Htr.; Vent -Access -Combustion Air -Baffle W r Pipe; Test & Anchor -Nail Protection D. .; Test -Fittings & Anchor -Nail Protection . Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access Pipe; Size & Anchors Date Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTR11CAL (Permit) OK except #'s . Fixture & Transformer Clearance -Ins. Protection j Elec.,Receptacles Spacing -Lights & Switches at Doors A. z Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. !quip. Ground made up w/Mech. Fastners-Bond Gas & Water J 2 Appliance Circuts in Kitch n & Conductor Size/GFI 28. Subfeed Wire Size / / gate or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes ❑ No _ S mice -Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light _ Aao"Smoke Detector Date of Card 8- Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A. . Ducts Insulation & Support :rAent Fan; Exhaust above insulation t 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 1 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s ils Proper Material & Anchors all tuds-Nailing, Spacing & Bracing -Plates -Sound 4 e ng Walls over Girders & Floor Nailing _ 4 raft Stop in Walls (rat proof) Fir tops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing Date -FRAMING (Continued) X19' Viers -Post Caps -Anchors -Connectors _CIan. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthnq.-Rfnq. Flue- Fireplace Throat clearance Attic Access: Size omex Draft Stop -Ins. Baffles 402iourm—WIndows or Exitinq Doors -Sill Hqt. & Dimensions e Fire Protection Framing Property Line Firewall & Openings /f V_0 q k -Q 52. Ext. Doors -One T -Check Garage -3rd Si3i-2 ice/ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection plyypod on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer ..5&—SWEEo Mesh -Drip Screed -Fd. Vents-Underflr. Access 7. Glazing Area -Glass Protection -Skylights -Plastic. ,58. S r Walls; Nailing -Bolts . Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Dat r _�_ Card B-1 J Date Card B-1 Date FINAL (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings oke Detector �3!Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection bedroom Exiting 65S!I. & Bath Fixtures & Tub Access -Spa .6!. ec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails ­68--l4replace or Stove: Clearances -Hearth 6,91 Elec. Outlets at Wood Panel; Int. & Ext. 70- Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 74!Elec. Outlets & Receptacles at Kit. Counter Z21—Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air -Connector -P. . In Garage; Above Floor-Mech. Protection 7Ef. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garag . -Romex Protection 7,7--rnsulation-Foam-Looked in Attic .0 Yes 7,8f3uard Rails & Deck Construction -Post Caps . 7J. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under F or ❑ Yes 8Q!Following instld.; DrLveO Yes ❑ No; Walks O Yes ; Na; Planters O Yes Lr No _41—Stucco: Brown -Finish 8_?/A.C. Unit; Disconnect, Electrical, Plumbing !,Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 8 Exterior Elec. Trim; G.F.I. Receptacle -Underground 86-<entilation Throughout House 8Z—]('lass Protection 8'aK Corrections from Previous Inspections 88. Gas Test -Meters Tagged; Gas -Electric 96 Water & Sewer Connected -C/O to Grade -HD Approval 9a!Energy Compliance Certificate -Other Certificates Rate J Card B-1 Date Card B-1 Date' — and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: n'q (,.r SVpJ on_._ 42 2 X45 (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 j 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE A-Acx-- C�7 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 work is completed. If you have any question pertaining to this matter, or n d additional explanation, please contact this office immediately. /.j rac e S Uf Sd- Date / / Inspector ,....� ter.._....-�.-. _. .�... S; 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 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, need additional explanation, please contact this office immediately. �� Date // `J /`' Inspector �11 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 CORRECTICI-N-,•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 need additional explanation, please contact this office immediately. l^ Date Inspector --+'- - n.:-v..�r .ny--�K�� sw-3 ., ..-i..-. ti..T�aa,..•;;.�'.w� �,-�v.�.. ,.^ � - ;,...;..,... rw...*..fw.... .s-. c'�,n COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 t 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE r S- M 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 / ��� Inspector ---Ah� OCATION ROOF MATERIAL____ THICKNESS__ EXTERIOR WALL -1 - ENERGY CERTIFICATION , A. P. NO. BRAND NAME THERMAL RESISTANCE (R VALUE) MATERIALFlBEGLASS BRAND NAMECERTAINTEED THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) j/ '' BATT OR BLANKET TYPE FIBERGLASS BRAND NAMECERTAINTEED THICKNESS THERMAL RESISTANCE (R VALUE)_ LOOSE FILL TYPE -FIBERGLASS BRAND NAME NTEED ���~---- ' MINIMUM THICKNESS(INC UMBER OF BAGS - T PER BAG 25 LB AREA COVERED (SQ FT) THERMAL RESISTANCE (R VALUE) FLOOR, ELEVATED MATERIAL FIBERGLASS IBERGLASS BRAND NAMECERTAINTEED THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE)_ FLOOR, SLAB ------ MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE(R VALUE) FOUNDATIONWALL -------- 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. ' HAWKlNS INSULATION 379407 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. 