HomeMy WebLinkAbout064-200-052it
064-20-0-052 92-4216, BPEM'
HARDING, Jim
6060 Abraham, Magalia
new sf
64-200-052 #90-1611
MMENHALL, GARY c-/�
6060 ABRAHAM CT. MAGALIA �j��
DONT: GIUTRE OONSIRUCIION v
DDCK
t 0?64-200-052 - -�-- -- _- -f
E"- E=HALL, GARY
6060 ABRAHAM CT, MAG, LI
Cont: OWNER
INSTALL NEW PRO��
Ir
NOTES
I
3
RESIDENTIAL
PERMIT NO.
!064-200-652 65-1632
MENDENHALL, GARY
6060 ABRAHAM CT, MAGALIA
Cont: OWNER
INSTALL NEW PROPANE STOVE
urnoTE
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
' FIRE SPRINKLERS REQ.
a
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) U r wS
Signature �� TA—mckks
= OK
Not OK
= NotApplicReadyable MOBILE HOMES
= Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except i#'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)
S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat or/ /" L "ftJ P LPG
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date Cana B-1 Date - Card B-1
Date Card B-1 Date Cana B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #i's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except Vs
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Ughting, Distance -GH
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 Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Cana B-1 Date Card B-1
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Cana B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except ri's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water, MH Test -Regulator -Connector'
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water, MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date Cana B-1 Date - Card B-1
Date Card B-1 Date Cana B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #i's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except Vs
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Ughting, Distance -GH
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 Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Cana B-1 Date Card B-1
4=OK
0 = Not OK
= Not Applicable
= Nat Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Fig., Main; Soils-Elec. Gmd.-/ /" Fig. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Fig. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts-, Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
1 B. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Te t Tub & Shower, Second Floor -Tub Access
Gas Pipe; Sixe & Anchors
23. Fire Sprinkler, Test
Date -(p -moi Card B-1 S. Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral O Yes O No
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. y§moke Detector
66- Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec_ Trim & Subpanel, Breaker Sizes & Labels
70. S rs & Rails
Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Dud in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.EI.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following InstIcIAMve 0 Yes O No/Walks O Yes 0 No/Ptanters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Dater0 0S_ Card B-1 S• Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Ught-Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. y§moke Detector
66- Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec_ Trim & Subpanel, Breaker Sizes & Labels
70. S rs & Rails
Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Dud in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.EI.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following InstIcIAMve 0 Yes O No/Walks O Yes 0 No/Ptanters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Dater0 0S_ Card B-1 S• Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netWds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Date: Contractor.
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
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance; also requires the applicant for such permit to file a
signed Malement.that he or she is licensed pursuant to tne:provisions of:
the Contractor's State License Law (Chapter 9 commencing with Section
7000); of Division 3.of .the Business and Professions Code) or that he or
she is exempttherefrom-and the basis for,the alleged exemption. Any
violation of Secliorf•'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. -ow ner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intepded,or, off. ered forsale. (Sec: 7044,. Business. and„ Professions,
Code: The Contractors' State License. Law .does not apply to an
owner.of property who.builds or improves thereon,. and who does
such work himself or herself or through his, or her own employees,
provided that such. improvements are not intended or offered for
sale: If however; the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
• proving that he -or she did not build of improve for the purpose of
,.,•, .I,...as..owner. of,.the,property,. am . exclusively ,.contracting .with.,
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who.contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ -, I am Ex , pI under Artic of th�Bsiiness and Professio s C(C d
Date: PAA
O ner
W RKER.S': COMPE TION DE LARATION .
I hereby.aftirm.underpenalty of perjury one of thb following declarations:
❑ J have and. will. maintain a certificate of consent to self -insure for
workers' compensation;,.as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and .will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work•for which this.pennit is issued. My workers' compensation
insurance carrier and policy. number are:
Carrier:
Policy #:
[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'
compens tion provisions of Section 3700 of the Labor Code, I shall
forthwith mpl with tho provisions.
Date:
n n _A !.
WARNING: • flu to secure ' orkers' compensation coverage is
unlawful, 'and she subject an a ployer 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.attomey's fees..
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
PERMIT NO.
BP051632
Issued Date: 06/22/2005 APN: 064-200-052-000
Site Address: 6060 ABRAHAM CT MAG
Map Index:
Description: install new propane stove to replace wood
stove
Owner: GARY MENDENHALL
6060 ABRAHAM. CT
MAGALIA CA
95954
(530) 873-9101
Applicant: GARY MENDENHALL
6060 ABRAHAM CT.
MAGALIA CA
95954
Contractor:
License #:
Architect:
Engineer:
Total Square Ft: 0 S.F.
Valuation: $0.00
Census Code:
This permit i ereby issued under t "plica le provisions of the Butte County Cods ?nri/nr
R'solutio do work indioated a ov or which fees have been paid. f /
B Date:
Address:
PERMIT EXPIRES ON: t� l,,
ate
❑ I 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 ii Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
1 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. l acknowledge it is unlawful to alter the substa ce of any offi ' I form or document of Butte County. I[�h/ereby
authorize repre entatiyes of Butte County to enter upon the above mentioned property for inspection pu S. CJ
Print Name: Signature:44
Date:
VI Cwrier 0 Contractor •❑ Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netWds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Date: Contractor:
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
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance., also requires the applicant for such permit to file-a
signed statement that he or she is licensed ipursuant to the provisions of;
the Contractor's State` License Law (Chapter 9 commencing with Section
7000), of Division 3.of the Business and Professions Code) or that he or'
she. ii exempt,therefrom;and the basis for,the alleged exemption. Any
violation 6CSection'7031.5 by any applicanf 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
intended or: offered for sale.(Sec, 7044„Busmess,and,Professions„
-Code: The Contractors' State License_Law does'noi apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such, improvements are not intended or offered for
'sale. If'however. the building or improvements are sold within one
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
/ale.).
.as-owner. oGdhe.property„ am -exclusively, contracting with,,
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who.contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am x . pt under Artic of the B sines and'Professio s Cod ,
Date: ner: ZZ(C/Z
;.W RKERS'•COMPE TIO4DE ARATION
I hereby.affrin,underpenalty of perjury onfollowing declarations:.
❑ I have and• will maintain a certificate of consent to self -insure for
workers''compensation;..as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
,required by Section 3700 the Labor Code, for the performance of
the work for which this permitis issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy #:
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'
compens tion provisions of Section 3700 of the Labor Code, I shall
forthwith mpl with tho provisions.
Date:
A Aln _/)
�v
WARNING: ilu to secure orkers' compensation coverage is
unlawful,.'and ' is subject an a ploy'er 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
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
PERMIT NO.
BPO51632
Issued Date: 06/22/2005 APN: 064-200-052-000
Site Address: 6060 ABRAHAM CT MAG
Map Index:
Description: install new propane stove to replace wood
stove
Owner: GARY MENDENHALL
6060 ABRAHAM CT
MAGALIA CA
95954.
(530) 873-9101
t
• Applicant: GARY MENDENHALL w N
6060 ABRAHAM CT.
MAGALIA CA
95954
Contractor:'
License #:
Architect:
Engineer: .. .,.. „ .. ... .. , . .. .. _.,... - ... .
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
CT4�7. 40
iereby issued under t plicable provisions of the Butte County Cody ?nrUor
do work indioated abbveAor which fees have been paid.
/ Date: 17_
Address: ,
I PERMIT EXPIRES ON: AA 6
(Date)
❑ I 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 8 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 substa ce of any offi ' I form or document of Butte County. I hereby
authorize repre ntatiyes of Butte County to enter upon the above mentioned property for inspection pu c s.
Print Name: Signature:AA 1011 A(MJ✓tl (J/,p�
Date:
Owner 13 Contractor ❑ 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 OF APPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER
Last N
1—L
First Nam
IPC`Z
Addre t
O(aO n ,p_ A m.
