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HomeMy WebLinkAbout064-260-022ALLEN MUZI 4-26-22 13906 Creston, Magalia Permit#3472-88B,P,E.,M(new S .6; -26-22 p Ol Lermit#1617-89B(ad d d SF JCf. ` .4 4 3472-88B,P,E,M PERMIT NO. t ' l PERMIT EXPIRES 0/2 Q ALLEN MUZI' OWNER owner CONTR. 64-26-22 ASSESSOR PARCEL 4 i LOCATION 13906 Creston, Magalia Address t' GAS Meter y Date ELECTR Mete a• OFFICE COPY t I Address `��lri �' RF -5 i04 ; a i 1 GAS Meter By— mmed Date S ", ELECTRIC _ Meter By 1 Date F Temp. Power Pole - - ^--� Called PG&E i Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E ' JOB FINALED (Date) cl '8 Signature = OK 0-= Not OK ' = Not Readyable MOBILE HOMES Y �.� MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OKixcept #'s 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.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / PV ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh - Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11..Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -81 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -61 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 - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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 Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date N t = OK 0 = Not OK - = NApplicable RESIDENTIAL (Single, and Duplex) o = NJ Ready Date UN ERFLOOR (Plans) OK except #'s Date FRAMING (Continued) ,VZoning-Setbacks;-Easements-Flood-Slope angers -Post Caps -Anchors -Connectors :tg., Main; Soils-Steel-Elec. Grnd.-/ JZ/" Ftg. Depth. . CIn . Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3 g., Garage; Soils -Steel-/ t?_ P' Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth . Attic'Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5!Stemwalls, Main; Steel- Blockouts-Wrapped X . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions . Stemwalls, Garage; Steel-Blockouts-Wrapped 56 . -Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51!Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel �52,Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 30o0'W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53�-6tahs; Width -Headroom -Rise -Run -Landing -Fire Protection &0.1 as Pipe; Size -Anchors &r`Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ,0%ater Pipe; Test -Anchors -Regulator -Service Test iding-Nailing Veneer 12: Electric; Underground 6..�co Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. Glazing Area -Glass Protection -Skylights -Plastic irders-Sills-Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 1 15. Insulation r� nsulatron-Waffs-Chq- �iltr�I+dh-W.�tl's- ndws Card -B1 (=g.Cs Date kZIAp, Card -131 Date Card=131 Qtfl Datej-\cyAq Card -81 Date Card -131 G'C Date3 {i,,,W Card -B 11CCp Date-Zr-87 Card -B1 s Q Date j-Z�Card-B1W Date �28-$q Date PLUMBING (Permit) OK except #'s a§. Water H ent- ccess-Combustion Air -Baffle_ Date FINAL (Plans) OK except #'s ater Pipe; Test & Anchors -Nail Protection Wit. Steps -Door & Sidelight Protection -Landings 1#-15.W.V.; Test-Fttngs & Anchors -Nail Protection . Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access . Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 94�-Gas Pipe; Size & Anchorsedroom Exitipy I. & ixtures & Tub Access -Spa lec. Trim Subpanel; Breaker Sizes - Card 61 (�� Date 3fA/, Card -81 Date 6*-8ta" & Rails Card -61 Date Card -131 Date BS7'Fileplace or Stove; Clearances -Hearth 69ZEFes,,Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance . Elec. Outlets & Receptacles at Kit. Counter Elec. Receptacles Spacing -Lights & Switches at Doors 7.2--Qarage Fire Door; Swing -Landing -Closer 24'Size Boxes & No. of Conductors -Stapled 7t -'A-E. Duct in Garage -Damper' -2&-- omex Installed Close to Edge of Studs & C.J. N'Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20!'Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 7 Plb., Elec. & Mech. Equip. Listed for Location 2&.-eGbreed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. a sulation-Foam-Loo ed in Attic ❑Yes 2FtsV a Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. 9' Insulated Neutral Yes No . Guard Railsc onstruction-Post Caps Service -Riser Conductors & Ground -Main Disconnect 7*9.IFdrl. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Equip. Clearances Panels-Motors-Mech. Equip. allowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Clothes Closet Light -Shower Light -Spa Light Card -B1 001Smoke Detector (Zd �G Date3r�,, a`JCard-B1 Date 81. 0. Brown -Finish ' A.C. Unit; Disconnect, I nc Plumbing 86-'Mts Above Roof; Plbg.2�Appliance-Firepl.-Clearance to Openings. Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 84. WaTFr Well; Disconnect, Electrical, Plumbing A.C. Ducts Insulation & Support 1L5-Ex-terior Elec. Trim;'G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation W. Ventilation throughout House Condensate Drain & Overflow; Size & Grade 9'7 -)Glass Protection 37. F nate-Vent; Access -Comb. Air -Return Air Vent -115 outlet &<Correcti s from Previous Inpections Attic Access & Platform if Furnace in Attic 89. Gas st-Meters Tagged; Gas -Electric .•Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -131 C.,G Date ji C'Card-B1 Date � .Roofing Certificated qj .e(l, FtCp_2-. V fiJ�S Card -B1 CZr, Date 5,U..B1 (Card -B1 Date Card -81 Cr. Date eyWard-61 Date Card -B1 ,¢f[I �. Date S-_4 74 jCard-B1 Date Date FRAMING (Plans) OK except #'s Card -131 C.,r, Date5,e5,8y Card -B1 Date 38 -Sills, Proper Material & Anchors Comments at Final: 46. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 4y Bearing Walls over Girders & Floor Nailing 4 . Draft Stop in Walls (rat proof) 49' Fire Stops; Furred Ceilings -Stairs -Chases -Tub • Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) 0 MORIWeTHOR AIR CONDITIONING 342-7111 39Mff% 3/20/89 To: Alan Muzi, Re: Attic air handler This is to guarantee that the air handler installed in attic at new house be built at corner of Creston & Ponderosa in Magalia can be removed through 30" X 22" attic access. Air handler is 152" X 22" X 42". Tom Meriwether P.O. Box 927, Chico, CA Heating and Air Conditioning Sales and Service 1630 Luther St. / Riverside, California 92504 / State Lic. #308723 Utbnctr; l'cel:tul.l: l•Ict. • I; N P, It G Y C E It '1 LOCATION DESCRIPTION OF INSUTATION ROOF Ila te.rinI _ Thickness(iuches) EXTERIOR WALT, Material._- Fibprgl.asss Tltickness(irtches) 0, " COILING Bntt or Btnnlcet Tyne Fiberglass Thickness(inches), Loose F.11l Type Fiberglass Itininu.nn l'Iticknes$(Iuclies) j/�• Aren covered(ft.Z)_L/�-1 F 1_.OUlt , t•laterin l_ F iberc iass Thick-te;ts(ittches) moi. FLUOR, 5!,AI.1 Material 'I'hlcictlrns(1.ncltes) rY Width(I.nches)— - --------- Brand Name 'filet -mill A.P. flu. Itenietnnce (R Vnitle) . Brnnd Nnme_Certai_nTeed' Therntal Re9istnnce(I1 Value) Brand Nnme CertainTeed Thermal Resietnnce(lt Value) --57e9 Brand Name Cert-ainTeed Nuwber of IMI;n4-5+ Wt. per bng 25 lb. Thermal Itesistance(R Vnlue) _,,:Ep Brand Name Certai_n'Feed 'thermal Resistnnce(1t Vnlue) Qj+_ Brant) Thf!r1iial 1(esistnttce(It Vnl.ue) FUUNUA'I'Io)N WALL 1l:.ticrial— _ llr.rcnd Nnme__ '1'hicictte;is(incites)_—__- - - 7:hermal Iteaistnnce(It Vnl.ne) _ I hereby r.ert.l.fy that th:: ttbovo lunula ttoll was i.nsL'ctlled 1.n 1:11r. nbove bnl.lclinB In conformance with tale Stntte of Cal.ifort;in mercy Requiremeots. Ilawk_i.ns 7.ttsttl aL:ion _ 37940F] ItH NAME /nI4111,11 7„ STIV1.11. CUtff 1C'folt'3 I,I(TUSl: NU. _ Si(�-(.r UI(I; o. 1.N5'lt\1,LA'1'1(.IW Al`1'1,.L(:A'.l'UIt 1 hereby certify lite ►shove innolattiott and nit rehui.red items ns nitown on the itoildinr Depttrttnettt npproved fl ns and nttnclnnentn hnve beet► inntalled nn reyttired by tl►e State of Crtllfornia Energy Re.quIrements. All equl.p►nenL, devices and matet'inls are of the quality prencribed or arc! npecifically npproved by the StaL•e of California. FIRM 1 �� _ --L_.-"- •-CX�-�1 _ IE/OWNER (1,1cane ;)rint) a % UUfRACT S 'LICENSE.' 110: C7- !: OF l :.IdI:RAL C tI AC'l'U--JUFJIJi,R DATE THIS CF,HTIFICATr 1II1S'1' 111: UN ELLE WITH TIIP BUILDING lllsl'Alt'1'MI, nrl' PRIOR 10 "FINAL 111SVECTION APPROVAL, AND A COPY SIIALL' Br. POSTED WITHIN THE BUILDING. .Inutuary 19114 TO Buildinq Department C FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for ' bedroom mobile home. Other M X 3o NOTE * * * Sani a a Date _ _. ..- , . ,. ..,"......V.y,,;s.:pryr...�.,.�,a,..�;,•�^nc+..,�,�•f�,,;�,�...�,.::,_,,,eye»:•�...r✓`•,''w-"-'*.^""„"yr+-r�k COUNTY OF BUTTE �fDEPARTMENT 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 OWNER PERMIT-NOr. 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. Inspector �� Date L/A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE (`(�tnz� 347 2-08 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. yL,cL %rA F-cwNt-l. fN A -r1c . E L iZ e t-2 r e 4 c, O (A r t- (QA- R C r.l tJ 0f Kt r- 442 S T r? PAS % Cc K To )-,� cr4 _ C) (Z o^JRL 1NSTACt �.1�1Zc4 X02 \A)ctic LOCATI V Fseon� : �sIC �Dt�CoNr� (t CT `CO RIS -; (LN��r� t'i nJ� �� V?-gA1zrk2s (kr ri inert le- PA^«L--" Inspector / Date_ 5-1-7-87 r" COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 t 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE \A7 1- 3q-7 ?-P, F, 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. t Inspector�Date 3 -fin RSI f� ^ � . «.•1 ��r�''�s'+`�"���'.'c"'{�' j.t`I:,;�•- .r: •.�; '�:�.�...r.�.lew--x�C'�` 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 3 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at -the above addre,S"s 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. .V- S;%_e;(ZiiC%_ GCct R3r�T-rlcLe 14 (4A. DX Z K n T_ r-),,( ti Pt U1,J N 24 n 2 n - m r; Ai c (i2mww . �' S���n1G oi" eamP�cirff_ irlo,./ L a11110,01a St R AP 'Cz�R SLAT- O 1FS rcr t- f.SC, TNk"J 4 Vl n $I - nnlrf. Znrr Y 1,n/I A1't'If_ %PPr?eV aa- Crim ;I M%N' G ^ wtDS �, {JgwaiS wArl1uaG PLArI-at %0" W o2.tttNG Rrfii c 14 l -Ar «B aV rrof 1 Int G A rL AC IL .4-r W 1-1 Inspector / .. u3t:= 1 Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKST 4 PERMIT NO. / 7 County Center Drive - OrVille. California 95965 - Telephone: 916/538-7541. (/ APPLICATION AND PERMIT , o ASSESSOR PARCEL NUMBER ZONING r/ BUILDING PERMIT OWNER //env TELEPHONE 77 W- v S0. FT. OCC, BUILDING ALU_A`" N OWNER'SMAILI G ADDRESS f`, �1 7 (JJ 1`7 1 CONTRACTOR'S NAME TELEPHONE Lo,,v G ,a D� ��� 3q5, d -O CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee , $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / Energy Plan Checking Fee $ J OK7 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ _ BUILDING ADDRESS Permit fee $ PERMIT Filing Fee 10.00 3906PLUMBING rC S ti Each Trap 2.00 r 0'a Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NA PARCEL MAP Water piping 5.00 50'`D Each qas water heater or vent 5.00 $o-0 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 s- tr-0 Building sewer 5.00 Mobile Home JSFG W 0.00ea TYPE OF WORK New Addition[] Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: v243/111 , Permit Fee $ ' Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service J00v OR LESSAMP. 