1111419,6 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. FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. S-Ir'G TURE GEN. CONTRACTOR/OWNER DATE -1- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959e5 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT ASSESSOR PARCEL NUMBER 64-20-49 ZONING BUILDING PERMIT OWNER Neal Parker TELEPHONE 877 8397 SO. FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4613 Meadow Song Dr., Paradise CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee 40,00 6068Abraham Ct., Magalia . PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ®X Duplex[] Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home I S I G JW 1 10.00e TYPE OF WORK New [K Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ 0.0 Describe work: Contractor _ ransfer permit #529-90 to new owner ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main 2.50 service EA. ADD'L 100 AMP CONTRACTORS LICENSE LAW CONST. DWEACCLLING of I declare under penalty of perjury (check one): GOCCUR.&) S.2yZQsgft ADDNS NEW CONSTR. MULTI -OUTLET 2,50 ea ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSs NON-RESID. BRANCH CIRC ITS /POWER APPARATUS e and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. License No. Classification Ex. Occu p OUTLETS OR FIXTURES SAL@30 ALO 30 1, as the owner, or my employees with wages as their Sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code . for this reason Permit Fee $ 10.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 Permit Fee $ 10.00 provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ 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 iocc CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $ 40.00 1 also de ify and keep harmless the County of Butte against HAZ CUA PARK SCHL FLo PAR Po HD Issue/ai all li bili iis cos -s, and expenses which may in any way accrue st s conse ence of the granting of this permit. Vud e� %7 f, % __�O %� This permit is hereby issued under the applicable provi- Date ( I C� sions of the Butte County Code and/or resolutions to do Ignature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for cavations over 5'0" deep and demolition or construct- (RECTOR PUBLIC WORKS ion of structures over 3/stories i height,,. B"'�e �/ Receipt No. UU WHITE-D.P.W.. YELLOW -ASSESS R. PINK -INSPECTOR, GOLDENROD -APPLICANT P RMIT EXPIRES ate _ r. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,-CaNtornla 959E5 - Telephone: 916/538-7541 APPLICATION AND PERMIT '7 ASSESSOR PARCEL NUMBER \ J ZONING BUILDING PERMIT 64-20-49 RTl OWNERT O� SO. FT. OCC. BUILDING VALUATION Illa 1615 64 600 OWNER'S MAILING ADDRESS 420 5,880 PO Box M CONTRACTOR'SNAME TELEPHONE Sam CONTRACTOR'S MAILING ADDRESS Fireplace 1 11,,0000� CONSTRUCTION LENDER UNKNOWN Total Valuation $ / y1 4M Rutt Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $3�. 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$,%_ , Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $_ PLUMBING PERMIT Filing Fee 10.00 Each Trap 9 2.00 18.00 1 Solar or heat pump water heater 20.00 LOT. NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 20 313 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 5.00 SF R] Duplex❑ Mobilehome❑ Other Building sewer 5.00 5.00 SPECIFY Mobile Home S G W 10.00e TYPE OF WORK NewJ] Addition [J Remodel EJ Utilities E] Installation❑ Other ❑ I Permit Fee $48.00 Describe work: 3 BR _ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW oa ADDNST ( DWELLIN GSCCII..) 21/2¢sgft 50,$5 1 declare under penalty of perjury (check one): NEW CONSTR. MULTI -OUTLET 2.50 ea p I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC ITS /POWER APPARATUS IN and Professi�o s.�C..o--�,decC.��and L license is in full forme and (SINGLE OUTLET CIR. ^^effectt. License No. y`.