The URL can be used to link to this page

Home My WebLink About064-230-024:� r.:• y ., 3665-89B, P,•E,M, c s CARVERC0 UCTIONJr 1475O''Carnegie Magalia� ((new: single family, ^` • �:, 4 �, ".�t..W st ri}*W�},7F�?r•'€ ��.Uwr \ ,Gc4�� f!// .�. /1. �� " � �3 " s .Pe'r'mit OB' a f �r , f� • t� f� r f. o. u � tV M �� i� T ° f 64-23-24 � 3665 9B -,P, CARVER CONSTRUCTION J 14750 Carnegie Rd, Magalia ( (new single family) _R PERMIT ' PERMIT EXPIRES OWNER i. CONTR. 4, ASSESSOR PARCEL LOCATION •-r r . - AW!g, M4e(4i,r +£ • y '`( 1 h Temp. Power Pole Called PG&E s' Temp. Elec. Service i Called PG&E Temp. Gas Service ��Qo :✓% r Called PG&E JOB FINALED (Date) (� Signature -s 0 _ vK O= Not OK - = Not Applicable = Not Ready RESIDENTIAL (Siridle and Duplex) Date UNgERFLOOR (Plans) OK except #'s Date FRAO(G(Continued) Zoning -Setbacks; -Easements -Flood -Slope -,4L4 Xhgers-Post Caps -Anchors -Connectors Ftg., Main; Soils-Steel-Elec. Grnd.-/ Z /" Ftg. Depth r4VClrlg. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng eT1F_tg., Garage; Soils -Steel-/ (Z /" Ftg. Depth 4X,,rtreplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 4 . Access; Size & Romex Protection -Draft Stop -Ins. Baffle: emwalls, Main; Steel-Blockouts-Wrapped 4 dim. Windows or Exiting Doors -Sill Hgt. & Dimensions . §Ipmwalls, Garage; Steel-Blockouts-Wrapped SCZarage Fire Protection Framing . SZ'Slab: Steel -Wrapped R.wGia4CA," E1rI:�2perty Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel . Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test-9irs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Te -Anchors-Regulator-Service Test iding-Nailing Veneer 12. Electric; Underground -56_Stucoo Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 5 1 Y ng Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. ar Walls; Nailing -Bolts 15. Insulation sulation-Walls-Cig. .Infiltration-Walls-Wndws Card -B1 Date (,(�, �.��_q � Card -81 �O, Date Z -/3_5'a Card -81 Cir Date t—ej ,_ ji oCard-B1 Gr Date3^rb--j 0 Card -131 Date 3-3o Card -B1 k% Date 44 -l/ --IZo Card Date, Date PLUMBING (Per OK except #'s -81 --L-47 Card -131 Date 16. W er Ht, t -Access bust Air -Baffle Date FIN (Plans) OK except #'s 1 ; T ater Pipeest & Anchors -Nail Protection . Ext. Steps -Door & Sidelight Protection -Landings 1 oW.V.; est- ttngs & Anchors -Nail Protection Smoke Detector Sja6wer Pan; Test, First Floor -Tub Access urnace; Vents -Clearance -Comb. Air -Connector In Garage; Above Floor-Ducts-Mech. Protection 32aest Tub & Shower, 2nd Floor -Tub Access (2y Gas Pipe; Size & Anchors . Bedroom Exiting - G.I. & Bath Fixtures & Tub Access -Spa EI Trim Card -B1 Date Card -B1 Date : & Subpanel; Breaker Sizes -Labels - Card -B1 Date Card -81 Date •- . �Si�dirs &Rails6S'Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69ec. Outlets at Wood Panel; Int. & Ext. 22. FI 4t)re & Transformer Clearance -Ins. Protection 7 . Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 29,-fl_oc. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter ize Boxes & No. of Conductors -Stapled 72' Garage Fire Door; Swing -Landing -Closer ex Installed Close to Edge of Studs 7 • A�.-Duct in Garage -Damper q ip. Ground made up w/Mech. Fasteners- and Gas Water 7XWtr. Htr.- Vents -Clearance -Comb. Air-Connector-P.R.V.- 2 Appliance Circuts in Kitchen &Conductor ize/G.F.I. In Garage; Above Floor-Mech. Protection _1&.-SL"�feed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. C or Al 7�PIb., Elec. &Mech. Equip. Listed for Location 76.-Erec. Receptacles in Garage; (G.F.I.)-Romex Protec. Ve'Range Circ. / / ga. Cu o A -, ven Circ.,L,,,/ ga. Cu or Al. Insulated Neutral Yes No 7 nsulation-Foam-Looked in Attic 13 Yes 7 .. Guard Rails & Deck Construction -Post Caps 90. Service -Riser Conductors & Ground -Main Disconnect . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No Planters ❑ Yes ❑ No 33. Smoke Detector co; Brown -Finish Card -81 Date Card -131 Date 8eA.C. Unit; Disconnect, Electrical, Plumbing Card -B1 D to Card -B1 Date 844ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date M ANICAL (Permit) OK except #'s C. Ducts Insulation & Support 8 ater Well; Disconnect, Electrical, Plumbing 2Affxte2or Elec. Trim; G.F.I. Receptacle -Underground V t Fan; Exhaust above insulation 8 ilation throughout House 3 ndensate Drain & Overflow; Size & Grade 87Glass Protection ge!.�F(face-Vent; Access -Comb. Air -Return Air Vent -115 outlet 8 . Co ections from Previous Inpections 3 - Attic Access & Platform if Furnace in Attic RR.'G:;,: Test -Meters Tagged; Gas -Electric 'W'Water & Sewer Connected -C/O to Grade -HD Approval Card -81 Date Card -B1 Date Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 9 . Roofing CertificateCard-81 Date y -f Card -131 Date Date FRAMING (Plans) OK except #'s Card -81 Date Card -131 Date 9/Sills,/Proper Material & Anchors Card -131 Date Card -131 Date 49~1s Is Studs -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: 4 earing Walls over Girders & Floor Nailing 4VDp6ft Stop in Walls (rat proof) .4 ire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing = OK ' J 0 Not OKNot ° = Not Ready MOBILE MOBILE DOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #' 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosure 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ P' ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Card -81 Date Card -81 Date Card -Bi Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s _ 1. Zoning Requirements -Setbacks -Easements Card -81 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -81 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy S. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -81 Date Card -131 Date 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -Bt Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date .. N41 y �r- COUNTY OF BUTTE } , DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE t�Gts� 3G - 90 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ,a .n ii =,K - r '• w Y=.7Y Inspector Date COUNTY OF BUTTE } DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Com- 6&5- s00 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter r need additional explanation, please contact this office immediately. .'I 1'v. r-7 Inspector Date -3— 3d- yC A .A Inspector l / l A -c 1 vJ u��/ '� -�a .3 —_. .. h or 1V -+-✓USS r .Gn b liG 2 1� O� y; lividAA " Z qT �✓� V' -e, tj 1 H J/" - 1 CA- r' Inspector Date -3— 3d- yC A .A Inspector l ENEItGY C r' R T I F I C A T 1 0 N LOCATION DESCRIPTION OF INSULATION ROOF Its terint _ Thickness(inches) EXTERIOR WALL Material Fiberqlasss Thickness(inches) CEILING Batt or Blanket Type_Fiber lass h Thickness(inces) a Loose Fill Type Fiber lass Hinino.un 1'hicknesa'(Irndlies) - �a Area covered(ft. FLOOR, E!,.1:VA'lED material Fiberglass Thickness(inches)-y FLOUR, S7AJ3 Material Thickness (inches) Widt-h(inches)_ _ FUIINDA'1'Ii.)N 14ALL Mater -1.11 '1'h icirness ( inches ) IV '1 -d-)_ A. P. No. Brand Name_ Thetmal Resistance (R Value) Brand Name CertainTeed Thermal Resistance(R Value) l Brand Name CertainTeed Thermal Resistance(R Value) _ ----Cd _ Brand Name CertainTeed Number of Bags Wt. per bag X25 lb. .Thermal Resistance(R Value)_--�� Brand Name CertainTeed Thermal Resistance(R Value) �Q = Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistnnce(R Vnitie) I hereby certJ.fy that the above insilla tion was installed in tl►e above building in conformance with the State of California Energy Requirements, Hawkins Insulation 379407--.:,; FIRM 1dM11,/OW1JER STATE C011TRACTOR 'S - LICENSE no. SIC1,U11'UIZI; • t1F NS'lA1,LA'1'ION Al'1'LICA'1'UR � -' � _ DA'Z'E I hereby certify the al.,ove insulatiorn and all required items as shown on the Building Department approved plans and attachments have been installed as rerlt,ired 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. sin 1. . I*1 NMG,/OWNCR (1'leane �riul 1 ) S'1'A'1'E CONfRAC'1'UK'S LICENSE PIU. (MATUR ,' OI ills L CUPr717, '1'U1.t�U1.JNi;R DA'1'Is THIS CER'1'IFICA•1'E MAST Br ON FILL: WITH THE BUILDING DEPAR'1T11?N'1' PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 i I. GOUINT�Y OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.�' 7 County Center Drive - Oroviller California 95965.,- Telep'4one: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 64-23-24 - ZONING RTI BUILDING PERMIT OWNER Mike Carver TELEPHONE 891-8830open SO. FT. OCC. BUILDING VALUATION 112 560 OWNER'S MAILING ADDRESS 574 Manzanita Ave, Chico 95926 CONTRACTOR'S NAME Same TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 560.00 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 11.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14750 Carnapaie Rd Ma alfa Permit fee $ 36.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 98 SUBDIVISION NAMEPARCEL P. Pines #14 MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF E J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition [ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Adding sq ftg to deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 800V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.gd OR ADONS. ACC. BLOGS. , 2/zTsgft NEW CONSTR. MULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu po UTLETS OR FIXTURES 20 @ 50c BAL@30 FIXED APPLNS. Ex. Occup. OUTLETS (RESID.)REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 frty in consequence of the granting of this permit. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection.Fee $ occ CONST TYPE TOTAL $ FEE AL E 36.50 HAZ CUA PARK PAR PD D Isu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By ! PER61T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date -3—Z6— e7 7_ -Z- 16 Receipt No. 59376 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE," DEPARTMENT OF PUBLIC WORKS. 7 County Center Drive - Oroville, California 959§5-„Telephine: 9161538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PA CEL NUMBER -Z ZONI G / BUILDING PERMIT OWNER �7 leie IG TELEPHS�ON 0l �+ SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS z t '466 Sc{? 