0AMP OR LESS 1000 tQ 00 t 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OC urP. yz¢sgft OR ADDNS. l ACC. BLDGS. NEW CONSTR.LOUT 2.50 ea NON-RESID BRANCH CIRC S POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES SALO 30 FIXED P Ex. Occup. OUTLETS (RESIR D )EA. 2.00 Temporary service 10.00 Mobilbile Home Facilities 15.00 rn9 MoWiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating -::f /0 o 40-0 eA-$ u. 4 0 Cooling p G pa Hood 3.00 o a 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. also agree ave, indemnify and keep harmless the County of Butte against all li s, j dgme costs, and expenses which may in any way accrue aga' st C my i nsequence of the granting of this permit. Date 51 arure o 'Applicant — ner Controctar ❑ Agent ❑ An OSHA permit is required for a cavations over 5'0' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Z6 ,&—o TOTAL PERMIT FEE))J" o�eop. rL3 CON3T.TTP[ SCNo L PLoo' PA cL D 0111 N s9u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which I ECTOR OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /1F —1 '� Receipt No. �� "`4 A& WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, O ENROD-APPLICANT.. /�� . r . -.. •:.`w v. -.mg: �„^:a�`fit+,r':1 �:i:;N"ti',��„TT^Y'.p`..r..,•.t�..-....:.w- �.t�°i " `„°si-:.: '�RSi'R��+”" � _.,�_.: - .. COUNTY OF BUTTE - DEPAR,TMENT�;OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE-„CALIFQRNIA 95965 - TELEPHONE: 916/538-7541 I PERMIT APPLICATION DATA SHEET •- ',. Permit No. OWNER A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. .., . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. �,, 5. Plans with Energy Design Compliance Statement. . . . . . A1 6. Pa;0A54 School District "Fees Paid” Stamp on Floor Plan. /6— 4 C- sw- AZIF, 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . ��9. Letter of signature authorization. .• 10. Sanitation approval from [LO- J-0- Health Dept./D--2a✓3_ _1 1. Planning approval for (A) Use: (B) Parking: .'12': Certificate of Workmen's Compensation Insurance. . . . . . 13.N Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner E.) _15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . �. 17. Pre -Inspection for Required. Pre-Inspec. request to (Date)Building Inspector�y 08 -i Recorded copy of Agricultural Acknowledgment Statement. 0 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses 'in duplicate (required prior to plan check). 22. When you issue the ermit, process as follows:' Mail /o owner, Mail to contractor. Telephoned-" 7�3y and hold for pickup ar_�office, Deliver w/inspector. Other i � r 2, Applicant 'Date V Copy of plans sent Health Dept., Fire Dept., Other Date, The following data must be submitted prior to permit issuance: (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--nall—counter by date Contractor, designer, owner, was advised of above required data by—phone—mall o ter by date X Plans checked by Date Plans approved by Date /.1 Sets of plans on hold in _1 File cabinet AP folder Copy—DPW 7 t t T0- Building Department FROM:l Environmental Health ''SUBJECT: SANITATION CLEARANCE i OWNER 12 Plans approved for: Hold final for: ,Final Clearance O.K. for: 0. ;Clearance for -9Z --bedroom i Clearance for addition of. _ ,No t A SANITARIAN 1Da/lr� /SWC-�� LO CATIO N Sewage Disposal _K home. Other Water Supply Water Supply Water Supply DATE COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Pleasecomplete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Sf .::�':w�'i�,:,�.[r,�,.3t;wr��.'�•.��^-.....r +�1^:.c'•"ra'Ya.•'^.ty J'm*:t�`+LiKF ti ,..:. „ .. , .�.rrr;%3 .7=• .$ tti.✓�^'•cvs+ i47e�,�t�.....rT'��N''"r.�Y � rtr�"�, j i BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Numbe4L,�'6 -a� Building. Department No. School District City Q County Jurisdiction Property Owner Project Location/Address Subdivision Lot Number Residential Development: O Sq. Footage # of Living MHI Addition ( roup R) Units Commercial/Industrial: a a Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date ******************************************************************* Distr'ct Id No. g0 School District certifies that fi)q (Ajap�licant Name) Ph ne umber) �ft" - (Street Address) (Cit ) (State)- (Zip Code) has complied with the requirements of Resolution No. // by the payment of $ a (p, `- representing square feet. School District Repiesentative Date` PAID BY CHECK NO. BANK NO qo O'n 7O PAID BY CASH white -applicant, yellow -building department, pink -school district. SCHOOL . FEE (5/88) g(o? RESIDENTIAL PLAN CHECKING GUIDE (S.F. , "DUPLEX .