��� Ex.Occup(ouTLETSORFIXTURES BAL@30 _�„lJl�Classificationl�fiC''`'V ❑ I, as the owner, or my employees with wages as their sole compen- FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $80.89 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 1NO.00 ❑ The permit is for $100.00 (valuation) or less. Heating , E]I have placed on file with the County of Butte Building Department Split Sys. a Certificate of Workmen's Compensation Insurance or a Certificate 3 T. of Consent to Self -Insure. Cooling shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 2 3.00 6.00 Notice Applicant: If after making this statement, should you become subject Permit Fee $31 ou to the W. C. provisions of the Labor Code, you must forthwith comply with such . provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $30.00 to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Occ CONST TYPE TOTAL F $ 5� I also ag ve, indemnify and keep harmless the County of Butte against all liabilit , osts, and expenses which may in any way accrue HAz cA PARK I SVJ 1XI Pnq Po o Is against aid County in c uence of the granting of this permit. -' X This permit is nereby issued under the applicable- provi- Date Flo sions of the Butte County Code and/or resolutions to do Signature of Applicant - OWnev<ContractaX Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or sru - DIRECT R OF PUBLIC WORKS ion of structures over 3 stories in height. (/ y 20 5a y l 'Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -1 PECTOR. 00LDE OD-APPLI CANT PERMKT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT .0�-R'UBLIC WORKS - BUILDING DIVISION d 7 COUNTY CENTER DRIVE - OROILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER TC r / A. P. No. f�q %��'-q Proposed Building Use _Zecif ,�/� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions . -� ie -961... J� ; t5 ................................10. .......................... . . 10. Fees of .................... . 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13.J/ School District fees paid ............ r1 14. Sanitation approval from AZ4 C= Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspe°. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Z23. Owner -Builder Verification (Given to owner o, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 3-a�7 -q 0 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephon and hold for pickup at office. Deliver w/inspector. Other -^� Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit 6 sua C rc a 'tem not checked above). 1. Index permit for above items No. 2. Additional items required: ` Contractor, designer, owner, was advised of above required data by_phone_lnail—counter by -date Contractor, designer, owner, wasCadvisedof above required data by_phone_mail_counter by date Plans checked by d Date Plans approved by Date 0 Sets of plans on hold in . File cabinet f�olldev Copy—DPW t TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 6 W"'s location owner Driveway permit %�10 has been issued for the above property. n b Z date sign re TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance D� owner Location AP# -" Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for J bedroom motgbXe home. Other NOTE Date 1 Sanitarian BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (once Form per Building) ,A lend Number �-- --I / Building Department No. School District \1_ n City D County 4 Jurisdiction Property Owner Project Location/Address /4 -,?R& -JAM 91,, INAo 6QC..�, Subdivision /. �S a /Q Lot Number Residential Development: Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: New OSq. Footage Addition (Including Exterior Roofed Areas) 1,76 0 Date (Floor Plans reviewed by School District Personnel) District Id No. 1?o— ' r Jtfi .Q,(LQ (J/J,( Q School District certifies that �`/ % ��3 17 (Applicant Name) / (Phone Number) 4 I � 01 CJS - . ( Street Addre*s s ) /) /,,.A ("City) (State) (Zip Code) has complied with the requirements of'Resolution No. by the pa/yment of $�j j �� representing 1(p�j square feet. L1-4�5_W School District Representative I Datte PAID BY CHECK NO. BANK NO - PAID BY CASH ' REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) F_ orgy vgd COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. - PERMIT NO.' 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT i ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT 1 I OWNER TELEPHONE SO. FT. I ICC. BUILDING VALUATION ✓ OWNER'S MAILING ADDRESS I j . I CONTRACTORS NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN' Total Valuation S Filing Fee S 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1 ARCHITECT OR ENGINEER LI'CEN5E NO. Plan Checking Fee $ Energy Plan Checking Fee S ARCHITECT OR ENGINEER'S MAILING AODRE5S Penalty S j BUILDING ADDRESS Permit fee I $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each oas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[—,'Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G VJ 0.00 eat i TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities CD InstallationC Other C] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT J Filing Fee 10.00 Main servicej00VAMP ORSLESS 10.00 Main service EA. ADD•L too AMP 2.50 3 i • ' 3 t 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 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.6\ I2t/Z¢sgft OR ADDN5. 