1��
City , Pc /J _
c /t
State(',n
Z"lir>� g S
Phone
p
Fax
E-mail :-
b -S 1AA
APPLICANT NAME
CONTRACTOR
Name
Name
Address
WORKER'S COMPENSATION
City
Address
State
Zip
Phone
City
Slatr
Zir,64
Phone
b I
Fax
E-mail
Lic. #
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
P�
Address
WORKER'S COMPENSATION
City
State"
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
State License Number
APPLICANT NAME
API
Name G` 1 P-iEW kA
P�
Address(,�D C4OVAM
WORKER'S COMPENSATION
City
State"
Zip
2
•J
Fax
Type Const.
La� �
� 1
iM W a,L4 NwITA Now", I �w/
For office use o I
API
Zoning
Ci
-
Flood Zone
WORKER'S COMPENSATION
SRA I
Yes
I No
Occ.
LENDING AGENCY
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
LOCATION
API
operty Addr
(�
Ci
-
Cross Stree
a
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
Page 1 of 2
Description or Scope of Work:
Sq. Footage
Li structure bum witnout Hermits
0 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
required.
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.
�-` w
Received by: Amount: 5 - Bldg
Receipt #:�/ 5/2 all,
eO,1�
17r1-65
Sheriff
SMIP
Other
Total
REV 2-24-05
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 IN 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 A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (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.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 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.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑ 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 at (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.
ft -
OVER FOR BUILDING PERMIT APPLICATION
K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
64200...052 #98-1611
QVDENHALL, GARY
RESIDENTIAL M
# 6060 A�AWG Cr. MAGUTA
CONT: GnMDRE CONSIRIMON
DEM
PERMIT NO.
PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
CHECKED
SRA BY
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PGA
Temp. Gas Sen
Called PGA
JOB FINALED
Signature
V=OK
O = Not OK
=Not
tReapdyble
NoMOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Locabon-Test-Fall-C)O-Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / JUL
/ /Nat. or/ / 2ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Cab 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-DemandValve•Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
CELLANEOUS
3. Decks; Girders and/or
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. EI
Frrng.; Sils-AnchorsStuds-Rftrs-Trusses
. Siding; Nailing VeneerShxx*-Mesh
0. Roof; Shthg-Roofing
fly Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pod Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GA
5. Elec.; Pod Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
wl
o = No OK RESIDENTIAL (:
- _ • Not Applicable
= Not Ready
Date
FRAMING (Continued)
UNDERFLOOR (Plans) OK except #'a
46. Hangers -Post Caps -Anchors -Connectors
1.
ZoningSetbacks-Easments-FloodSlope
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Rfng.
2.
Ftg., Main; Soils-Elec. Gmd. / /• Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat clearance
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ p Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth j.
Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors
53.
7.
Slab, Steel -Wrapped
54.
8. Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
Glazing Area -Glass Protection -Skylights -Plastic
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
Shear Walls; Nailing -Bolts
14.
Girders -Sills -Anchor Bolts -Joists Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr; Vent -Access -Combustion Air Baffle
Ext Steps -Door & Sidelight Protection -Landings
18. Water Pipe; Test & Anchor -Nail Protection
64.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
65.
20.
Shower Pan; Test, First Floor -Tub Access
66.
21.
Test Tub & Shower, Second Floor -Tub Access
67.
22.
Gas Pipe; Sixe & Anchors
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
Date
Stairs & Rails
Card B-1 Date Card B-1
Date
Fireplace or Stove, Clearance -Hearth
Card B-1 Date Card B-1
Date
Elec. Outlets at Wood Panel, Int. & Ext.
ELECTRICAL (Permit) OK except #'s
72.
23. Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex §stalled Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
Pib., Elec. & Mach. Equip. Listed for Location
29.
Subfeed Wire Size / /ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
Insulation -Foam -Looked in Attic
31.
Service -Riser Conductors & Ground -Main Disconect
Guard rails & Deck Construction -Post Caps
32.Equip.
Clearances Panels-Motors-Mech. Epuip.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
33.
Clothes Closet Light -Shower Light -Spa Light
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
34.
Smoke Detector
Stucco Brown -Finish
84.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Exterior Elec. Trim, G.F.I. Receptacle -Underground
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
40.
Sits Proper Materials & Anchors
Comments at Final:
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
dingle & Duplex)
Date
FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61.
Insulation -Walls -Ceilings '
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meth. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
77.
Pib., Elec. & Mach. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 41 _ PERMIT
ERIT O.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 64-200-052
ZONING
BU LDING PERMIT
OWNER
GARY MENDENHALL
TES"
87309101
SO. FT. OCC. BUILDING VALUATION
est 3200.00
OWNER'S MAILING ADDRESS
6060 ABRAHAM CT. MAGALIA
CONTRACTOR'S NAME
GILMORE CONSTRUCTION
TELEPHONE
872-3473
CONTRACTORS MAILING ADDRESS
6234 ODESSA CT. MAGALIA
CONSTRUCTION LENDER
Fireplace _
LENDER'S MAILING ADDRESS
Total Valuation $ 3200.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 63.0
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 40.95
BUILDING ADDRESS
6060 ABRAHAM CT .
Energy Plan Checking Fee $
$
MAGALIA
PERMIT FEE $ 123.95
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF IJ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition IR Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADD DECK
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
V OR UE
Main Service 200AORLESS 23.00
CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in ful Orce and effect. yl t`� `
License Class Lic. No. J J 6J
OWNER -BUILDER DEtLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
pensation, as provided for by section 3700 of the Labor Code, for the
erformance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section
�
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insur a carrier and policy number are:
Carrier S1 4 Pc 16440- i
Main Service TO 46.00
200ALICENSED
NEW CONST. DWEWNG OCCUCUP. SO
WEE OC
OR ADDNS. (_& ACC. BUDS. 3.5¢FT.
CONST. RANCHO CIRCUITS 97.50
POWER APPARATUS
a SINGLE oVTLET CIR.
20 Q 1.00
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
LNSI
Ex. Occup. ounFrs R.,6 °E,a 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
rth ith comply h ose provisions.
Date
Signat of Applicant - ❑ Owner ontractor ❑ Agentlf
An OS A permit is required for excavations over 60" deep and demolition or construction
of stru tures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYP
TOTAL FEE $
I.A12d
IMP
FLOOD
CDF
PARCEL
PD
_
ND
U
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
p hw�f
By �'�---C/ DateReceiptNo.
PERMIT EXPIRES ON v �, 70
D to
�� Z �'6
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,• ...,e..rFrr'x''1:H" • , ..Y .7„ �+ : y '.. a✓ w � ... , ..f. .f._ •t . •r . e ...
t
COUNTYOF BUTTE DEPARTMENT O iDDEEVELOPMENT SERVICES - BUILDIN IVISION
7 COUNTY CENTER DRIVE - OROVIL 'E, ALIFORNIA 95965 - TELEPHONE (97 -7541
PERMIT APPLICATION DATA SHEET
OWNER: �/v� 2 (, r%I.r e.�l�/4-� / ASSESSOR PARCEL NUMBER: C `� - 0 Z D
Proposed Building esU d--> C i-< <P Building Inspector: Date: 7 2 L S i4r
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
0 2. Plot plans, 3/4 sets, signed by the preparer of plans, ------------------------------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans, -----------------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑ 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings, ---------------------------------------------------------
❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------
El 10. Fees of $----------------------------
1111.
---------------------------
❑11. Impact fees as shown on the attached schedule, -------
❑ 12. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate. ----------------------------------------------------------------
4. Sanitation and plot plan approval c 4lealth Department. -------------------
l 15. City of Chico plumbing permit,-----------------------------------------------------------
\
01
6. Plot plan and business license approval from the City of Biggs. ----------------------
❑ 17. Planning approval for (A) Use: (B) Parking: -•
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
❑20. Pre -inspection for required. Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------
K2. Workers' Compensation carrier and policy number, -----------------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------
024. Letter of signature authorization. -------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement.
026. Letter of intent on building use. ----------------------------------
El 27. Manufactured Home utility clearance. --------------------------
❑ 28. Existing violations and/or expired permits. --------------------
El 29. 1143 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
❑30. Other:
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
❑Telephone and hold for pickup at /1 o4ce. ❑
Applicant: -/ I-'
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ AirF lution Date:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date:
1. Index permit application for the above items numbered: .2 Y
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building<D
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildii D.