6 I CONTRACTOR'S /NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / _J Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / Permit fee $ 55— PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOOTS NO.SUBO1P1 / IO NAME 104PA`RCEL /// MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S G W 15.00 .Oe . TYPE OF WORK New ❑ Addition} Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: e4[z;/ �CD. F'e-z TJ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F1I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract= ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.5'50 NEW CONST. / DWELLING OCCUP.p OR ACDNS. ACC. BLDGS. ,/z¢sgft NEW CONSTR ULTI.OUTLET NO N.R E SID BRANCH CIRCUITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCu OUTLETS OR FIXTURES p 20030t 5AL030 FIXED Ex. OCCUp. OUTLETS (RESID )APLNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 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 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.S 1 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. XThis Date Signature of Applicant — Owner ❑ Contractor ❑ Agent i An 'OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ —,7�;6 f HAZ I CUA I PARK nFLD I PAR I PD HO ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 3 WHITE -D. .W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT of COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95968+= TEL•EPLIONE: 916/538-7541 PERMIT APPLICATION DATA SHEET //II Permit No. OWNER tIL� L'9A ESL A..P..No.69—�3�oZ� Proposed Building Use lat__R__� ,A�i� Building Inspector Date 3 29 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ...... ........................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... L13. School District fees paid .............. < 4. Sanitation approval from ,� 2.g� Health Department 15. City of Chico plumbing permit ...............................:..... -1 16. Plot plan and business license approval from City of (see City for other requirements) ' 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Wh n you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone and hold for pickup at A26 office. Deliver w/inspector. Other Applicant Date - Copy of plans sent Health Dept., Fire Dep4,, Other Date The following data must be submitted prior to permit iss)Rp (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked Copy—DPW Date Plans aDDroved by Sets of plans on hold in File cabinet AP folder Date TO Building Department FROM: Environmental Health SUBJECT! Sanitation Clearance Owner Location AP# Plan ,Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O..K..for: Clearance for bedroom mobile home. NOTE *** Sanitarian Water Supply S. Water .Supply other V/V N Date 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK d pWIT NO. ~ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538. 16/538 541 `/�c7 d� "API�LICATION AND PERMIT ASSESSZ PARCEL NUMBERZONING v41 - BUILDING PERMIT OW R 4' r &-e r TTELEPHONE SO. FT. OCC.1 BUILDING VALUATION S S6 OWNER'S MAILING ADDRESS CONTRACTOR'S NA ELEPHONE CONTRACTOR' MAILING ADDRESS rI, O fireplace O 0 CONSTRUCTION LENDER , Ste` v UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ) $' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS �y 20 r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Q f (� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISI�20,ON NAME P R EL MAP Water piping 5.00 Sr Each qas water heater or vent 5.00 S USE OF STRUCTURE SF1QJ- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S — Building sewer 5.00 S' Mobile Home S I G I W 10.0 e . TYPE OF WORK NeWIN Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �r D fs a -C,(_ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L too AMP 2.50 2 s� CONTRACTORS LICENSE LAW I declare rider penalty of perjury (Check One): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code a d y license is in full force and effect. License No. ti Classification 1, Flas the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP' OR ADDNS. ACC. BLDGS 1/4sgft 6 NEW CONSTR ULTI-OUTL T NON -R ES ID, BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) EX. OCCU OUTLETS OR FIXTURES p� 20@500 BALa 30 Ex. Occup. OUTLETS ED APLINIS (RESID )REA.) 1 2.00 Temporary service 10.00 /p p-- - Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 9 t7 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n jrhe permit is for $100.00 (valuation) or less. L�� 1 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating (� 000 Cooling mn Hood 3,00 1 3 2_0 Ventilation. Z 6 o v Permit Fee $ 00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the aunty of Butte against all liabilities, judgments, costs, and expenses whic may in any way accrue against71r ty onsequ ce of the granting o thi7Uel.41 X Signature of Applicant - Owner F1 Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolitio or •ryc� ion of structures over 3 stories in heig tt 6 Mobile Home Installation Fee $ Energy Inspection Fee $ 3 C) =— c e TOTAL F E $ Q HAz cuA PARK S FLD PAR PD D s This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees .ek DIRECTOR OF PUBLIC PE IT EXPIRES Date_ the applicable provi-Dateprovi- resolutions to do have been paid. WORKS Date L 3– eI Receipt No. �� 2 ►4 - ✓ 99:5BY ,WHITE-O.P.W., YELLOW -ASSESSOR, P K -INSPECTOR• aOL ENROO-APPLICAN. TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 141 Ca 6,757 Cal- Ver owner location _ AP # Driveway permit 8/ �� z has been issued for the above property. n b 4icrne date` TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance C�R.ue� �_+_L,c�o��o-K 1�� C�•e, r1! �,a y- Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Mold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom nie home. Other NOTE *** -� Date Sanitarian ....