1 ACC. BLDGS. I NEWCON5TR_ "ULTi.DUTLET 2.50eaI NON .R ESI D. BRANCH CIRCA ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES I2 ALe 30 ewL�30c Ex. OCCUp. OUTL TS PIRESIO iREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ Contractor ! ' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 17 The permit Is for 5100.00 (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. (J 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor ' I Certify that I have read this application and state that the above Information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned properly 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 Date Signature of Applicant — OWner r' Contractor r— Agent jJ An OSHA permit is reouired for excavations over 5'0" deep and demolition or construct. .on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee S occ coNs rro= TOTAL FEE S I HAz I CUA I PARK I SCHL i FLO I PAR Po Ho ssue T::ic permit is nereoy issueo uroer the applicable provi- sions of the Butte Ccunty Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WNITC•D.P.W.. YELLOW-ASSESSOR.-N-NSPECTOR, GOLDENROD-APPLICANT d COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS... ... 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO.' ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE S . FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN' Total Valuation S Filing Fee S 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ - Energy Plan Checking Fee S ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty S BUILDING ADDRESS Permit fee I $ PLUMBING PERMIT Filing Fee 10.00 Each Trap :1 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each oas water heater or vent 5.00 USE OF STRUCTURE SFP Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G WT 0.00e ISI TYPE OF WORK New, ! Addition lbRemode Utilities❑ Installation[] Other Desc-rite work: I, I o–cCt, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ACD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury (Check One) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, 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.pi) OR ACDNS. 1 ACG. SLOGS. +/ZgSgft NEw CONST R. 1VLTI.OUT LET NON.R ES10. BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES I2�30e eA0L�30e EX. Dcdup. P OUTLETS IRESIO 1REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. \Virin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. Fj I have placed on file with the County of Butte Building Department LJ 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: II after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwi.th comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ i Contractor I certify that I have read this application and state that the above Information Mobile Home Installation Fee $ is correct. I agree 10 comply to all County Ordinances and State Laws relating Energy Inspection Fee S to building construction, and hereby authorize representatives of the County of occ coNs=rvv: -- —" Butte to enter upon the above-mentioned property for Inspection purposes. TOTAL FEE S 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 HAz I CUA I PARK I SCHL FLD I PAR PO HD ISSUE against said County in consequence of the granting of this permit. X T~;s permit is hereby Issued under the appiicable provl- Date sions or the Butte Cclunty Code and/or resolutions to do Signature of Applicant — Owner F_- Contractor jJ Agent [_j work indicated above for which fees have been paid. tr An OSHA permit is required for excavations over 5'0" deep and demolition or consuct• DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories In height. Receipt No: WHIT[-D.P.W., TEL LOW-455ESSOII, P4NSPECTO?, GOLDEN POD-AP►L ICANT By Date PERMIT EXPIRES Date � �6 S.� /il s� ��og. s s Return to kW'L L AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 0- 107 2 6 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 ' 90-010726 Rec Fee 5.00 to land or included within an area zoned 1 Check 5.00 for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs 1 and fertilizers; and from the pursuit of agricultural operations including, Recorder BG 1� but not limited to cultivation, plowing, 8:01am 19 -Mar -90 t 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: LOT 2oct, AS St­Iow-1 om i-RA'r CERTAiM MAP ENT%'r1.E0,'L PARADtsE PtiNES ON IT t40. 14", WNtCH MRP u ^5 RecoRaEp tt-3 'C'HE oFF%C.E OF -rRe REcoRc>eK OF T -AE CouN" of SU -ME, 5`i'ATS of (2ALIFORNIA oN JuL.Y IS) 1911 10 Boot -c 32) of IA APS AT (aptGE 5 3'1 , Be) 39.) 40 AND 41, E*AC-ePTttNC= "TAERe'FKoM ALL. mwe7RALS I Ott.. GAS, AsPHALTt>M AMD 0110FR tiYpRo CAR13ON SO8SrANCE5 w IriA FQovtSIoN -n-kAT APJY ANQ ALL M ktJI NG VeeAAz%0N5 S14A"L 8E 000F, Fe -01`% Ok FteES cur5i,0E T -Hr- 5U&-9ACX AREA OF Tits L 14tib Op -sr -RISE -6 Reg'EIti3 At -j(> "TtkrAT t10 ZAt^APGE SHALL BE- DONE "(b Tt+e SuRFAc-*; of SAvO t -Amb, Date: �:� ' _ PROPERTY OWNERS: DON J L-L+A A t OA TL -L-A State of ) On this the %� day of 19 before me, SS. the undersigned Notary Public, /pjers/onally, p/peared County o ) ¢nnnnvisiummnnnmmnmtninnnmumii�i OFFICIAL SEAL U Personally known to me . Proved to me on the basis MARIE J. McCONNELL of satisfactory evidence. c; NOTARY PUBLIC - CALIFORNIA -to be the person(s) whose name(s) COUNTY OF BUTTE tsubscribed to the within instrument and acknowledged that.