Plans reviewed by: Date: Plans approved by:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by:
Yellow Copy - Department of Development Services, Building Division.
(Date)
with inspector.
-
-Date:
❑ Plan Check List
isiodcounter, by Date:
ion counter, by Date:
ision counter, by Date:
ision counter, by Date:
r Date:
Date:
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
f • - P.H. USE ONLY
Plat Plan AmwW e—
Floor Plan Atmcbed
Scat to B.D.
' kcd t W(yo Abrn k -dot ct 64- - zcm - Z
caner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Y Private Well
Clearance for . Other Dee.ic
Hold final for:
Final clearance O.K. for:
NOTE:
/gocz -41 l E#5 -
Environmental Health Specialist
8/92
Date
/
RESIDENTIAL
064-20-0-052
92-4216 BPEM
HARDING, Jim
6060 Abraham, Magalia
new sf
rc
1
I_ OFFICE COPY
1
Address
GAS '5 •/ Lj
' Meter By Date `�� 66
ELECTRIC
Meter By a e
OFFICE COPY
Address [�� 60 OWo 'n
I GAS
Meter By — Date
ELECTRIC
Meter By� Date7'??-'::pG_3
JOB FINALED (Date) 0 .
Signature /
%1 OK
O = Not OK "
NAppli
ot
Ready ble 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. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. 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 -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining'
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL
= a
Date UNDE OOR (Plans) OK except N's
oni - etbacks- Ease men ts-Flood-Slope
L,Pfg_M.*n: Soils-Elec. Grnd.-/ /" Ftg. Depth �, 2�_ 0
-a-
tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ft orches & Decks; Soils -Steel-/ /Ftg. Depth
to alts, Main; Steel-Blockouts-Wrapped
emwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
iers-Fireplace Ftg.-Steel
W :; Fall -Fitting -Test -2 Way C/O -Sewer Test
F. Gas Pipe; Size -Anchors - yard gas piping: size -test
1. ater -Pipe, Test
12. Electric; Underground
1 ie •s & Ducts; Clearance -Material -Support -Ins.
be'Girders-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Datet ::7V--jZ Card B-1 t Date Card B-1
Date and B-1 Date Card B-1
Date PLUMBIN ermit).Ok except N's
atr.-. Vent -Access -Combustion Air -Baffle - - --
1 . Water Pipe: Test & Anchor -Nail Protection
Test -Fittings & Anchor -Nail Protection ---- ----- -
_- —
--+1-4- Shower Pan; Test. First Floor -Tub Access --- - -
Yc . Test Tub & Shower, Second Floor -Tub Access
-------- -- as Pipe: Size & Anc ors
Card B-1 Date Card B-1
oate2.�—CI'�------- - -----------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except N's
Fixt & Transformer Clearance -Ins. Protection
-- ---- ------- Elec. ceptacles Spacing -Lights & Switches at Doors ----
-- ----------------------------------------
2 ,ze Box & No. of Conductors -Stapled
�x Installed Close to Ed e of C.J.
-Ground made p—<—!mech. Fastness -B nd Gas & Water
Single & Duplex)
Ap nce Circuts in or SizerGFl
bfeed Wire Sizer ya. Cu o C. wire Sir ga.
- --
Cu or At
------ --- ----- -- - -- ----- -----------------
ange Circ !(T ga Cu o Ove rc.. ga. Cu or AI.
Insulated Neutral esNo
------------------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
------------------------------------------ -- ---- --------------------------
uip rances Panels -Motors -Meth. Equip.
------------------- -------------------------------------------------------------
othes Closet Light -Shower Light -Spa Light
33. moka Detector
----- ----- - -- -- --------------------------------------------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) Ok except N's
ucts Insulation & Support
----- -----------------------------
-----------
---------------------------
Vent Fan: Exhaust above insulation
•----------------------------------------------------------------------------
- 26-6nnden_ate Drain & Overflow: Size & Grade
---------------------------------- ------------
37. Furnance-Vent; Access -Comb, Air -Return Air Vent -115 outlet
------------ - ---------------------------------------------------------------
-.2-attic Access & Platform if Furnance in Attic
Date_T4 �t -6 ard B-1 Date Card B-1
----------- -------------- -------------------------------------------
Date Card B-1 Date Card B-1
Date FRA (Plans) OK except N's
39. Sits per Material & Anchors
-------- ----- -
Wa, tuds-Nailing Spacing & Bracing -Plates -Sound
---- --/1sS----------------------------9 - ----- - ------ --
-�1 Bear -5111 over Girders & Floor Nailing
------- g -----------------
-------- ---------------------------
1 Draf in Walls (rat proof)
------------------------ - ----------------
Fir s: Furred Ceilings -Stairs -Chases -Tub
---------------------- -----
------------=- --- ------------------------------------------------
Headers & Beam -Size & Bearing
Date FRAMING (Continued)
angers -Post Caps -Anchors -Connectors
Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
4 epl ce Ties or Type A Flue -Fireplace Throat clearance
tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
ndows or Exiting Doors -Sill Hgt. & Dimensions
-547-Ma-rage Fire Protection Framing
---- -` . Propert .Line Firewall & Openings
5—t. Doors -One 3 -Check Garage -3rd Story, 2 Exits
---- - f3�-Stair��s Width -Headroom -Rise -Run -Landing -Fire Protection
5�ywood on Roof Overhang -Attic Vents -Rafter Outriggers
,ng -Nailing Veneer
,--56--Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
zing Area -Glass Protection -Skylights -Plastic
-------- -^ 38 -Shear Walls; Nailing -Bolts
sulation-Walls-Ceilings
--------------- - ----------
6 ration -Walls -Windows
Date C `C�GiJ Card B 1 Date Card B-1
Date?-Z,V 3 Card B-1 E4Date Card B-1
Date FINAL (Plans) OK ext pt N's
61. E�xt. eps-Door & Sidelight Protection -Landings
42 -IG ke Detector
-----------------
Furnace; Vents -Clearance -Comb. Air-Connector-
In�rage; Above Floor -Ducts -Meeh. Protection
- ----- ---- :.-In
---Exiting ---- _
G.F.I. &Bath Fixtures & Tub Access -Spa
-------------
------------ 66. Elec. &ub
Spanel; Breaker Sizes & Labels
----- - -- taus & ails ------- _
replace or Stove_ Clearances -Hearth
-------------- -
--e"Iec e s at Wood Panel: Int. & Ext.
--------- -- -- -- ------
Kit.Fix Appliance; Grnd -Air Gap -Cooking Clearance
ec. Outlets Receptacles at Kit. Counter
re Door: Swing -Landing -Closer
------------------------------------- -
It -A-C. Duct i .Garage -Damper
tr.; Vents -Clearance -Comb. Air-Connector-P.R.V. .
