HomeMy WebLinkAbout064-260-022ALLEN MUZI 4-26-22
13906 Creston, Magalia
Permit#3472-88B,P,E.,M(new S
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Lermit#1617-89B(ad d d SF
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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
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«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)
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