-,--...s--.,e..n...a'!.."� '.'s-� � -'r"r C' 7Pr3�"+Yi7•"'sS`r't" b' ".t +na.r 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDI DIVIS I 7 COUNTY CENTER DRIVE=,OROVILLE, CALIFORNIA 9596.5•= TELEPHONE: 916/538-7 41 PERMIT APPLICATION, DATA SHEET Permit No. j r OWNER r(#4 r n S �" `'" A. P. No. Proposed Building Use ^�� Y?. Building Inspector Date /0 — �2 / " R " At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .............................. ....... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed ey preparer of plans .. ` 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ...................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions . �'�� a ti� V4. Fees of .:...................... Chico Urban Area fees paid ............... . ............... -ar fees paid el - s, School District fees paid .............. U Sanitation approval fromvc� in r c,,,7 Health Department 15. City of Chico plumbing permit. .................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18 Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) - 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No.., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Owcorded copy of Agricultural Acknowledgment Statement ......... ner-Builder Verification (Given to owner ❑ Mail to owner ❑) .... . e 2 IV 25. Letter of signature authorization .................................. . 27. VK 11 a� When you issue 'the permit, process as follows: Mail to owner." Mail to contractor. -' f Telephoned/—30 and hold for DickuD at Qr office. _Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted 1. Index permit for above items No._ 2. Additional items required: or jo plWyt irNuance: (Circle new item not checked above). Contractor, design own as advised of above required data by—phone L—snail—counter bydate Contractor, designer, owner, was advised of above required data by_phone_mailc unter by date / 4 Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folders R k Copy—DPW .55673 RESIDENTIAL PLAN CHECKING. -GUIDE a. (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER CAIP yC, Wa b r;w cyar% A.P. # y - GENERAL r.,Iergy ning'requirements: (sideyardsluation.ans signed by designer. Design and Compliance. violations on property. ems on data sheet. and number of permitted living units). PLOT PLAN �/�omplete parcel 'size'and dimensions. 7/. etbacks., sideyards, easements, etc. her "buildings or structures. 4: rading, fills, drainage. Mood hazard. ecial conditions on creation map or compliance document. 7 '-11AU & FAS road setback. 5/89 FLOOR PLAN t�k.,omplete to scale plan with dimensions. Required wi ^ndows for light and ventilation (Sec. 1205). a uired windows for second exit (Sec. 1204). 4! ylights (Chapter 34 & Sec. 5207). n impact glass (Sec. 5406). e red room sizes, ceiling heights (Sec. 1207). CIs in baths, garage, and exterior outlets (Article 210-8). ht .fixtures, switches, receptacles, and exterior receptacles for maintenance :� of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or _Zas equipment.' and plumbing fixtures. It G a e firewall, door size, and closer (Sec. 503(d)(3)). 13'0" exterior exit door (Sec. 3304(e)). 1 place and wood stove location, alcoves, and clearance. oke detectors (Sec. 1210). STRUCTURAL DETAILS _,Foundation plan complete enough to construct building. or construction details complete enough to construct building. evations and wall construction details complete enough to construct building. 4/ Roof construction details complete enough to construct building. —5%Firepiace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR A �rway details: landings, rise and run, head clearance, handrails (Sec. 3306). . Guardrail details (Sec. 1711 & 3306(j)). -B�Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN.CHECKING GUIDE MISCELLANEOUS,•ITEMS-TO LOOK OUT FOR (CONY D) �+!xfe'rior plaster - weep screeds (Sec. 4706). per roof pitch for roof covering (Chapter 32). covering type - (fire hazard). 6 R fter ties or bearing ridge beam. f�aagage door or porch header sizes. g/ Adequate bracing. wing area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. .14—Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). 1�� c access and ventilation (Sec. 3205). 13 nderfloor access and ventilation (Sec. 2516). 14. Combustion air for fuel burning appliances. ,1-5: Noise requirements on duplexes. .1.6!Adobe soils - special foundation design. iY7'F-e-0aining walls requiring design. ].