- IFG. Comm. Exp. April 23, mo =executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. % 2 Present A.P. No. 0r04---;Wo-0'+9 Notary PPubl DOCUMENT 0 J�v Y • i,' . is „ ti ; 1 � ' i � , ! 1 � 1 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) _xt rior plaster - weep screeds (Sec. 4706). 641`6 32 . �er roof pitch for roof covering (Chapter ) Roof .covering type - (fire hazard). 7.. fter ties or bearing ridge beam. Garage, door or porch header sizes. 9 Uing ate bracing. iarea over garage - complete 1 -hour separation required on garage side i_Dcluding supporting walls and posts, -etc. w exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). .j_4 tic access and ventilation (Sec. 3205). t��erfloor access and ventilation .(Sec. 2516). bustion air for fuel burning appliances. Nise requirements on duplexes. . Adobe soils - special foundation design. Retaining walls requiring design. / Unusual shape, size, or split lei' -el house requiring lateral design. 9. lashing at all exterior opegs. 3- 0 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER A. P. # GENERAL e.En ng requirements: (sideyards ation. s signed by designer. gy Design and Compliance. xisting violations on property. Items on data sheet. and number of permitted living units). PLOT PLAN ' Complete parcel size and dimensions. "backs, sideyards,.easements, etc. ther buildings or structures. �rading, fills, drainage. L5: Flood hazard. �(a /Special conditions on creation map or compliance document. CY FAU & FAS road setback. FLOOR PLAN e.:OOomplete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). equired windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). n impact glass (Sec. 5406). ,Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). L8--- Light fixtures, switches, receptacles, and exterior receptacles ""°f mechanical equipment. �: Locations of wa eater, hea g and cooling equipment, other s equipment, and plumbing fixtures. L�rage firewall, door size, and closer (Sec. 503(d)(3)). �3`0" exterior exit door (Sec. 3304(e)). eplace and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 5/89 for maintenance electrical or 1. Foundation plan complete enough to construct building. 2. /Floor construction details complete enough to construct building. !; Elevations and wall construction details complete enough to construct building. 4. Roof construction details complete enough to construct building. ,5 -.--Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR airway details: landings, rise and run, head clearance, handrails (Sec. 3306). rdrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). NEAL PARKERENTERPRISES RENTAL PROPERTY ° HOUSES ° APARTMENTS July 1$. 1090 I have sold the property at 6068.Abr.aham Ct, Magalia, California, to Neal Parker. AP# 64-20-049. I release all the.transactio.ns with Butte County Buil.ding.Department, including any fees paid, to him at this time co-P� j A.)c ov L ` rVI rcN� �� �ptiZ g—_L 1 Don Il' 402 EL NIDO AVE. PASADENA, CA 91107 (818) 796-0062 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovilley CA 95965 Phone: 916-538_75[x]. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder " building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) � signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name _/-x/ /CL/(IL, ! _ L� C / tz,_—__ Address Z1. .&;✓JaAJ)<�Q.ylq- ��__ City �-- Phone7 Contractors License No. 4. .I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date 171 /R' c NOTE: This Owner -Builder. Verification is sent to you as required by Sections 19831 and 19832 of the'California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orgvilll3, 6alifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. - ASSESSOR PARCEL NUMBER _ d ZONING T BUILDING PERMIT ' OWNER _/44 TELEPHONE 2 SQ. FT. OCC. BUILDING VALUATION / OWW R'S MAILINGADDRESS -n � �' 0 v CACTORDAME OZ 'S TELEPHONE CO ACTOR'S MAILING ADDRESS Fireplace 1 (200!{ CONSTRUCT ON LENDER All ' UNKNOWN Total Valuation $ /1A -- I Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3 '--- ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 606 t-�� Permit fee $ S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 QG��V 1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 S USE OF STRUCTURE SF.V Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S— Building sewer 5.00 s� Mobile Home I S I G JW I 10.00e TYPE OF WORK Newa Addition El Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: 3 Q Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt..9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F-1 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 OCC UP", OR ADDNS. ( ACC. BLDGS. I ,h¢sgft sb 8 NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea ER APPARAUS POWT (SINGLE OUTLETCIR.e Ex. OCCUp(ou TLETS OR FIXTURES SAL93 C FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 /0— Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 90 15- Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heating gpcvr Cooling 6— Hood 3.00 Ventilation 3 Permit Fee $ 3 Contractor ._ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for xcavations over 5'0" deep and demolition or construct- ion of structures over 3 stories i height. Mobile Home Installation Fee $ ✓ Energy Inspection Fee $ occ CONST TYPE -75 TOTAL FEE HAz I CUA PARK I SCHL I FLO PAR I PD HD IssUE Th:s permit is nereby issued unaer the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date so �R Receipt No. WNITE•D.P.W.. YELLOW-AseE99 PINR•INSP CTOR, 601OEN110D-APPLICANT COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: 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 :a O E PERMIT N0. 