In Gar Above Floor -Meth. Protection
-----------
-------------
-- - --- Ib.. Elec. & ech._Equip. Listed for Location
7 eceptacles n Garage: (G.F.I.)-Romex Protection
I -am-Looked in Attic ❑ Yes
-----------------------------------------
----------------- --
ard Rai -Deck Construction -Post Caps
--- ---- - -
n. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor - ❑ Yes ---
e -I' owing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
•-8'1777SMcco -Finish
------------------- ------------------- --- —
C. Unit: Dis ect, Electrical, Plumbing
n s Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
-8-21-Water-8-21-Water Well: Disconnect, Electrical, Plumbing
-
i35. Extenor Tnm; G.F.I. Receptacle -Underground —
ntilation Throughout House
-----------
---------------- —
�1' s rotection
---------------------------------------------------- ---
--at-eerrections from Previous Inspections
------ -
-------------------------------------------------
as est -Meters Tagged; Gas -Electric - ------
%f, p er &Sewer Connected -C/O to Grade -HD Approval--
rrergy` Compliance Certificate -Other Certificates
Datej!v' Card B-1 Date Card BT - -
----- --- --
--F.�`----�------- -
---- -- e?--:
----- --
Date Card _B- 1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
JI 7 Cour*y Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
92-4216
1-11
ASSESSOR PARCEL NUMBER
064-20-0-052
ZONING
RTI
BUILDING PERMIT
OWNER
m Harding
TELEPHONE
877-0423
877-0423
SQ. FT. OCC. BUILDING V UATION
2085 R 112,590
OWNER'S ADDRESS
5531 Honey View terrace Paradise 95969
484 M 8,712
CONTRACTOR'S NAME
owner
TELEPHONE
160VO C 2, O F
18
CONTRACTOR'S MAILING ADDRESS
220 0 1,540
Fireplace A 1,500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1 $ 126,526
LENDER'S MAILING ADDRESS
Filing Fee $
155,00
Permit Fee $ (oQ;j
16�$;e8-
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
20.00
Penalty $
BUILDING ADDRESS
6060 Abraham Ct Ma glia
Permit fee $/Oj q
PLUMBING PERMIT Filing Fee
15.00
Each Trap 131 5-001
65.00
Solar or heat pump water heater 20.00
LOT NO.
212
SUBDIVISION NAME
PP #14
PARCEL MAP
38-39
Water piping 1 7.00
7.00
Each qas water heater or vent 1 7.00
7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
0
Building sewer 15.0015.00
Mobile Home S I G W @ 15.00
TYPE OF WORK
New [7X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: -3 bpdrnnm
Permit Fee $
114.00
Contractor
ELECTRICAL PERMIT Filing Fee
15.00
Main service R LESS
200A OR LESS 18.50
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
\i , �. �O
License No.��s�-i Classification jqs
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
Main service 200A TO IOOOA, 37.50
NEW CONST. OR AODNS. ( ADW3.6Q sq.ft.
OC�g l `
CC. BLDGS.
89.90ELLING
NEWCONSTR. ULTI.OUTLET @ 5 00
NO N•RES'D,
D BRANCH CIRC ITS
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 764
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESIO.I EA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
123.40
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee
15.00
Heating
9.00
Cooling
9.00
Hood 6.50
6,50
Ventilation 4 4.50
18.00
Permit Fee $
57.50
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.
XDate a
Signatfof Applicant - Owner,® COR aC►F for LJ Agent [-I
i � n OSHA permit is required For excavations 5 d e and demolition or construct -
on of structures over 3 stories in height. -
Mobile Home Installation Fee S
Energy Inspection Fee $ 40.00
K
coNszT�E
�/
TOTAL FEE $ 1-407XO
IHAZIDFYI
�--
IMP
FLDDD CDF PARCEL
P
HD
Iss
This permit is hereby issued under the applicable provi- I
of the Butte County Pde and/or resolutions to do
work indica ab e o which fees have been paid.
F PUBLIC WORKS
By Date/'Z-17-
PERMIT EXPIRES Date 2-/7-113
122888-1,373.45//
Receipt No. ' 3h�+ s
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
F.H. USE ONLY
Hof ITai Allac al YG s
s,,t 1„ B.D. /� • �d �lZi
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
G S%120 - S-?-
wrier
-?.wner / Location / AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well
Clearance for� OtherO�L
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental H tl Speciali
8/92
� /OT9L�
Date
..-"-�.r�.�-...t..sv..�.-..`^.sr�t^�.th't��w�%�.,""ra'�yM-�"",i"�"`e+x�f'�hv�`Ry l'w��:a.+�.w.�,�, rrtz..� AI'a..r.r�„'�i«M,•.....n�_.P:�.F.:. w.�.....rr't'�,.4,..'. ,. y_. �r
i'
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District JU • Building Department No.
A.P. Number 114 _:7/3/) S-7 Jurisdiction 0 City [�k County
Property Owner \J r / A Ail rz D i "61-
Property Location/Address (g(e60 Alm!t& 4 12124 1411%1—
Subdivison
t Residential Development
A019.6 * No. of Living
Tot/4 / Units
Commercial/Industrial kJhEN P&M,-r WAS
PIAN 6he4ka)
Building Ddoartment Rep
i
/Z /S 9. Z
Date
(Floor Plans reviewed by School District Personnel)
District Identification No.
aoVSchool District certifies that -
(Applicant)
4—A-14-0JA Otppj)i I � -Ph
(Street
(CRY)
has complied with the requirements of Resolution No.
representing square feet.
(Phone Number)
(Zip Code)
by payment of $
Paid by Check Number
Remarks:
Bank Number
Paid by Cash
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkt (4/92)
A...naY
i
Permit No.
E N ERGY C E R T.I F ICAT ION
6060 Ab aham, Magalia, Ca.
LOCATION
A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material_
Thickness(inches)
EXTERIOR WAIL
Material FIBERGLASS BATTS
Thickness(inches) 32"
Brand Name
Thermal Resistance (R Value)_
Brand Name OWENS-CORNING
Thermal Resistance(R Value) R11 _
CEILING
Batt or Blanket Type FIBERGLASS BATTS Brand Name OWENS-CORNING
11I
Thickness(inches) 9-z Thermal Resistance(R Value) R30_
Loose Fill Type FIB BU QSSBrand Name OWENS-CORNING
Minimum Thicknes5(Inches)_ 12 3/4" Number of Bags 30' Wt. per bag 35 _lb.
Area covered(ft. ) 1900 Thermal Resistance(R Value) R36
FLOOR, ELEVATED
Material FIBERGLASS BATTS
Thickness (inches)
111
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(incl►es)
Brand Name OWENS-CORNING
Thermal Resistance(R Value) R1.9
Brand Name
Thermal Resistance(R Value) -_
Brand Name -
Thermal Resistance(R Value)
I hereby certify that the above insulation Was installed in the above building
in conformance with the State of Californla Energy Requirements.
LOERKE INSULATION CO., INC. 499150
dGTzU=RE--OF
RM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
April 19, 1993
INS AI.L.A. ON APPI.ICA'POR ' DATE
I hereby -certify the above insulation and all required items as shown on the
Building Departmentapproved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO.
SIGNA7 RE OF GENERAL CONTRACT OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
Return to DPW AGRICULTURAL STATEP1EW OF ACCIOWLEDGEMENT
. . ' FOR RESIDFAITIAL-DEVELOPMENT
Section 26-8.1 of the Butte County Code., .
requires this acknowledgement be recorded
prior to issuance of a building permit.
}}..
3 2 -05725
The property described, herein is adjacent
-- T I
I
to land or included within an area zoned
Recorded I
for agricultural Pur oses$ and residents
Official Records I
of this property may be subject to incon-
County of I
veniences or discomfortarising from the
Butte I
use of agricultural chemicals, including,
Candace J. Grubbs I
but not limited to herbicides, pesticides,
Recorder
and fertilizers; and from the pursuit
10:04am 15 -Dec -92 I
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
tural zones which have as a priority use for productive
within said zones and on adjacent property should be
or discomfort from normal, necessary farm operations.
®e C 151gg2
4c Fee
5.00
Cash 5.00
PUBL X 1
Butte County has established agricul-
agricultural purposes, and residents
prepared to accept such inconvenience
All that real property. situate in the County of Butte, State of California, described as
follows:
-�&_ 4.4— Zo —:s, -
Date:
-:s, -
Date: /x��/9�- PROPERTY OWNERS:
State of _//1/ )u„a) On this the /5"day of �fC��-r3C 19 before me, the
SS. undersigned Notary Public, personally appeared
County of 4a�- )
°°°°��:
°0 a
a
°�°°°�,G`S'1�G-GPN z� `�� Personally known to me. 0 Proved to me on the basis
°°° Q• y9,o co`0g�al °A° of satisfactory evidence.