&! usual shape, size, or split level house requiring lateral design. Flashing at all exterior openings. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT nn r C FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code r.equi.res this acknowledgement be recorded prior to :issuance of a building permit. The property described herein is adjacent to land or included within an area zoned 9070029561 '+,, Ib�Rec `Fee 5 OO;w for agricultural purposes, and residents ,; ��. . l' �i• ,� a;Cas�ti� 5 00 ofthis property may he subject to i-ncon- Recorded ' . •= '• •.�' � �' Officia'1 .Records,. I� veniences or discomfort arising from the Y. c. use of agricultural chemicals including, Corinty.; of;' g g , PA�iTf SHC3li t but not limited to herbicides, pesticides, �Candace 'J: = Grubbs' and fertilizers; and from the pursuit r Recorde ' I.,:.. Y,'• �s, ,:. .. of agricultural operations including,'237'j s 8:35,am '23 -Jan -90 BG 1+: but not limited to cultivation, plowing, n'r.,, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, sand odor. Butte County has established agrict.11 - Lural zones which have as a priority use for•productive agricultural. purposes, and residows within said zones and on adjacent property should be prepared to accept such inconvi'Lcic11rtc(I or disconform from normal, necessary farm operations. ti Allthat real property situate in the County- of- Butte, State of California, described ;IN follows: {, LOT 98, AS SHOWN ON THAT CERTAIN'MAP'ENTITLED, "PARADISE' PINES UNIT NO. 14", WHICH MAP WAS RECORDED.IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE-.STATE__O .F.C-ALIFORNIA, ON JULY 1, 1971, IN BOOK 38 OF MAPS, AT. PA�ESr7' 3$.;.39 4 AND 41 Date: ll/Z107 'IF PROPERTY OWNERS: Slate of: Calif. ) On this the 29th day of November , 19__89_, heforc, mc, ) SS. the undersigned Notary Public, personally appeared County of: Butte ) OFFICIAL SEAL TAMI BARLOW NOTARY PUBLIC — CALIFORNIA PRINCIPAL OFFICE IN „«' ( BUTTE COUNTY My Commission Expires October 24, 1992 --MICHAEL L. CARVER -.------- Personally known to me. FA Proved tome on the basis of satisfactory evidence. Ito be the person(s) whose name(s) Is subscribed to the within instrument and acknowledged that HE _ executed the same for the purposes therein contained. I:N Wl''.I'NI;;SS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 64-23-24 Notary Public TAMI BARL014 END OF DOCUMENT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVEL.OPMINT Section 26-8.1 of the Butte County Code r.equi.res this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or. included , within an area zoned 90-402956 ; Rec Fee 5.00 for agricultural purposes, and residents Cash 5.00 of this property may be subject to incon- ; Recorded ; veniences or discomfort arising from the Official Records ; use of agricultural chemicals, including, County of PARTY SHOWN but not limited to herbicides, pesticides, Butte ; and fertilizers; and from the pursuit Candace J. Grubbs ; ofagricultural operations including Recorder ; but not limited to cultivation, plowing, 8:35.am 23 -Jan -90 ; BG 1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLabl.ished agricul-- Lural zones which have as a priority use for productive agricultural. purposes, and residc•nls within said zones and on .adjacent. property .should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte,. State of California, described ;is follows: LOT 98, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 14", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE STATE OF CALIFORNIA, ON JULY 1971, IN BOOK 38 OF MAPS, AT PH ES 37,38�39;40 AND 41. Date: ///--p% PROPERTY OWNERS: SLate of Calif. ) On this the 29th day of November , 1.9__Bg-, before mc•, SS. the undersigned Notary Public, personally appeared County of Butte ) -MICHAEL L. CARVER OFFICIAL SEAL 0 TAMI BARLOW _ NOTARY PUBLIC - CALIFORNIA PRINCIPAL OFFICE IN �ff111 personally known to me. X®. Proved to (Ile on the basis BUTTE COUNTY cMycommission Expires October 24,1992 ° of satisfacLory evidence. �r:rsouieuo"urorsa„",urouuwr,��ue�wmrilmm�oocCto be the person(s) whose name(s) IS subscribed to the within instrument and acknowledged that HE executed the same for the purposes therein contained. .1N W11'NESS WHEREOF, I hereunto set my hand and official seal. . _ylLt1 -e-e7t Present A.P. No. 64-23-24. Notary Public TAMI BARLOW �n Tr ✓.*'FI';1 :+{ ...w., '4^ M «ti ... 7. . 1 • ... ,. % . - -. .. . � .F �./K i .'fri„'7 BUTTE COUNTY SCHOOLS DEVELOPMENT -FEE CERTIFICATION FORM FOne Form per Building) A.P. Number �� 01.3 -, G/' Building Department No. y School District Po rac�r.� City County Jurisdiction Property Owner 0 p r u_k r, O r S C Project Location/Address / S'O nrv%'eC1 I -e Subdivisions �� IA"V ,T �'!� Lot Number 9 I J11Residential Development: Sq.. Footage /,34091 # of Living MHTAdd-tion(Group R) Units ' Commercial/Industrial:a Sq. Footage `` Tt New Addition (Including Exterior Roofed Areas) 6�_Lp Building Del"drtmi'ent Representative Date (Floor Plans reviewed by School District Personnel) �. 