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