°°°° XIIIO o���Q °°�'� to be the persons) whose name(s)
�' / �
°s° subscribed to the within instrument and acknowledged that
A.�`y °°° executed the same for the purposes therein contained.. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
:5,.°
Present A.P. No. c��� : �G% - ; .�— 1%-� /� rj/j/•7 /�
Notary Public
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
PERMIT NO.
A SS ES$.OR PSA RCEL NUMBER fes.
ZONING
BUILDING PERMIT
ow ER
ELEPHONE
1
SO. FT. OCC._ BUILDING
Zoe 12
VALUATION
f ZSr-10
OWNER'S `MAILING ADDRESS p er]
CONTRACTOR'S NAME^
TELEPHONE
/'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
FilingFee
15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ QQ
ARCHITE T OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ �
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap 3
5.00 j6X.00
Solar or heat pump water heater
20.00
LOT NO,
SUBDIVISION NAMEPARCEL
MAP
Water piping
7.00 7,06
Each qas water heater or vent
7.00 7,66
USE OF STRUCTURE
SFI] Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 , QQ
Building sewer
15.00 c1?
Mobile Home I S I G I W
@ 15.00
TYPE OF WORK
New ® Addition ❑ Remodel ❑ Uti1.ties ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
//
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50 51 r
Main service 20GATO 1000AI
_
37.50
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 Professiioon•�{s �C(oddee. and my license is in full force and effect.
License No. 7 Classification �—\ cz� 4Z
❑ 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 oc P.
OR ADDNS. ( ACC . BLOGS.I
3.6Qsq.ft.
NEW CONST.MULTI-OUTLET
NON•RESID BRANCH CIRC ITS
Q
@ 5.00"'/•��
POWER APPARATUS .&
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
20 76
FIXED PR
Ex. Occup. OUTLETS IRESID )EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
If
$
Contractor
12.,3 .46
WORKMEN'S COMPENSATION INSURANCE
1 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 becomesubject
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 - 15.00
Heating
CXI0
Cooling
c0
Hood
6.50
Ventilation
t
Permit Fee
f
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 cortramlor ❑ Ag nt ❑
An OSHA
ion of structures toverr39storriesoinehe ght over 5'0" dee nd demolition or construct-
`cl ceipt No. /
PTE-O.P.W., YELLOW -ASSESSOR, PINK v. "LCTOR. GOLDEN. -APPLICANT
Mobile Home Installation Fee $
Energy Inspection Fee 910 $ Dv
occ
CONST TYPE
TOTAL FEE $
HAz
1 DFEES I
IMP
I FLOOD
COF
I P7
PD Loft
11
I ISSUE
This permit is hereby issued under 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
(/
COUNTY OF BUTTE."' PARTMENT OF PUBLIC WO #�- BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
OWNER JI M
Proposed Building Use_
PERMIT APPLICATION DATA SHEET
1AAr-O /�J G
A P. o. CD — 7OO D 1
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 BY
1.
2.
3.
4.
5.
6.
7.
5
All items have been submitted . ........................................
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
Complete plans, 3/4 sets, signed by preparer of plans . ......................
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . ............................................
Ener - y Design Compliance and supporting documentation . ..................
ement of Intent for Non -Heated and A/C Buildings. .
Engineered truss details and layout in duplicate (required prior to plan check). ....
<1.
12.
4.
15.
Mobilehome data �and-�mnanufacturer's installation instructions, 2 sets. ...........
Fees of$ 34-,4Y5 ..........................................11
Impact fees as shown on attached schedule . ..............................
California Department of Forestry plan approval/fees. ........................
Flood elevation letter (100 year fl o ,alifornia Engineer. .
Sanitation and plot plan approval Health Department . ............
City of Chico plumbing permit. ........................................ .
A, 9 ,1-
2
—8
16.
17.
Ae18.
9.
20.
21.
22.
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking: . ........
Contact Land Development about (A) Improvements (B) Drainage. .
Driveway permit (construction approval required prior to occupancy). .. d
Pre -inspection for to BuildingIns rectus I
required. . to Building Inspector (Dale
Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner ). ......... .
Recorded Agricultural Acknowledgement Statement >Z
2
copy of ...................
L tt f ; t th ; t'
S'
. a er o slgna urs au onza Ion . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: M'I to w r. Mail to contractor.
Telephon �a i hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage ApplicantDate
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept.er Date By
The following data must be submittedi to
1. Index permit for above items No.
2. Additional items required: /
ew item not checked above),.
Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by IL Date "Iz'4-9ZPIans approved by Date t;2-(
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Encroachment Permit Section
RE: 'Driveway Clearance
r
J
owner
Driveway permit Zl G 3
n b
S,7aeLe�l
sign re
location
AP #
has beCC'��d� nom the above property.
QG� 1 J W77 r.
date �'
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
/-/,d (ZDIAI q -7 -cal �
® �� PERMIT NO.
Aroatine inspection indicates that the following violations of Butte County Ordinances exist at
4w above address and should be corrected. Please notify this office when,Cirection of work
iscon4le>ed-11you have any questions pertaining to this matter, or need`ldddditional explanation,
please contact this office immediately. V `r
*Y G�� i �i Xis �y�ay�
I(
Date f -- ."—t '2 Inspector
REV IQW J
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
--4z/(1
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. ffyouhave any questions pertaining to this matter, or need additional explanation,
ollease contact this office immediately_
I
a
i
Date 2 1 Inspector
f
REV 10!92 v
('101111,11 (11' Ilurrl I11?I'AICIiIi:NF OF1'11111.IC Nt111Rt� -- IIIIII.IIINI; IIIVISII)N
1 l,(
rliNl'Y (1,1111U.11 UIIIVI OROvll.l.l;, CAI.IFORIIIA TO(` - II`.I.i?I'lit)rli; ('/1(i)i:)f►IS�iI
A.I'. 110.
ITOPOSED ULIII,I)ING IISI. —
It
School I)1 s1:rlctFees _ 11G Z:�)_
(paid nl: D181-1lct Of fIce)
% 2. Sher 1 f f Fees
/ (paid at Dulldl.tig Uepartmenl:)
Resldential __
unit amt.
Cummercl a I ( per sq . f. t . )__-- _X_ _ —=$- - ---
sq.ft. Hint.
LA3. Ilrbnn Aren Fees --_--- —.__
(paid at Bu).iding Ilepartment
Residential (per unit)_ -X -�
�# units HmL.
Conunerlcal(per s►I.ft.)„ X -$--
sq . f t. Hint.
to. Recreat Ion District Fees —_
(paid at District Office) ..........................
/1/f'f 5. Ilrn)nnge Irlsl:rlct Fees
(Contact Laud Development) .........................
7. Other
At
time of
permit
appllcal:lon, I ,imH Hdvised the nbove fees are required to Ile paid prior
to
lssunuce
of the
perml.t.
APPLI.CAII'1'
PATE 12, ?i
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F.,,DUPLEX & MIJ.. ONLY)
Bldg. Permit # 9Z -
OWNER �,j c, A. P. # meq--- 20- S 2
Plan Checker_ _ 21e- f 2- 4- - Z
GENERAL
Z Z�n'ng requirements: (sideyards and number of permitted living units).
2./Valuation. G07-'1P1-aC- -Eb
3e/Flans signed by designer.
4. Proper description of work on application.
ing violations on property.
Mems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
- :-- corded notice of violation.
PLOT PLAN L ��
�omplete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
3—O-ther buildings or structures.
44---G ading, fills, drainage.
5� Flood hazard.
Special conditions on creation --map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
7 FAU & FAS road setback.
8 Building or utilities across lot lines (Record form).
FLORO
le
mpte to scale plan with dimensions.
windows for light and ventilation (Sec. 1205).
equired windows for second exit (Sec. 1204).
ylights (Chapter 34 & Sec. 5207).
man impact glass (Sec. 5406).
�klelqyired
room sizes, ceiling heights (Sec. 1207).
�/7.FCIS in baths, garage, kitchen, and exterior outlets (Article 210-8).