10-0� District Id No. t -• - -N- School District certifiesthat (Applicant Name)' (Phone Number) (Street Address)!/ q // b (city),., � ,: i v �f} ( State) J. ( Zip Code) has complied with the requirements of Resolution,No. by the payment of $V�p-�`7” representing �0 q square feet. -Scho,;ol District Representative ! Date BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) M Acca;'k�1 rcY - S ,ST } ob 1� OT a�':1° �° ,. s, �. �s`;.�s a,,d p�cc►.. A/�OIT!• ^J rror�s 9�uJ�q�;nor �t � :��;> �^i'p�s�z' f :w in the Ur�� N nl if Jrl F..• g & �� , � .and Pl 1 S o c4�G•E e alai A4-Aal.i.. '.� � ' , r 'I ' � I .i 1. � � •{. 1 ! ' ' ' � ' i I [ � � ( l i ,.. r • 1 l ( �' t. � 1 { mXW b• Set rYfaa.,:� tir ig C:3 N��i�1Al� i - � ` r 'c.: '• i � , '1 t � t � [ T' t � •(}�itm Gfitiy� t„ 11 ,, ; , .,+tr1t#c� erxniss A roM ' �r •� 3'r_i y-� �t, ` �. r� �lyfkC..' E , N� , �w ,f+:I-�' ji�,F .�";�[� �hh,�� ~�. • A, ` � t � 1 4. 1 [ ,�;-' {{ �.>I � ) � Z � `t � iii.' , i•:;[ � } i { i j 1 ;1If W P.4 , S , vt l ;1 . � , l t'E i ,'�p...!;t�4�i,. t � • ° � �1� � � , • � t �. t i,� ..� ; IH-l� •�..�..? t : ( [ ?.,;��,',�s'�R�O.E I . � ( � j �. Ali, i �" ; ..� � • J � i • � ' � '[. ; t i � � ',�.l��l�� D�.EN'f : I ! ,_ ! 4. .i:.�.•;.1....�r,:3:j '�.1��.•..ta.1 :.��.rs�.u4m.b ' �r.n..N..,.i...},�,.,.I..��.� �� r�...l- ! 1 1 , _'._ i _. led i e-- c, el ct*,F.'/�.. g.gl-. rr -;C) 2- A AiJ 4 /1/750 C,4RAjiF6-'c-- 2 e.- 0 j C 11 e) fID ,A t frA vo 010 I rAe d I Off -s,, - o o I'mes L .Prplp e rc 0 e AbQllr'l'OW ne ( It - I . I ; 0 W Sb�e UC I LA -to PL 44A, Ls i I- io C-0 Certificate of Compliance: Residential Climate Zone 11 C440t- C00VS MT YCZ/&4) p ProjectTlUe 14171<v NAN& G102 Bun iii-•�'�9 Project Address Checked -By / Date Documentation Author Telephone Fnforcanent Agency Use Only BUILDING DATA c*� Condid ea 3$ / Number of Stories Sla sed Number of Units L_ Single Family Detach (SED) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (NM [ ] Existing -Plus -Addition BUILDING SHELL INSULATION Component Insulation Locaflon/Comments Type R -Value (atdc• to Forager �Mi-r3, etc.) G Area % Glass North .a . East Floor.............— •, South equal) Special Feature(s) -Slab Edge ..... West 35— ;wf Skylight 8 . (- Total /20 BUILDING SHELL INSULATION Component Insulation Locaflon/Comments Type R -Value (atdc• to Forager �Mi-r3, etc.) Wall .............. .03 Wall .............. Roof .............. .a Roof ............. 'East (.) Floor.............— •, Floor............. equal) Special Feature(s) -Slab Edge ..... (East y, South \ ')- _ GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Orientation (Sf) (single. double) (roller blind etc.) (shadescreem etc.) Overhang Framing Type Nordt Duct Output Manufacturer / Model # R -Value (Btuh) (or approved equal) FaMWACX o/7JG North .a •• ,3 G 'East (.) Btuh •, System Type (storage gas etc) Capacity (or approved equal) Special Feature(s) (East y, South \ ')- •r ..- South West ( ) West Skylight ....... • THERMAL MASS Type/Covering Area Thickness (slab/exposed tile, etc) (S0 (inches) Locaaon/Description (kitchen, bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location conditioner heat pump) (SE SEER,HSPF) (attic, etc.) Duct Output Manufacturer / Model # R -Value (Btuh) (or approved equal) FaMWACX o/7JG S.7 .a •• ,3 G Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas etc) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) I I S Mandatory Measures Checklist: Residential MF -IR NOTE: Low,i ruidential buildings subject to the Standards must contain these tr asum regardless of the compliance approach used. Items marked with an astrnsk (•) may be superseded by more suingent compliance requun to listed on the Certificate of Compliance: When this checklist is incorporated into the permit documents• the features noted shall be considered by all paries as binding minimum component performance specificauonts for Use mandatory measures whether they are shown elsewhere in the documents or on this chocklist only. DESCRJFTION DESIGNER ENFORCEMENT Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. ' §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (docs not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no Vmver than 0.3%. water vapor transmission rate no greater than 2.0 prmVuxh. §2-5311: Insulation specified or installed meet: California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Inf ft ation/Exflltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped. all joints and penetrations caulked and sealed. 12.5352(e): Special infiltration barrier installed to comply with §2.5351 meets CEC quality standards. / §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fueplaces have: a. Tight fitting, closabIc metal or glass door b. Outside au intake with damper and control e. 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 siring: attach calculations. 12-5352(h) and 2-5315: Setback themtosat on all applicable heating systems. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-firctl space hating equipment has intermittent ignition devices. §2-5314: HVAC equipment• water haters. showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanker (R.12 or greater) or combined into iorkxterior initiation (R-16 or greater); fust 5 feer of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate mum At recirculating piping. §2-5318(d): Swimming Pool Hating 1. System has: a. On/off switch on hater. b. Weatherproof instruction plate on hater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.5352(j): Lighting - 25 lumens/watt or grater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the, building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chaptcr2, Subchapter 4. 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 Building Owner Name: Namez Tak/Fum: TttkJFirm: _ Addn=: Address: Z /AhL 11d Tekpionc Telephone / JZ Lie. A: - — (signamm) (date) (signature) (date) Documentation Author Enforcement Agency Name: Name: Ti k/Furn Agency: AAA- - T.4.J,.v . 1. Ceiling Insulation U -value Number of stories -8 R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 0.06 97 -58 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 O.C8 -18 -9 -6 O.C6 -11 -5 -4 O.C4 -4 -2 .1 44 O.C2 4 2 1 O.CO 11 5 3 2. Wall Insulation O.CO 10 5 Single- Single - .9 .2 Family Family Multi - R -value Detached Attached Family R -O -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -17 -8 -5 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 113.10- 0 0 0 0.08 4 3 2 0.06 97 -58 5 - :.0.04 _.__..14 -95 11 7 0.02 19 " 14 10 0.00 24 18 12 3. Raised Floor Insulation -17 -8 Insulation in Floor 0.08 - -6 Number of stories 0.06 R -value One Two Three R-0 -17 -8 -5 R-11 3 -2 -1 R-19 0. 0 0 R-30 3 1 1 U -value 8 4 .40 less 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 30 0.30 -69 -34 .22 0.20 -43 -21 -14 0.10 -17 -8 .5 0.08 -11 -6 -4 0.06 .6 -3 -2 0.04 -1 0 0 0.02 4 2 1 O.CO 10 5 3 Controlled Ventilation Crawispace .9 .2 Number of stories 13 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 •3. Slab Edge Insulation 23 -40 -- Number of Stories 2 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 5. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total Climate Zone 11 SCORE CARD Effective Percent Class . U -value .. (percent glass x SCS .. _ Percent Effective (Percent glass x SC) .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 31 -21 -13 -4 4 12 29 -58 -20 -12 .3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 .9 .2 6 13 26 -49 -15 -8 .1 7 14 25 -46 -14 .7 0 7 14 24. 43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 .. 10 -'13 15 17 20 8 2 12 -14 16 -18- '20 8 2 Elrective SE or HSPF None (SE or HSPF x duct efficiency) -23 Effective -25 or -24 to -14 to -4to +6 b 16 or 7. Shading (Shade Open) Climate Zone 11 SCORE CARD Effective Percent Class Slab Floor Raised Floor E fective Percent Class .. (percent glass x SCS .. _ . Effective (Percent glass x SC) Two Three Effective -5 -4 .2 -1 %Gtau Norf1 .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 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 ' -2 0 na = not allowed -2 -1 -9 a3. Shading (Shade Closed) Climate Zone 11 SCORE CARD Effective Percent Class Slab Floor Raised Floor Mass .. (percent glass x SCS .. _ . Effective Two Three One Two Three 0.0 -8 -5 -4 .2 -1 %Gtau Norf1 Esq Sotto West Skylight 18 -14 48 -69 -64' na 16 -12 42 -59 -55 na 14 -10 -35 -50 -46 na 12 -6 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 . -6 -23 -31 .29 .74 9 -5 .20 -27 -25 35 8 -5 -17 -23 -21 -56 7 4 -14 -19 -18 47 6 -3 -11 -15 .14 -38 5 .2 -9 -11 -10 -30 4 -1 4 -8 -7 -23 3 0 -4 -5 4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 rta . not allowed - 0 -25 -21 __:0.20 3 ._ _..-_._ 2 1 9. Interior Thermal Mass Climate Zone 11 SCORE CARD Interior Slab Floor Raised Floor Mass Stories Stories 1199 /CFA One Two Three One Two Three 0.0 -8 -5 -4 .2 -1 .1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 .1 1 1 2 0.7 -5 -2 .1 1 2 2 0.9 -5 .1 0 2 3 3 1.1 -4 -1 1 3 4 - 4 1.3 -3 0 2 3 4. 5 1.5 -3 1 2 4 5 5 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 So!ar Exterior Single- Single - 410 +6b Wall Family Family Multi Mass Detached Attached Family 0.00 ". 0 0 - 0 -25 -21 __:0.20 3 ._ _..-_._ 2 1 ' - -0.40 - 5 .11 -9 0.60 8 6 4 6.6 0.80 10 8 5 -2 1.00 13 10 7 0 0 1.20 13 12 8 8.0•• 1.40 12 13 9 4 1.60 10 13 11 14 12 1.80 10 12 12 10.0 200 10 11 13 10 11. Heating System 11.0 26 23 19 SE or HSPF 12 8 (assumes ducts In atUc) 30 26 22 18 Sum of 14 9 13.0 33 -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 2 Elrective SE or HSPF None (SE or HSPF x duct efficiency) -23 Effective -25 or -24 to -14 to -4to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 1.7 0.30 2.75 -73 $1 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0:56 5.13 0 0 0 0 0 0 0.60 _5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 ' 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 4.9 System Type 1_ 0 0 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst!m Climate Zone 11 SCORE CARD Unit Size (so .h Water SEER 1199 1200 1700 2200 2700 (assume: ducts in attic) or to to Stm of 7.10 or Type Type less -25 or -24 to .14 