& MISC. ONLY) 7/85 Bldg. Permit # 3y7-2 -4kY OWNER ALi&W Mil Z I A.P. # Ip a/ - a 1. -a .1— GENERAL GENERAL oning requirements: (sideyards and Valuation. iI.s!rt-f-AwS Plans signed by designer. 60� uergy Design and Compliance. Existing violations on property. PLOT PLAN number of permicced living units). V Complete parcel size and dimensions. i�! OtS tbacks, sideyards, easements, etc. her buildings or structures. 40000 -Grading, fills, drainage. od hazard. Special conditions on creation map or compliance document. FLOOR PLAN Complete to scale plan with dimensions. �tequired windows for light and ventilation (Sec. 1205). �/ Required windows for second exit (Sec. 1204). -L.*—kylights (Chapter 34 & Sec. 5207). b/Human impact glass (Sec. 5406). boOo'�Required room sizes, ceiling heights (Sec. 1207). /�G.F.C.I.'s in baths, garage and.exterior outlets (Article 210-8). ;; Light fixtures, switches, receptacles, and exterior receptacles for maintenance of echanical equipment. Locations of water heater, heating and, cooling equipment, other electrical or gas _//equipment, and plumbing fixtures. 1l9! arage firewall,.door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (Sec. 3304(e)). ' d wood stove location.. 1aO. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough:to construct building. 64+01' �oor construction details complete enough:to construct building—F.S. 612-4-1'? E1 vations and wall construction details complete enough to construct building. roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. 6. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR 6...-<X osure I plywood on exposed locations and overhangs. airway details: landings, rise and run, head clearance, handrails (Sec. 3306). 3! Guardrail details (Sec. 1711 & 3306(j)). -4—. Brick or stone veneer (Chapter 30). ��Exterior plaster - weep screeds (Sec. 4706). 6. Proper roof pitch for roof covering (Chapter 32). 7. Rafter ties or bearing ridge beam. 14C,LA.4.' A'1l,I Z,/ RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) <0_ door or porch headeloo'sizes. go-' Xd- equate bracing. .4*0` Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. .P&1— Two exits on three-story dwellings (Sec. 3303 & see Mezannines ],a/'Attic access and ventilation (Sec. 3205). Underfloor access and venti (Sec. 2516). Wood stoves, clearances alcoves 1 -hour shafts. l6w-`Combustion air for fuel burning appliances. ."' Noise requirements on duplexes. oer - Adobe soils - special foundation design. taining walls requiring design. on garage side 1716). Unusual shape, size or split level house requiring lateral design. S /div 0 /tom Ab ` M -11-20 Ld i L.c, A �_ fW1A4J tea& c. % e,S/i. /tori 6&o l/- 7 -AP 7/85 Incl.urn to DPW AGRICULTURAL STATEMENT OF AGKNOWLEDGr;MENT FOR RESIDENTIAL DEVELOPMENT SQct i.on 26-8. 1 of the BuLLe County Code requires this acknowledgement be recorded prior to. issuance of a building permit . The property described herein is adjacent BUTTE COUNTY -RECORDER to :Land or :included within an area zoned SERIALNO. 88-037078 for agr:ic.u.ltura:l purposes., and residents of Lh.i.s be RECORDED ATT�FiEREOUESTOF property may subject to incon- veniences or discornf.ort arising from the BUTTE COUNTY TITLE COMPANY use of agr.:icu.l-Lural chemicals, i.nclud.ing, DATE RECORDED: 10 but not. l-imited to herbicides, pesticides, and ferL.i.l.i zers; and from the pursuit TIME: 8 , oa A, M of agr.icu.ltural operations including, but not li.nri.ted to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has eslab.l.ished a;;ricul Lural zones which have as a priority use for productive agr:iculLural purposes, ;End rc sidc.ui:: w i.Lh i_n sa i.d zones and on adjacent property should be prepared to accept such i nconvrn i vill-o or d-isconform from normal, necessary farm operations.. All that. real properly situate in the County of. Butte, Stale of. Cal.i.fornia, desc•ribod .is f ol.lows: Lot 166, as shown on that certain map entitled "PARADISE PINES UNIT 15", which map was filed in the office of the Recorder of the County of Butte., State of California, on July 15, 1971 in Book 38 of Maps, at pages 42, 43 and 44. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done. from orifices outside the surface area of -the land herein described, and that no dama- ges shall be done -to the surface of said land. Oa t e : 10 o2,3 8 PROPERTY__OW.N State of On this the o afb day of _XOA(ex, 19n before me, SS. the undersigned Notary Publicpersonally aPPearm,l County of ) c/ L.M.GALLEGOS personally known to me. 1:1 Proved to me on Lhe hasis - NOIAHVPUBUGCALIFogNIA Butte County of satisfactory evidence. MY CommissionEKpims to be the person(s) whose name(s) Sept. 22, 1892 subscribed to the within instrument and acknowledged Lhal executed the same for the purposes therein con La-ined. IN WITNI;tiS WHEREOF, I hereunto set my hand and off.ic:i.al seal. Present A.P. No. 6)& - Noiary Publ i cO r, 3472-88 PERMIT NO. 161 89B PERMIT EXPIRES 1' OWNER ALAN MUZI CONTR. owner. ASSESSOR PARCEL 64-26-22 LOCATION 13906 Creston, Magalia i 00 Temp. ✓ Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service. Called PG&E 5 lGri 6 e e S - 3 - 88 JOB FINALED (Date) 8 Signature = OK 0 = Not OK ' = Not Readyiable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 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- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 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 - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = uK 0 = NotOK RESIDENTI9L, (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2.,Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Botts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 20. Test Tub & Shower, 2nd Floor -Tub Access 60. Infiltration-Walls-Wndws Card -81 Date Card -81 Date Card -81 Date Card -B1 Date Card -81 Date Card -81 Date Card -81 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -81 Date Card -81 Date 67. Stairs & Rails Card -81 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 2 6. Equip. Ground made up w/Meth. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. 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 13 No; Planters 11 Yes 11 No 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -81 Date Card -81 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing y 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90.Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -81 Date Card -B1 Date 92. Roofing Certificate Card -B1 Date Card -81 Date Card -B1 Date Card -61 Date Card -81 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -81 Date Card -81 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit lob site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C difornia 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT PERMIT NO/ ASSESSOR PA CE NUMBER ZON G BUILDING PERMI OWNER `- T SO. FT. OCC. BUILDING VA ATION 0 OWNER'S MAI N ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation 1 $ D Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ za U0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS j !r Permit fee $C' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 6&11 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home. S G W 0.00ea TYPE OF WORK New Addition ❑ Remodel[] 1'�Uti lities ❑,/Instal lathon Other ❑ Describe work:) 11`0n" 7961 -3 7,-? —d'+/i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification F1 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ei\ +/zQsgft OR ADONIS. ACC. BLDGS. f NEW CONSTR. TI -OUTLET '2,50 ea NON-RESID .BRA CH CIRC TS POWER APPARATUS e - (SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR F 120 @ 50C BALO 30IXTURES 20@930 Ex. DCCUp. FIXED P OUTLETS (RESID,)REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 T__ Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. WTI I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 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. give/111 1 also a r save demnify and keep harmless the County of Butte against all Ii S, s, costs, and expenses which may in any way accrue ag s d/ u onsequence of the granting of this permit. Date ature of Applicant — _X 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 $ TOTAL PERMIT FEE $ '3610 Occup, CONST.TYPE SCHOOL PtAoa ARCEL PD i ND 39u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By // l/ � P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dated � 71(.-P9 `_ 4 D `' Receipt No.( WHITE-D.P.W.. YELLOW-ASSEDSOK, PINK -INSPECTOR. GOLDENROD -APPLICANT f COUNTY OF BUTTE - DEPARTMENT1,OF fti l C WORKS -BUILDING DIVISION �7 COUNTY CENTER DRIVE- OROVILLE C AZIFOR ' 95965- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �/�/�L�,c / A. P. No. /27 (V Proposed Building Use— 16(S Building Inspector I -X3 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing.. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. int& Driveway permit (construction approval required prior to occupancy) ... t' Pre-Inspec. request to _.19. Pre -Inspection for required ...... Building inspector X20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. Date) When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone ��I `79 �� and hold for pickup atp nr!— office. Deliver w/inspector. Gopy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (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 —Mai l—counter by date �p_ Plans checked by Date Plans approved byS Date �� "d" Copy—DPW Sets of plans on hold in File cabinet AP folder TO: (uilding Department FROM: Environmental Health A Si':IJECT: SANITATION CLEARANCE OWNER LOCATION 0 -2 L AP # s :' Plans approved for: Sewage Disposal Water Supply "F Hold final for: Water Supply Final Clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other i��Cle�rance for additi,.e�o� C �i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING _r/ ��O BUILDING PERMIT OWNER _� r. TELEPHONE SO. FT. OCC. BUILDING VALUATION 7) 75. v a G3Lao OWNER'S MAI LI G ADDRESS j `; Y% D ell - CON - L.(,J.4l G ei , o -d CONTRACTOR'S MAILING ADDRESS Fireplace /pip CONSTRUCTION LENDER UNKNOWN Total Filing Valuation $ Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee co ARCHITECT OR ENGINEER LICENSE NO. Plan Energy Checking Fee 171- $ /� Plan Checking Fee $ $ of& ARCHITECT OR ENGILEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee Filing Fee 10.00 q /`G S il/ PLUMBING PERMIT Each Trap 71 2.00 , 0-'D Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NA PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 $O -O USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 2-'10 Building sewer 5.00 S Mobile Home G W. O.0.00ea TYPE OF WORK New Addition❑ Remodel❑ Utilities[]Installation❑ Other[:] Permit Fee = .