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. A r /!J-. ;1 �i `i '.3 i A U Date Inspector — s 1. Ceiling Insulation One Two Number of stories -153 -114 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 - 0 U -value 0.04 14 11' 0.50 -176 -84 •54 0.30 -102 -49 32 0.10 -26 -13 -8 O.C8 -18 -9 -6 . 0,06 -11 -5 -4 O.C4 .4 -2 -1 0.02 4 2 1 O.CO 11 5 3 2. Wall Insulation 0.08 -11 Single- Single - 0.06 Family Family Multi - R -value Dwacied Attached Family R-0 58 -51 -34 R -it 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value One Two 0,80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 O.C6 9 7 5 0.04 14 11' .7 0.02 19 •14 10 f 0.00 24 18 12 3. Raised Floor Insulation _ 0.40 -95 Insulation in Floor 30 0.30 Number of stories 34 _ 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 -121 -53 •39 i -- 0.60 -144 -70 -46 j 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 34 -22 0.20 -t3 -21 14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10• 5 3 Controlled Ventilation Crawlspace 26 -49 Number of stories -8 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R -it -2 -2 -2 R•19 -1 -2 - _ -2 4. Slab Edge Insulation 2 8 -� Number of Stories 37 R -value One Two Three R-0 0 0 0 R-5 8 5 _ 2 R-7 8 6 3 F2 factor 10 16 19 0.90 =4 3 -1 0.80 -1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S..Infiltration (Air Leakage) Specification Points standard- 0 6. Glass Heat Loss Total Interior Slab Floor Mwillve Percent Class Mass StorieS U-valua East Percent West Skyright •51 to .41 to .31 rA 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 -16 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 d 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 5 7 10 13 16 19 10 3 9 ii 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Etreetive Percent Glass (pviceot &tris x SC) Effective Interior Slab Floor Mwillve Percent Class Mass StorieS %Glass North East South West Skyright 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na - 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -i -1 -1 .1 2 0 -1 -2 -4 -2 0 na = not allowed -23 3 0 -4 �3. Shading (Shade Closed) Interior Slab Floor Mwillve Percent Class Mass StorieS Water Heater (percent &= x SC) /CFA One Two Three One Elective 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 %Glaze Norte Esti . Sank Watt Skylight 18 -14. -48 -69 -64 na 16 .12 -42 -59 -55 na 14 -10 35 -50 -46 na 12 3 -29 a0 37 na 11 -7 -26 36 33 na 10 5 .23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 .23 -21. -56 7 -4 •14 -19 •18 -47 6 3 -11 -15 -14 38 5 -2-9 wall Family -11 -10 -30 4 ^ .1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 •1 -9 1 1 1 1 1 -4 0 .2 3 4 3. 0 na . not allowed 12 f 200 10 11 13 iI - 9. Interior Thermal Mass Interior Slab Floor Raised Floor Mass StorieS Water Heater Stories /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 -i 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1- 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior SiNW- Single- 15 wall Family Famiy Mule Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4, 3 0.60 8 6 4 0.80 10 8 5 1.00- --13 10 7 120 13 12 8 1.40 12 13 9 1.60 10 13 11..., 1.80 10 12 12 f 200 10 11 13 iI - -13 -9 6.0 11. Heating System -11. -9 -7 SE or HSPF 6.6 (assumes ducts In attic) . Sum of 15 -2 -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 Effective SE or HSPF (SE or HSPF x duct eMciency) Effective -25 or -24 to -14 to .4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0,30 275 -73 34 -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 0.90 825 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type 5 3 Resistance 10 9 7 6 4 == 3 -Other 6 5 4 3 2 2 12. Cooling System SCORE CARD Unit Size (sq ' Water Heater SEER i 199 1200 1700 2200 2700 (&=mr; ducts In attic) or .l less to _1699 to 2199 Sim of 7.10 or more SG None 0 + -25 or -24 to -14 to -4 to +6 to 16 or SEER less -15 5 +5 +15 more 8.0 -14 -12 -10 3 -6 -4 8.5 •9 -7 -6 -5 -4 3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 - 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 .3 '-2 Effective SEER .2 1.7 So!ar (SEER xdutt eMcieney) 5 4 3 Sim of 7-10 3.2 POU 3 Effacwe-25 or -2410 -14b -4b +6 to 16 or SEER less -15 5 +s +15 more 5.0 30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 4 6.6 -5 -4 4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 S. 