to -4 b +6 to 16 or SEER less -15 4 +5 +15 more 8.0 -14 -12 -10 3 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 .3 -3 2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -12 -9 Effective SEER .6 IG None (SEER xduct eMclency) .3 -2 -2 Sun of 7-10 1 So!ar 7 Effective -25 or -24 to -14lo 410 +6b 16 or SEER less -15 4 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 .11 -9 -7 -6 4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0•• 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 -- --Zonal -' Control Adjustment = 14 10 8 7 6 4 3 HWR No Cooling System Installed 5 Stories 2 2 2.8 WSB • 9 One -5 -4 -4 -3 .2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Interior MasslCFA . the r mss Climate Zone 11 SCORE CARD Unit Size (so .h Water 1. Ceiling Insulation 1199 1200 1700 2200 2700 Heater Ckedit or to to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 .3 77 WSB 5 3 3 2 2 V20Y. POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 110% Solar -1 -1 -i 0 0 0.6 HWR -18 -12 -9 -7 -6 2.1 WSB .25 -16 -12 -10 -8 3.6 POU. -18 -12 -9 -7 .6 IG None -5 .3 -2 -2 -2 1 So!ar 7 5 4 3 2 25 POU 3 2 1 1 1 IE None -28 -19 -14 -11 -9 54 Solar 8 5 4 3 3 1.4 POU -10 -6 -5 .4 -3 29 Multi -Family (Individual 3.3 units) 3.7 3.9 4.1 4.3 Unit Size (SO 4.8 Water 52 699 700 1200 1700 2200 Heater Credit ' or b tob 2 or Type Type less 1199 1699 2199 more SG None 0 0 1 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 2.8 WSB • 9 4 3 2 2 4.3 POU 9 5 3 2 2 SE None -45 -23 -15 -11 .9 1.7 Solar 2 1 1 0 0 3.2 HWR .23 -12 -8 -6 .5 4.6 WSB -25 -13 -8 -6 -5 6.1 EQU -23 _.12_8 1.4 -6 -5 IG None -8 -4 -3 -2 j -2 3.5 Solar 6 3 2 1 1 4.9 POU 1_ 0 0 0 0 IE None 30 -15 -10. -8 -6 2.3 Solar 18 9 6 4 4 3.8 POU -8 -4 .3 -2 -2 Interior MasslCFA . the r mss Climate Zone 11 SCORE CARD Eff. % Glass ' .h Measures 1. Ceiling Insulation or .=..•--- �_� ..:� _ R -value [38J U value [0.030] 2. _ Wall Insulation _- __ ...��%� .:._.mor- 13 R -value I I I I U -value [0.098] 3. Raised Floor Insulation or R -value [ 191 U -value [0.037] 4. Slab Edge Insulation or R -value (01 F2 factor 10.77) 5. Infiltration Standard % Glass r''10 d� .b Ie. ryecw ._bi Eff. % Glass to X s rrre I PASSAU1MC a 4.2, le: exposed slab) •S x X 77 0% 5% 1OY. 15% V20Y. 25% 30% 35% 40% 45% 50% 55% 60% 65$ 70% 75% -80% 85Y. 110% 95% 100% 105% 1f0Y. 115% 1207. 125• OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 44 4.6 4.8 5 5 3 IOY. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 S 52 54 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.6 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 32 3.4 3.6 3.6 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 57 59 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 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 3.2 3.5 3.7 3.0 4.1 4.3 4.5 4.7 4.9 5.1 53 56 58 6 62 60% 11.2 1.4 1.1 1.9 21 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 5.4 56 5.9 61 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.1 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.61.8 2 22 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 56 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 34 3.5 3.8 4 4.2 4.4 4.6 4.6. 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 a". 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 37 3.0 4.1 4.3 4.5 4.7 4.0 5.1 54 56 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 33 3.5 3.8 4 4.2 4.4 4.6 4.6 5 52 54 56 59 6.1 63 6S 67 90% 1.5 1.7 2 2.2 2.4 26 2.6 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 64 66 68 95% 1.61.8 2 2.2 2.5 21 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 56 5.8 6 6.2 6.4 67 69 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.5 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 66 68 7 MY. 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 36 3.8 4 4.2 4.4 4.6 4.8 5 5.2 S.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115x. 2 22 2.4 2.6 2.8 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 62 6.5 - 6.7 6.9 7.1 73 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Eff. % Glass ' .h Measures 1. Ceiling Insulation or .=..•--- �_� ..:� _ R -value [38J U value [0.030] 2. _ Wall Insulation _- __ ...��%� .:._.mor- 13 R -value I I I I U -value [0.098] 3. Raised Floor Insulation or R -value [ 191 U -value [0.037] 4. Slab Edge Insulation or R -value (01 F2 factor 10.77) 5. Infiltration Standard % Glass 6. Glass Heat Loss tgu (5 t i-�, • (90 /.2, 2 - Type [double] U -value [0.65] % Total Glass [ 16] 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. Notch 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 % Glass Sc Eff. % Glass ' .h x .77 = , `Y% X 77 = 4,3/ 13 x 77 = .a 3 `• X . % _ Lf % Glass SC Eff. % Glass to X •S x X 77 TYPE 1 MASS AREA InteriorMiss/CFA COND. FLOOR AREA TYPE 2 MASS AREA __ 8 Exterior Wall Mass ND. L OR AREA ?--X �P SE or HSPF _= Datta Efficiency [0.78] Effective SE or [0.72/6.61' HSPF [0.56]5. 15] X t = 7• S SEER 19.51 Duct Efficiency [0.74] Effective SEER [7.031 Type [SG] Credo [none] Point Scores 0 4 - Sum Sum 14 11 Sum 7-10 •+ 3 PointTotak