Lie fixtures, switches, receptacles, and exterior receptacles for main-
`enance of mechanical equipment. _
9 L,cations of water heater, heating and cooling equipment, other electrical
or s equipment.
arage .firewall, door size, and closer (Sec. 503(d)(3)).
1 - 310" exterior exit door (sec. 3304 (f).
1 F' ep.la nd wood stove location, alcoves, and clearance.
S11 0 detectors (Sec. 1210).
1 Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
i Standard bracing or engineered design (Table 25V)
usual shape, size, or split level house requiring lateral design.
5-7Ierestory requiring balloon framing and/or engineering.
ree tory building requiring engineered calculations and plans.
�ation plan complete enough to construct building.
Floor construction details complete enough to construct building.
evations and wall construction details complete enough to construct building
Roof construction details complete enough to construct building.
replace construction details and talcs if necessary.
FlGa�rage
fter ties or bearing ridge beam.
door or porch header sizes.
1 Stud heights.
1 Adobe soils - special foundation design.
1 Retaining walls requiring design.
15. Special Inspection required.
8/91
RESID!RTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
f. ay details: landings, rise and run, head clearance, handrails
fc-c. 3306).
ffBrick
ardrail details (Sec. 1711 & 3306(j).
or stone veneer (Chapter 30).
prior plaster - weep screeds (Sec. 4706).
5th Pr r roof pitch for roof convering (Chapter 32).
64. --Roof covering type - (fire hazard).
sulation - protection.
36" halls and stairways.
wing area over.garage - complete 1 -hour separation -required on garage side
incluOkng supporting walls and posts, etc.
exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
lY---A-ttic access and ventilation (Sec. 3205).
lkt?" erfloor access and ventilation (Sec. 2516).
1 Combustion air for fuel burning appliances - L.P.G. requirements.
1�6c* requirements on duplexes.
1 En�ergy design.
lFlashing at all exterior openings.
�—£-responsible area requirements.
DATE 02/// /93
FROM: Name: Coldwell Banker Ponderosa Real Estate
Address: 7020 Sky%vay
Paradise, CA 95969
Attn: ROBIN WALTERS
Phone: 877-G244
Fax: 377-54GO
TO: Wolfe County Building Division
7 County Center Drive
Orovillc, CA 95965
Phone (916) 533-7541
Fax (916) 533,-2140
SUBJ: Request for Building Permit. Information
Request you. research the building permit records for the following parcel:
A.P. U tkDDRT?SS OWNER'S NANM,
064-20-52 6060 ABRAHAM, MA ,AT,TA _ FRIEND i
Plcasc research any building permits applied for, issued and finaled on this property.
I understand a research fee of $23.00 (minimum) is required by the Building; Division.
Research and report time in excess of 30 minutes will be billed at $46:00/hour in 30 minutc
intervals. (Butte County Ordinance //3075, effective 7/12/93, requires payment of this fee.)
Plcasc V1ail O Fax report to me at address/rax // above.
Atch: Check for $23.00
(Payable to Butte County Treasurer)
Signaturc of Requester
RECEIVED
FEB /- 3 1998
BUTTE COUNTY
BUILDING DIVISION
a
Certificate of Compliance: Residential Climate Zone 11
uAa r) i tic
Project Title Q2 - 2110
Addren
Documentation Author Telephone
BUILDING DATA
Conditioned Floor Area 00%6-
Slab/Raised Floor1 S Ul
Single Family Detached (SFD)
] Single Family Attached (SFA)
[ ] Multi -Family (MF)
B UII.DING SHELL INSULATION
Number of Stories
Number- of. Units
(] Addition Alone
[ ] Existing Building
[ ] Existing -Plus -Addition
Component Insulation Izeli iorr/Comme=
Type R -Value (attic, to Garage, D212!l. eb-0
Wall .............. 12-/)
Wall ..............
Roof ............. PLI,
Roof .............
Floor .............
Floor ............. _
Slab Edge.....
GLAZING
Shading Devices
Bw7din Permit M
R- 12-4 9Z
Chedled By / Dale
Enfam anent Amscy Use otthr
Pd f N T 'roT?� L
�3
Glazing Area Glass Type Interior Exterior Overhang Framing Type
Orientation (Sf) (single, double) (roller blind, eta) (shadeta am etc.) (yes/no) (tnatallWood)
North ( ) S DTA(_ _ATL
North
East
East ( )
South
South ( )
West ( )
West ( )
Skylight.......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile. etc.) (SO (inches) Location/Description (kitchen, bath. etc.)
HVAC SYSTEMS Minimum. Duct
Type (furnace, air . -Efficiency Location - Duct Output Manufacturer / Model #
conditioner, hent p»mp) (SE, SEER.HSPF) (attic. etc.) R -Value (Btuh) (or approved equal)
PUP44 f� IL IUM GWENT
• C . 8,9 QTT IL
ILINQ nG PAI MPN
Maximum Furnace Heating Output: Tom^Btuh APPROVED
� /
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
S' �• M".
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: -Residential MF -111
NOTE: Lowrise residential buildings subject to the Standards must contain these treasures regarda o1 the compliance
approach used. Items marked with an asterisk (•) may be superseded by more strint t eanplturce regauemerin listed
on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted Nall
be considered by all parties as binding minimum component performance Specifications for the mandatory measures
whether they arc shown elsewhere in the documents or an this chocklist only.
DESCRIPnON I DESIGNER I ENFORCEMENT I
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b): Loose fill insulation manufacturer's labeled R -Value.
• §2-5352(c): Minimum wall insulation in framed walls R.l l weighted average (dors not apply to
exterior mass walls).
12.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor
transmission rate no greater than 2.0 perm(mch.
§2.5311: Insulation specified or installed meets California Energy Commission (CEQ quality
standards. Indicate type and form.
62.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infiltration/Exfilt ation Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weathersripped: all joints and per"wom caulked and scald
62-5352(e): Special infdtration barrier installed to comply with 12-5351 mals CEC quality
standards.
12-5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have:
a. Tight fitting, closeable meal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
52-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2.5352(h) and 2.5315: Setback thermostat on all applicable heating systems.
•
12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
§2.5314(c): Gas -furl space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment. water heaters• showerbeads and faucets certified by the CEC.
§2-5352(1): Water heater insulation blanket(R-12 or greater) or combined interiortne rior
insulation (R-16 or greater): fust 5 fest of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. System has:
a. ONoff switch on heater.
b. Weatherproof instruction plate on heater.
e. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inleL
Lighting and Appliance Measures
112-5352(j): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms.
12-5314(c): Gas fired appliances equipped with intermiumt ignition devices.
§2.5314(x): Refrigerators, refrigerator -freezers. freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compliance lists the banding features and performance specifications needed to comply with
Title 24, Cbapter 2-53 and Title 20.0%aptrr2. Subdta*er4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building.
Designer
Name:
Title/Fnm
Address:
Telephone:
Lic. M:
Building Owner
Name:. ,
TftWFrm.
Address:�c-�i �„�T11►.,� 't'c..ryr
Telephone: ti
(signature) (date) (signatum) (date)
Documentation Author
Name:
T1de/Fum:
Address:
Enforcement Agency
Name:
Agemr.
Telephone:
Glass Area
% Glass
North
75
.
East
5
2
South
5 O
weat
Skylight
!
al
F 2
- S
Pd f N T 'roT?� L
�3
Glazing Area Glass Type Interior Exterior Overhang Framing Type
Orientation (Sf) (single, double) (roller blind, eta) (shadeta am etc.) (yes/no) (tnatallWood)
North ( ) S DTA(_ _ATL
North
East
East ( )
South
South ( )
West ( )
West ( )
Skylight.......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile. etc.) (SO (inches) Location/Description (kitchen, bath. etc.)