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 n 26 22 18 14 9 13.0 33 29 24 20 15 10 4 Zonal Control Adjustment HP HWR 9 10 8 7 6 4 3 WS8 No Cooling System Installed ; Stories One ' -5 -i -4 3 -2 -2 Two + 3 3. 2 2 2 1 Single -Family Detached and Attached Interior MassICFA . rrn r .Ss SCORE CARD Unit Size (sq ' Water Heater Creels i 199 1200 1700 2200 2700 Type Type or .l less to _1699 to 2199 to 2699 or more SG None 0 + 0 0. 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WS8 5 3 3 2 2 POU 8_ 5 4 3 3 SE None 37 -24 -18 -15 •12 I TYPE 1 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 5 10% WS8. -25 -16 -12 -10 -8 60% 65Y POU -18 _.:12 -9 -7 -6 IG done -5 .3 '-2 -2 .2 1.7 So!ar 7 5 4 3 2 3.2 POU 3 2 1 1 1 E None -28 -19 --14 -11 -9 Solar 8 5 4 3 3 23 21 POU -10 5 -5 .4 _3 3.7 Multi -Family (individual 4.4 units) 4.8 5 52 30% Unit Size (so 0.9 1.1 Water 1.6 699 700 1200 1700 2200 Healer Credit ' or b to to or Type Type lest 1199 1699 2189 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2: 2 4.9 WS8 9 4 3 2 2 POU 9 5 3 2 2. SE None -45 -23 -15 .. -11 .9 4 Solar 2 1 1 0 0 5.5 HWR -23 -12 -8 -b _5 1.6 1.7 WS8 -25 -13 -8 5 -5 --None -j---.-6 -5 IG -8 None 4.1 - 4.5 4.7 4.9 5.1 Solar 6 3 2 1 f 1 1.3 POU 1 _0 0 0 0 IE None 30 -15 -10 -8 = . 716, 4.2 Solar 18 9 6 4:' 4 " 5.6 POU -8 -4 -3 2 -2 Interior MassICFA . rrn r .Ss SCORE CARD s.2. �t Measures Point Scores - or - 2. Wall Insulation R -value 1381 U -value (0.030] ge / or _ _ 3. Raised Floor Insulation -value[11] - 1.1 -value (0.0981 or - - _ R-valuell'1 U -value (0.0371 4. Slab Edge Insulation or 11.�•vtwc•.. n .1_bl I TYPE 1 KASS (UW b 4.2• le: e■ooscd •lab) 0% 5% 10% 15% 207: 2S% 30% 35% 40% 4SY. 50% 55% 60% 65Y 70% 75% % 60 85y. t10% 95% l00% t0S% IIM 115, 120r 0% 10: 0 0.2 0.2 0.4 0.4 0.6 0.6 0.8 0.8 1 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.9 21 23 25 2.7 2.9 3.2 3.4 3.8 3.8 4 4.2 44 4.6 4.8 S 2G% 0.3 0.6 O.S.1 1.2 1.4 1.6 1.8 1.9 2 21 22 23 21 25 27 2.7 29 2.9 3.1 11 3.3 3.3 3.5 3.S 3.7 3.7 4 4.2 4.4 46 4.8 5 52 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 26 3 3.2 3.5 3.7 3.9 3.9 4.1 4.1 4.3 43 4.5 4.5 4.7 4.8 4.9 5 5.1 52 54 40y. 50% 0.7 0.9 0.9 1.1 1.1 1.3 1.3 13 1.5 1.7 1.7 1.9 1.9 21 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 53 5.5 5 6 5 7 23 25 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 55% 60% 0.9 1 1.1 1.2 1.4 1.4 1.6 1.7 1.8 1.9 2 21 22 23 24 2S 2.6 28 3 12 35 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 56 58 6 65% 1.1 1.3 1.5. 1.7 1.9 22 24 26 2.7 2.8 29 3 3.1 3.2 3.3 3.4 3.5 36 3.8 3.8 4 4 4.2 4.4 4.8 4.8 ' 5 52 5.4 5.6 5.9 61 70% 1.2 1.4 1.6 1.8 2 22 25 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.3 4.5 4.6 4.7 4.8 4.9 5 5.1 52 53 55 5.7 5.9 61 75% 1.3 13 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.4 56 5 8 6 6 2 i 5.3 S.S 5.7 5.9 6.1 6.3 1 807: 85% 1.4 1.4 1.6 1.7 1.8 1.9 2 2.1 22 2.3 2.4 25 26 2.7 2.8 29 3 3.3 3.5 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 54 S6 S8 6 62 64 90Y.' 1.5 1.7 2 2.2 24 26 2.8 3 3.1 32 33 3.4 3.5 3.8 3.8 38 t 4.1 4.2 4.3 4.4 4.5 4.6 4.7 46 S 52 5/ 56 59 6.1 63 65 E 95Y. 1.6 1.8 2 22 25 27 2.9 3.1 33 15 3.7 3.9 4.1 4.3 4.6 4.8 4.9 5 5.1 5.2 53 5.4 SS 5.6 S.7 5.8 59 6 62 61 66 E 100% 1.7 1.9 21 2.3 25 28 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.2 6.3 6.4 6.S 6 7 E 105: 1 IQ% 1.8 1.9 2 2.1 22 2.3 2.4 2.S 2.6 21 26 29 3 11 3.3 3,3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.4 56 58 8 6.2 6.4 66 6.7 7 6d 7 115% 2 2.2 2.4 2.6 26 3 3.2 3.4 3.6 3.6 38 3.8 1 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 S 5.1 5.2 5.3 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7 120% 125Y. 2 21 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.5 5.6 5.7 So 5.9 6 6.2 6.2 6.4 6.S 6.6 6.4 6.8 6.9 7 23 25 28 3 3.2 34 36 3.6 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 113 6.5 . 6.7 7 7.1 7.2 ; Point System Summary: Climate Zone 11 SCORE CARD s.2. �t Measures Point Scores 1. Ceiling Insulation or -� 2. Wall Insulation R -value 1381 U -value (0.030] ge / or _ _ 3. Raised Floor Insulation -value[11] - 1.1 -value (0.0981 or - - _ R-valuell'1 U -value (0.0371 4. Slab Edge Insulation or S. Infiltration 6. Glass Heat boss 7. Shading (Shade Open R -value 101 F2 factor (0.771 Standard s.2. �t Type (doublej U -value (0.65] % Total Glass (161 Sum 1-6 G SC Eff. % Glass 3 IG a. North X _ b. East x = D • C.'South .I X - d. West , Z x = _ / • � g _ e. Skylight O x_0 8. Shading (Shade Closed) -- " GIm SC Eff.% 6 b. East X a. North X = = �/, �, 1 C. 5011th X = •'/ ��� - d. West x ____� _ . b �• �� e. Skylight lj X 9. Interior Thermal Mass y( _ TYPE 1 MASS AREA s -a IntuiorN.uUCCFA COND. FLOOR AREA 3 10.