� Describe work: C�?_ 43� 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- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree ave, indemnify and keep harmless the County of Butte against all li s, j dgme costs, and expenses which may in any way accrue age' st C my i nsequence of the granting of this permit. Date 51 ature o Applicant -ner Contractor C]Agent LJ An OSHA permit is required fore cavations over 5'0" deep and d olition or construct- ion of structures over 3 stories in height. 11 707.0 Contractor ELECTRICAL PERMIT Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. DWELLING OCCUP OR ADDNS. ACC. BLOGS.7S'jl Ex. OCCUp(OUTLETS OR FIXTURES FIXED LNS EX. Occup. OUTLETS P(RESID IRE A.) Temporary service Mobile Home Facilities Misc. Wiring Permit Fee Contractor MECHANICAL PERMIT Heating --' /o o �--cr-9 14e--/ OLA,yt D Cooling 37 Hood Ventilation Permit Fee Contractor Mobile Home Installation Fee Energy Inspection Fee 1 TOTAL PERMIT FEE/) O-CCUP.1 CONST.TYEEI ISCHOOLI/U)' Filing Fee 10.00 2.50 '/.Osq f 2.00 10.00 15.00 15.00 10.00 Filing Fee 10.00 L.a-v 3.00 -A,, a S 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 078 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 8.8-37078 '$ - 3 ,FOR RESIDENTIAL DEVELOPMENT Secti.on 26-8.1 df the' Butte County, Code requires this acknowledgement be recorded -- -- - — — --- 111.01. to issuance of a building permit. ; 88-037078 Rec Fee 5.00 The property described herein is adjacent 1 Total 5.00 to land or included within an area zoned Recorded 1 .for agricultural purposes, and residents Official Records 1 of this property may be subject to incon- County of ' veniences or discomfort arising from the Butte BUTTE COUNTY TITLE CO. use of agricultural chemicals, including, Candace J. Grubbs 1 but not limited to herbicides, pesticides, Recorder 1 and fertilizers; and from the pursuit 8:00am 31 -Oct -88 1 BG 1 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLabl:ished 1gricill Lural zones which have as a priority use for productive agricultural purposes, ;Incl rvs i dew ; within said zones and on adjacent property should be prepared to accept such i lluolivell i ellc o or disconfo.r.m from normal, necessary farm operations.. All ,that real property situate in the County of Butte, State of. Califor. n i a, de sc-r i be(I ;is follows: Lot 166, as shown on that certain map entitled "PARADISE PINES UNIT 15", which map was filed in the office of the Recorder of the County of Butte, State of California, on July 15, 1971 in Book 38 of Maps, at pages 42, 43 and 44. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done.from orifices outside the surface area of the.land herein described, and that no dama- ges shall be done to the surface of said land-. - Date: /A9 oG PROPER WN State of. On this the o�/��,n, ,eb day of � � , 19<Rod before me, SS. the undersigned Notary Public, personally appeared County LM.GALLEGOS ersonally known to me. E] Proved to me on the -has i s NOTARYPUBLIC•CALIFORNIA of satisfacLorry �ev:i-dente. Butte County MyComml591onExplres to be the person(s) whose name(s) sept 22,1992 r subscribed to the within instrument and acknowledged Lhat. executed the same for the purposes therein contained. I.N WITNI-NS WHEREOF, I hereunto set my hand and official seal.. Present A.P. No. C)&V- p�� — M1 Notary Public END OF DOCUMENT . ' I II` 1 COUNTY DEPT. OF PUBLIC p� Nov 9 1988 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories Insulation in Floor R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 .2 -1 .1 R38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 A02 -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 2. Wall Insulation 3. Raised Floor Insulation Single- Single - Insulation in Floor -.-- 0.60 , Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 _R-13 2 2' 1 R-19 8 6 4 U -value -11 3 ' -4 • 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 9 7 5 0.04. 14 11 7 0.02 19 •14 10 0.00 24 18 12 3. Raised Floor Insulation 1 4 Insulation in Floor -.-- 0.60 , _ .. Number of stories -46 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 1 4 Number of stories -.-- 0.60 , -144 .70 -46 0.50 -120 -58 38 _r 0.40 -95 46 30 0.30 -69 34 -22 0.20 -43 -21 -14 1 0.10 -17 -8 -5 0.08 -11 3 ' -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace 1 4 Number of stories na R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 -2 -2 R-19 .1 -2 .2 4. Slab Edge Insulation 4 -� -90 Number of Stories -26 R -value One Two Three' • R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 29 -58 -20 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 . 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points standard o 6. Glass Heat Loss Total 1 4 1 na U -value 2 Percent 1 na .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 1 35 •75 -29 -19 .9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 . -18 -10 -2 5 13 27 -52 -17 -9 -2 6 , 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 - 22 37 -9 3 3 9 15 21 -34 -7 -2 4 10 15 20 •31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 . 