HVAC SYSTEMS Minimum. Duct
Type (furnace, air . -Efficiency Location - Duct Output Manufacturer / Model #
conditioner, hent p»mp) (SE, SEER.HSPF) (attic. etc.) R -Value (Btuh) (or approved equal)
PUP44 f� IL IUM GWENT
• C . 8,9 QTT IL
ILINQ nG PAI MPN
Maximum Furnace Heating Output: Tom^Btuh APPROVED
� /
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
S' �• M".
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: -Residential MF -111
NOTE: Lowrise residential buildings subject to the Standards must contain these treasures regarda o1 the compliance
approach used. Items marked with an asterisk (•) may be superseded by more strint t eanplturce regauemerin listed
on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted Nall
be considered by all parties as binding minimum component performance Specifications for the mandatory measures
whether they arc shown elsewhere in the documents or an this chocklist only.
DESCRIPnON I DESIGNER I ENFORCEMENT I
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b): Loose fill insulation manufacturer's labeled R -Value.
• §2-5352(c): Minimum wall insulation in framed walls R.l l weighted average (dors not apply to
exterior mass walls).
12.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor
transmission rate no greater than 2.0 perm(mch.
§2.5311: Insulation specified or installed meets California Energy Commission (CEQ quality
standards. Indicate type and form.
62.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infiltration/Exfilt ation Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weathersripped: all joints and per"wom caulked and scald
62-5352(e): Special infdtration barrier installed to comply with 12-5351 mals CEC quality
standards.
12-5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have:
a. Tight fitting, closeable meal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
52-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2.5352(h) and 2.5315: Setback thermostat on all applicable heating systems.
•
12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
§2.5314(c): Gas -furl space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment. water heaters• showerbeads and faucets certified by the CEC.
§2-5352(1): Water heater insulation blanket(R-12 or greater) or combined interiortne rior
insulation (R-16 or greater): fust 5 fest of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. System has:
a. ONoff switch on heater.
b. Weatherproof instruction plate on heater.
e. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inleL
Lighting and Appliance Measures
112-5352(j): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms.
12-5314(c): Gas fired appliances equipped with intermiumt ignition devices.
§2.5314(x): Refrigerators, refrigerator -freezers. freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compliance lists the banding features and performance specifications needed to comply with
Title 24, Cbapter 2-53 and Title 20.0%aptrr2. Subdta*er4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building.
Designer
Name:
Title/Fnm
Address:
Telephone:
Lic. M:
Building Owner
Name:. ,
TftWFrm.
Address:�c-�i �„�T11►.,� 't'c..ryr
Telephone: ti
(signature) (date) (signatum) (date)
Documentation Author
Name:
T1de/Fum:
Address:
Enforcement Agency
Name:
Agemr.
Telephone:
• . Ceiling Insulation
Raised Floor Insulation
Insulation In Floor
Number of stories
One Two Three
-17 8 .5
-3 -2 -1
0 0 0
3 1 1
-144
Number of stories
-46
R -value
One
Two
Three
R-0
-103
-9
32
R-19
8
-4
-2
R-30
-2
-1
-1
R•38
0
0
0
U -value
-1
0
0
0.50
-176
84
-54
0.30
-102
-49
32
0.10
-26
-13
8
0.08
-18
-9
-6.
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
t. Wall Insulation
13
27 •
-52
Single-
Single -
-2
6 13 '
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
88
-51
34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
-4
2
8
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
•24
0.10
0
0
0
0.08
4
3
2
0.06 1
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00
24
18
12
Raised Floor Insulation
Insulation In Floor
Number of stories
One Two Three
-17 8 .5
-3 -2 -1
0 0 0
3 1 1
-144
-70
-46
-120
-58
38
-95
-46
30
-69
-34
-22
-43
-21
-14
-17
8
-5
-11
-6
-4
-6
-3
-2
-1
0
0
4
2
1
10
5
3
Controlled Ventilation Crawlspace
-4
3 -1
Number of stories
-1
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-11
-2
-2
-2
R-19
-1
-2
-2
Slab Edie Inmiation
40
-90
37
Number of Stories
-14
R -value
One
Two
Three
• R-0
0*
0
0
R-5
8
5
2
R-7
8
6
.3
F2 factor
0.90
-4
3 -1
0.80
-1
-1 0
0.70
2
2 1
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
S. Inriltration (Air Leakage)
SF.
edfiaeon Points
SMdard 0
6. Glass Heat Loss
Total
-25 or -24 to ►1410
Stab Floor
Effective Percent Glass
, U -value
Family
Percent
North
East
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
lees
50
-121
-53
-39
-24
-10
4
40
-90
37
-26
-14
3
8
35
-75
-29
-19
-9
1
10
30
81
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27 •
-52
•-17
-9-
-2
6 13 '
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
44'
8
11
15
18
12
-9
6
9
12
15
19
11
8
7
10
13
16
19
10
-3
9
it
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
Effective Peredtt Glass
(percent glans x SC)
Effective
-25 or -24 to ►1410
Stab Floor
Effective Percent Glass
Mass
Family
%Glass
North
East
South
West
Skylight
18
5
1
4
1
na
16
4
2
5
1
na
14
4
2
5
1
na
12
3
3
5
2
na"
11
3
3
5
2
na
10
2
3
5
2
1
9
2
3
5
2
2
8
2
3
5
2
2
7
1
3
4
2
2
6
1
3
4
2
3
5
1
2
4
2
3
4
0
2
_3-
1
3
3
-23
1
2
1
3
2
0
21
1
0
3
1
-1
�4--
1 -
-1
7
2
0
-1
-2
-4
-2
0
na = not allowed
3.5
no .t not ailowad
5
7
l6. Shading (Shade Closed)
-25 or -24 to ►1410
Stab Floor
Effective Percent Glass
Mass
Family
(percent ghm x sQ
-
,In
NoM
End
SPA
Wet
Sftyipht
- - 18
-14
-48
89
-64
- na
16
-12
-42
-59
-55
na
14
-10
35
-50
-46
na
12
8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
8
-23
31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21..
-56
7
-4
-14
-19
-18
-47
6
3
-11
-15
-14
-38
5
-2
-9
-11
-10
-30
5
1
-3
1
7
--4
-23
3
5
.4
-9
2
16
21
6
'Y
-2
-1
-9
1
1
7
1
-1
1
0
2
3
4
3
3.5
no .t not ailowad
5
7
9
9
9. Interior Thermal Mass
Interior
-25 or -24 to ►1410
Stab Floor
Raised Floor
Mass
Family
Slories
-
••
Stories
Attached
ICFA
One
Two
Three
One
Two
Three
2
1
0.40
5
4
3
0.60 "
0.0
-8
-5
-4-1
10
8
-1
0.1
-8
-5
3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
3
-1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
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
Wall
-25 or -24 to ►1410
S416116-
Sum of 1.6
16 or
Family
Farni1
Muth
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
1.20
13
12
8
1.40
12
13
9
1.60
10
13
11
1.80
10
12
12
200
10
11
13
11. Heating System
SE or RSPF
(assumes duets in attic)
12. Cooling Systom
SEER
(assume, ducts In attic)
Sum of 7-10
-25 or -24 to ►1410
-41D
Sum of 1.6
16 or
SEER
less
-15 8
-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
15
13 11
Effective SE or HSPF
7
5
(SE or HSPF x duct efficiency)
20
Effective -25. or -24 b -14 b
4 to 46 b 16 or
SE HSPF
leas'
-45 8
+5
ilS more
0.6
0.30
215
-73
84 -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
8.0
9
7
0.80
7.33
25
22 19
16
13
10
0.90
8.25
32
28 24
20
17
13
1.00
9.17
37
32 28
24
19
15
120
Zonal Control Adjustment
26 22
18
System Type
9
13.0
33
29 24
20
Resistance
10
9 7
6
4
3
Other
8 7
6
5 4
3
2
2
12. Cooling Systom
SEER
(assume, ducts In attic)
Sum of 7-10
No Cooling, System Installed
:Stories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2 2 1
Single -Family Iktached and Attached
-25 or -24 to ►1410
-41D
+6 to
16 or
SEER
less
-15 8
+5
+15
more
8.0
-14
-12 -10
•8
•6
-4
8.5
-9
-7 8
-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
12.0
15
13 11
9
7
5
13.0
20
17 14
12 .