• Exterior Wall Mass TYPE 2 MASS AREA __ 9 Exterior Wall Mass ND. L OR . AREA - Sum •10 11. Heating System j a X Zonal Control? ( Y / N ) SE or HSPF Duct Efficiency (0.78] Effective SE or 10.73L&61 - HSPF 0-5615.15] 12. Cooling System X u _ _ > 7,.'i, Zonal Control? (Y / N) SEER 19-51 Duct Efficiency [0.74] Effective S (7.031 13. Water Heating Type ISGI - Credit [none] y Certificate of Compliance: Residential, qql 50 Project Tide Project Address entatlon Author BUILDING DATA Condition ea — �! 1 Slab sed Floor in amily Detached (SFD) [ J Single Family Attached (SFA) [ ] Multi -Family C -M i Telephone Number of Stories /_ Number of .Units 4_ [ ] Addition Alone [ ] Existing Building [ ] Existing-Plus-Addidon BUILDING SHELL r4SULATION Component Insulation Locatiion/Cotnme= Type R -Value (citric, to Earage, Wall .............. r Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Glazing Area Glass Type nrientarinn (Sf) (sinpladoubt Shading Devices Climate Zone 11 Building Permit N Checked By/ Datei—T Enforcement Agency Use Only Glass t4ea % G aq North , East South ,. West a Skylight Total Interior . Exterior Overhang Framing Type (To11er blind, etc.) (shadescreen, etc.) (yes/no) (metaliwood) North ( ) L North ( ) East ( ) East South South ( )— West West ( ) Skylight....... ' EV_ THERMAL MASS Type/Covering- Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) LOcadon/Description (kitchen, bath, etc.) HVAC SYSTEMS Type (furnace, air conditioner, heat pump) Minimum Efficiency maximum rurllat,c ncaullr, vutlrut. HOT WATER SYSTEMS T J Duct Location Duct Output Manufacturer / Model # Binh Tank Manufacturer/Model # 07, SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) r Mandatory Measures Checklist: Residential MF -1R NOTE. Lowrisc residential ttuiWngs subject to ox Standards mus contain t.'xx measures regardless of the compliant approach used Items marked with an asterisk (•) may be superseded by more stringent compliance roqutrcmcn0 fisted on the Cemfieue of Compli,M- When thu checklist is Incorporated into the permit documents, the futures noted shag be considered by all panics as binding minimum component perforrw+ce specifications for the mandawry mcastra whether they are shown elsewhere in the dwwcnu or an this checklist only. DESCUPT10N DESIGNER ENFORCEMENT Building Envelope Measures 12.5352(a): Minimum ceiling insulation R-19 weithted avenge. §2.5352fbY Loose rill insulation martufacturor's labeled R -Value. 12.5352(e): Minimum wall insulation in framed walls R-11 weighted avenge (does not apply to catenor mass walls). §2.5352(1): Slab edge insulation - watts absorption rate no greater than 03%, water vapor transmission nue no greater than 2.0 perm/u+eh. §2.531 1: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. 1 2.5352(p: Vapor banvrs mandatory, in Climate Zones 14 and 16 only. 12-5317: Infiltration/EafiltntionControls L Doors and windows betwocra conditiacid and unconditioned spaces designed to limit air leakage. b. Doors and windows ccrirtcd. c Doors and windows wutherstripped: all joints and penetratiau caulked and sealed 12.5352(e): Special infiltration barrier installed to comply with §2-5351 mocts CEC quality standards. §2.5352(d): Installation of Fueplaecs I. Masonry and factory -built fireplaces have a. Tight rating, closeable meal or glass door b. Outride air intake with damper and eonoal c Flue damper and costa 2. No continuous buming gas pilots aArwed. HVAC and Plumbing System Measures 12-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. 12-5352(h) and 2-5315: Setback therrino" on all applicable heating systems. • 12.5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. §2.5316(D): Exhaust systems have damper contmls. §2-5314(c): Gas-rutd space heating equipment has intermittent ignition devices. 12-5314: HVAC equipment, water hcatcrs, showerheads and faucets certified by the CEC §2.5352(i): water he= insulation blanket (R-12 or greater) or combined intrriokxterior insulation (R. 16 or greater): fust 5 feet of pipes closest to Lank insulated (R-3 or greater). 42.5312(Exception 1): Pipe insulation on steam and steam condensate return $ recirculating piping. .. _ 12.5318(dr 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 efrteieney. 3. Pool cover. 4. Timc clock. 5. Directional watts inlet. Lighting and Appliance Measures t 12.53520): Lighting - 25 lumens/-att or greater for general lighting in kitchens and bathrooms. 42-5314(c): Gas rued appliances equipped with intermittent ignition devices. §2-5314(x): Refrigerators. refrigerator -freezers, freezers and fluorescent tamp balluu certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists ter_ building fcam= and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, (gaptca 2, Subchapter 4. Article 1 of the Cali.`omia Administrative code- This certificate has been signed by the individual afith overall design respensibtli-ty and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purdmser of the building. Designer Bculding Owner Nanta Name TukJF'trrs Title/Firm: Address: Address: Telephoner Telephone Lk. 1: (signatatnc) (date) (signacum) (date) Documentation Author Enforcement Agency Name: Name: Trtk/FUM ALLY- I Addrt=: Tckahonc