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 3 7 10 13 16 19 10 3 9 11 14 -17 19 9 -1 10 13 15 17 20 8 _ 2 12 14 16- - 18 20 7. Shading (Shade Open) Etreetive Pei cc It class (Percent Stan x SC) Effective ' %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 1 IB. Shading (Shade Closed) � - Effective Percent Glass (Percent Slaw x SC) Effective %Glass NoM East South West Skylight 18 -14 -48 -69 34 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 -6 -23 -31 =29 -74 9 -5 -20. '27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -07 6 -3 -11 -15 -14 38 5 -2 -9 -11. -10 -30 4 -1 -6 -8 -7 -23 3 0, -4 -5 -4 -16 2 1 -1 .2 ' -1 -9 1 1 1 1 1 -4 0 -2 3 4 3 0 9. Interior Thermal Mass Interior Single- Single - Stab Floor Raised Floor Mass wit Stories Detached Attached Family Stories 0 0 /CFA One Two Three One Two Three 0.0 -8 -5 -4 .2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5. -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 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 Single- Single - -410 Wall Family Family wit Mass Detached Attached Family 0.00 0 0 0 1 0.20 3 2 1 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 i 1.40 12 13 9 1.60 10 13 11. i- 1.80 10 12 12 200 10 11 13 i 4 3 3 2 11. Heating System 1 10.5 SE or HSPF t• 4 (assumes ducts in attic) 2 11.0 Sum of 14 _ 6 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 60% Effective SE or HSPF (SE or HSPF x duct efnciency) Effective -25 or -24 to -14 to -4 to +6 in 16 or SE HSPF less -15. -5 +5 +15 more 0.30 2.75 .73 -64 -56 -47 38 -30 .na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assumes ducts In attic) . Sum of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 i No Cooling System Installed Stories One -5 -4 -4 -3 .2 -2 Two + 3 3 2 2 2 1 -25 or .24to -14 to -410 +610 16 or SEER less 45 -6 +5 +15 more 8.0 -14 .12 -10 -8 -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 12.0 15 13 11 9 7 5 `13.0 20 17 14 12 9 6 15% 20% Effective SEER 30% 35% 40% (SEER x dud efficiency) 50% 55% 60% Sum of 7-10 70% 757E Effective -25 or -24 to -14 to -410 +610 16 or SEER less .15 S +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 .. 4 -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 10 8 7 6 4 3 i No Cooling System Installed Stories One -5 -4 -4 -3 .2 -2 Two + 3 3 2 2 2 1 Point System Summary: Climate Zone 11 . SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration -- Measures !so or _,e _ R -value 1381 U -value [0.030] Q / or R -value [11] -_ U -value [0.098] or R -value [ 19] Interior Mass/CFA or R -value [0] F2 factor [0.77] C.-4-4 . Trve 2 MASS ' �i.2•u2Mcv.2� (e.tyet.d .1_bl t TYPE 1 MASS (UIMC 4.2. ie: exposed slab) -�- - - 0% 5% 10% 15% 20% 2S% 30% 35% 40% 45% 50% 55% 60% 614. 70% 757E 80% 85% 90% 95% 100% 105% 110% 115% 120Y. 125• OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 3.4 3.8 3.8 4 4.2 4.4 . 4.6 4.8 5 -' 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 2S 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 14 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4#Y'56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 26 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 •5.8 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 iS 1.7 1.9 21 23 2.5 27 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 S.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 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 U 2.3 2.S 2.7 2.9 3.1 3.3 3.S 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 6.3 65% 1.1 1.3 1.5 1.1 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.5 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.6 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 2.5 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80%. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 '6 6.2 64 66 657 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.6 4 4.2 4.4 4.6 4.8 S 5.2 54 5.6 5.9 6.1 6.3 65 67 90% 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.6 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 "1.9 21 2.3 2.5 28 3 3.2 3.4 3.5 3.8 4 4.2 4.4 4.6 4.9 S.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 ' 6.4 6.6 68 7 110% 1.9 2.1 2.3 23 27 29 9.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.6 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 AS 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.8 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 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration -- Measures !so or _,e _ R -value 1381 U -value [0.030] Q / or R -value [11] -_ U -value [0.098] or R -value [ 19] U -value [0.037] or R -value [0] F2 factor [0.77] C.-4-4 Single -Family Detached and Attached 6. Glass Heat Loss Unit Size (sQ Type [double] U -value [0.65] % Total Glass [ 16] Water 1199 12M 17M 22W 2700 7. Shading (Shade Open) Heater Credit b b b or % Glass . SC Eff. % Glass Type Type less s _ 1699 2199 '2699 more - - SG None 0 0 0.. 0 0 a. North X .77 = �' or Solar 12 8 6 5.. 