9-
6
-1
0
Effesllve SEER
0.6
-HWR
-18
(SEER
xdnct efficiency)
-7
-6 -
21
Sim of 7-1 0
-25
-16
Effective
-25 or
-24 to -14 to
8 to
+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
8
-4
6.6
-5
-4 -4
3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
j 11.0
26
23 19
15
12
8
120
30
26 22
18
14
9
13.0
33
29 24
20
15
10
b
Zonal Control Adjustment
or
Type
10
8 7
6
4
3
No Cooling, System Installed
:Stories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2 2 1
Single -Family Iktached and Attached
Interior Mass/CFA
s nn f loss
Ceiling Insulation
2.
Unit Size (sQ
3.
Water
4.
;199
120Y
1700
2200
2700
Heater
Credit
or •1 b
to
to
or
Type
Type
less,'1699
2 4
2199
2699
more
SG
None
"0
0
0
0
0
or
Solar
12
" 8
6
5
4.
HP
-HWR
8
5
4
3
3
WSB
5
3
3
2
2
15%
POU
8
5
4
3
_ •3
SE
None
37
-24
-18
-15
-12
90%
Solar
-1
-1
-1
0
0
0.6
-HWR
-18
-12
.9
-7
-6 -
21
WSB..:
-25
-16
-12
-10,
8
3.8
POS .-
,-10
.--.712
-9
-7
-6
IG
None
• =5
3
-2
-2
-2
1
Solar
Z
5-
•4
3
2
25
POU
.3
_ -2
1
1
1
IE
None
28
-19
14
-11
-9
-
Solar
8
5
:4
3
3
1.4
POU
•10
-6
-5
-4
-3
29
Multi-Faml y (Individual units)
3.3
3.5
3.7
39
(`
[►
4.5
Water
S
S M `
700
12
1700
?200
Healer
Credit
or
b
b
10
or
Type
Typo
lee
1190_
1699
2109
more
SG
None
0
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
1.5
; 5
3
2
2
26
___9
WSB
9
4
3
2"
2
4
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
-9
1.5
Solar
2
1
1
0
0
3
32
3.4
3.6
10
4
42
4.4
WSB
-25
-13
8
8
-5
_
POU
-23
_ 1 L__8..
..-6
1.4
IG
Nona.
Solr.i
-8
-4
• -3
2
112
3
:�
6
3
2
1
4.3
4.5
Pou = -1'
0--.-
0
0
5.6
5.8
None -
30
-15
-10 "
-8
1.7
Solar =
18
9
6
4
4
11
POU
8
-4
-3
-2
-2
Interior Mass/CFA
s nn f loss
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
O.$
X
= o•to
% Glass
SC Eff. % Glass
3 .G.
X
r., _ 2 + 4-
2 4
x
14 (.
.5,0
x
Ur"tod s..71
Ic.wa.A a.bl
X
=+-t
-
X
, -77 = o•�
TYPE 1 MASS AREA 8
COND. FLOOR AREA
_,
t TYPE I
-
MASS
WINC 6 4.2• le:
es sod
�
Slab)
TYPE 2 MASS AREA $
Exterior all Mass
D . R A
*7-
. Z-
0%
6%
10%
15%
20%
25%
30%
M 40%
45%
50%
55%
60%
6616
70%
15%
60%
85%
90%
9S%
100% 105% 110% 115% 120% 125•i
0%
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
21
2.3
25
2.7
2A
3.2
3.4
3.8
3.8
4
4.2
4.4
4.5
4.8
S
53
10%
0.2
OA
0.6
0.8
1
1.2
to
1.5
1.9
2t
23
25
27
2.9
9.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
5
5.2
54
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
22
24
27
29
3.1
3.3
3.5
3.7
39
4.1
4.3
4.5
4.8
S
5.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
22
24
26
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
So
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
22
24
26
2.8
3
3.2
3A
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
59
.50%
0.9
1.1
1.3
1.5
1.7
to
21
23
2.5
27
3
32
3.4
3.6
10
4
42
4.4
4.6
4.8
&1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
S2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
12
1.4
1.7
1.9
21
23
25
2.7
19
11
13
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
5.9
61
63
65%
1.1
1.3
1.5
1.7
1.9
22
24
2.6
2.8
3
3.2
3.4
3.6
3.6
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.1
64
70%
1.2
1.4
1.6
1.6
2
22
25
27
2.9
3.1
13
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
S.2
5.4
5.6
58
6
6.2
64
75%
1.3
1.5
1.7
1.0
21
23
25
27
3
3.2
3.4
3.5
3.8
4
4.2
4.4
4.8
4.8
5.1
S.3
5.5
5.7
5.9
6.1
6.3
6.5
60y.
1.4
1.6
1.8
2
22
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5-
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66
e5%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.6
5
52
S4
S.6
5.9
6.S
6365
07
90%'
1.5
1.7
2
2.2
24
26
2.8
3
3.2
3.4
3.6
18
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
68
95y.
1.6
1.8
2
22
2S
27
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.6
5
5.2
5.4
5.5
5.6
6
6.2
6A
6.7
6.9
100%
1.7
to
21
2.3
25
28
3
3.2
3A
9.6
3.8
4
4.2
4A
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
8.3
6.5
6.7
7
105%
1.8
2
22
. 2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
56
5.8
6
6.2
6.4
6.6
68
7
110%
1.9
2.1
2.3
2.5
27
29
3.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
52
SA
5.7
5.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.6
28
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
6.3
5.5
5.7
5.9
6.2
6.4
&6
6.8
7
72
120%
2
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
S
5.2
5.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
73
125%
21
2.3
25
2.8
3
3.2
3A
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
&3
6.5
6.7
7
7.2
74 i
Point System Summary: Climate Zone 11
SCORECARD
1.
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
B. Shading (Shade Closed)
a.. North,
b. East
c. South
-d. West
e. Skylight
9. Interior Thermal Mass
10. Exterior -Wall Mass
11. Heating System
Zonal Control? ( Y / N )
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
Measures
3-111 �L3 or
R-value381 U -value [0.030]
I
or
R -value [ 11 J U -value [0.0981
or
R -value [ 9] U -value [0.0371
or
R -value [0] F2 factor 10.771
Standard
RIP L__r s
Type [double) U -value [0.65] 4o Total Glass [ 161
Point Scores
0
O
% Glass
SC Eff. % Glass
3
X
t 77 = 2•g
-3.(-v,-
9.4
S. O
X
X
= I '
= 3, Ct
_
X
= t .:&
O.$
X
= o•to
% Glass
SC Eff. % Glass
3 .G.
X
r., _ 2 + 4-
2 4
x
14 (.
.5,0
x
�•Z
X
=+-t
09('
X
, -77 = o•�
TYPE 1 MASS AREA 8
COND. FLOOR AREA
interio aaa/CFA
TYPE 2 MASS AREA $
Exterior all Mass
D . R A
*7-
. Z-
X
SE or HSPF
-'
Duct Efficiency [0.78) Effective SE or
[0.7216.6
HSPF 10.5615. 151
%J
x
r VZ -/"3-
SEER [9.51
Duct Efficiency [0.741 Effective SEER [7.03]
1!>_
0
3
3
Sum 1.6
0
Z-
Sum 7-10
2
r
Type (SG] Credit [none]
Point Total. 3
G,
PI
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:TI -2X4 FIR -LARCH #i PROVIDE FOR HORIZONTAL MOVEMENT AT QNE SUPP T. --rc-I-4
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REQUIREMENTS OF I.C.B.O.. RESEARCH REPORT 02S49.:
ALL TOP CHORDSPLICES OCCURRINGBETWEEN
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CONTRACTORs WARNING -
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PARTICULAR CARE IS ADVISED OMING INSTALLATION
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TABLEB.18.
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