4 HP HWR 8 5 4 3 3 b. East s.3� --� X . %% -Art 941,W WSB 5 3 3 2 2 C. South_ X 477 = 4 POU 8_ _ 5 4 3 3 d. West t� X ,1� SE None -37 -24 -18 -15 .12 • Solar -1 -1 -1 0 0 e. Skylight _41011" x - _ �- HWR -18 -12 -9 -7 -6 WSB •25 -16 -12 -10' -8 you -18 ._-12 -9 -7_ -6 8. Shading (Shade Closed) IG solar i s a 3 i O% G s SC - Eff. % Glass POU 3 2 1 1 1 a. North x -$ IE None19 14 t 1 9 b. East s• 3 J x 8 _ Solar 8 5 4 3 3 p POU -10 -6 75 -4 -3 C. South e / X Multi -Family (Individual units) d. West X =4911k 2XI Unit Size (sQ e. Skylight x Water 699 700 1200 1100.2200, l _. Heater Credit or b to b r or. , .. • 1 ' ; Type Type less 1199 1699 2199 more 9. Interior Thermal Mass -�� TYPE 1 MASS AREA = $ GOND. FLOOR AREA SG None 0 0 1.0:-. 0�• 0 � ...� ,�. ,,�� a i � InteriorMiss/CFA or Solar 14 7 5'1'W:?4 t n3 2 { ' TYPE 2 MASS AREA 10. Exterior Vall Mass = e HP HWR 9 5 3 2 2 ND. FLOOR AREA WSB 9 4 3 2' 2ifi . Exterior Wall Mass POU 9 5 3 2 2" Yep SE None 45 23 is ii' s - 11. Heating System �. fP x = Solar. 2 1 1 0 0Zonal Control? ( Y / N) SE or HSPF DuctEfficiency [0.781 Effective SE or HWR -23 -12 -8 -6 -5 [0.72/6.61 HSPF (0.56/5.151 P-QU _i3 -12 -e -6 5 12. Cooling System C,0 x = IG None -8 -4 -3 .2 i -2 Zonal Control? ( Y / N) SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.031 Solar 6 3 2 1 1 POU 1 _0 0 0 _0 _ 13. Water Heating S G IE None 30 -15 -10 -8 -6 Solar 18 9 6 4 4 Type [SG] Credit [none] POU -8 -4 -3 -2 -2 Point Scores" 0 49 Sum 1-6 .W Point Total. f0 Certificate of Compliance: Residential Climate Zone 11 t Documentation Author Telephone 7.4 'f'i Build' P it M ., . Checked By / Date Fnforcement ARency Use only BUILDING SHELL INSULATION Component Insulation Location/Comments Glass Area 95 Glass BUILDING DATA Conditi Area JSPO Number of Stories % North East eau.............. roof ............. 106 Slee �t.0 Number of .Units / South West o . q S_ Single Family Detached (SFD) [ ] Addition Alone GLAZING Shading Devices [ ] Single Family Attached (SFA) [ ] Existing Building Skylight Total _ , P,- G o 90— d [ ] Multi -Family (MF) (] Existing -Plus -Addition East ( ) ftS BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (actio, to garage, typical, etc.) Wall .............. 0.100 eau.............. roof ............. 106 ............. �.t.�oof r floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single. double) ()roller blind. etc.) (shadesereen, etc.) (yes/no) (metal/wood) North North ( ) East ( ) ftS < ) EastSouth South ( ) West ( ) &0 . / West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (stab/exposed, tile, etc.) (SO (inches) Loeation/DCScription (kitcheru bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner. heat aunt)) (SE. SEERMSPF) (attic, etc.) R -Value (Btuh) (or aonroved equal) ' 0444, f�. /L� *fro& a • 6 � n s s•rrl� n,111 u►tTV ��IikAL 16.0 A -mc. 2.1 3i 3s� Y NT' Maximum Furnace Heating Output: z3 Btuh .APPROVED VED HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) S. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lownie residential buildings subject to the Standards must contain these measures regardless Of the eomMium approach used Items marked with an asterisk (-) may be superseded by mom stringent compliance requirements listed on the Certificate of Compliance. When Nis checklist is incorporated into the permit documents, the features noted shall be considered by ail panics as binding minimum component performance specifications for the mandatory measures whether they ire shown elsewhere in the documents or on this checklist only. DF-SCR1PI1ON 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 famed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - waw absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. e. Doors and windows weatherstripped: all joints and penetrations caulked and stake 12.5352(e): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards 12-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal 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 §2-5352(8) and 2-5303: Spare conditioning equipment siring: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable healing 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-fired space hating equipment has intermittent ignition devices. §2-5314: HVAC equipment, waw heaters. showerheads and faucets certified by the CEC. §2.5352(i): Waw heater insulation blanket (R-12 or grater) or combined interior/emerior insulation (R-16 or greaw): first 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception q: Pipe insulation on steam and steam condensate return g recirculating piping. §2-5318(d): Swimming Pool Hating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures ! 02-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNERS ENFORCEMENT 'This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter Z Subchapter 4. Article 1 of the California Administrative code. This cetificate 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 purcha. Designer Nam= Title/Fum: Address: Telr:plarte: Lic. M: (signature) (date) Documentation Author Building Name: Tstte/Ftmc Address: Telephone (signature) Enforcement Agency None: Name: Tttle/Fum: Agency: Address: Telephone: (date) .-� �eF1 ;..Itis S[i S7 _ i� a-��s -"-:'x � Lr _ _ _ _ ■�fO0Y11� _ Im Al GAS NECTI-a- INK, Im Al Im 1. -L �l �3e'd, �C D's•�!- — - `41�, _ ((_k�yyr -=€�UIR —Lac L Q7' 9Z �C4yv� VIf £L - _ — �3 L�3 �R� 4V i.. 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