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064-340-024
64:=34=2,4 '.1013-.91B,P E,,4 ROBBINS Jim 14167 E1'Mira Circle, Magaiia- 064-1340=024 PERMIT#94-3,1„46 ARDOR-BRYANCARQLYN�.' 1.41.67 , EL MIRA CIRCLE,` `1AGALIA PELLET STOVEtSF 0 cry D f ' ,, r 64:=34=2,4 '.1013-.91B,P E,,4 ROBBINS Jim 14167 E1'Mira Circle, Magaiia- 064-1340=024 PERMIT#94-3,1„46 ARDOR-BRYANCARQLYN�.' 1.41.67 , EL MIRA CIRCLE,` `1AGALIA PELLET STOVEtSF 0 cry D ' ,, r i M�m 0 a-; mmmunim F- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive - Oroville, California 55965 - Telephone (916) 538-7 PERMIT NO. APPLICATION AND PERMIT - 9q- S2& ASSESSOR PARCEL NUMBER 4 340-024 ZONING RTI BUILDING PERMIT OWNER T.—-4078 R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CIRCLE, MAGALTA 95954 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 5.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 14167 EL MIRA CIRCLE MAGALIA PERMIT FEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ID Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK ?= New EIAddition ❑ Remodel O Utilities ❑ Installation ❑ Other] Describe Work: PELLET STOVE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. so. OR ADONS. ( & ACC. BLOS. ) 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) 3 I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ID am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR, Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood E65 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date / " Signature of Applicant 7'ql Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 55.00 HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for wlhc fees have been paid. BY PERMIT EXPIRES ON J (Dere) Receipt No. 170501 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF-DIVEkOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive - Oroville, CMifornia 95965 - Telephone (916) 538-7 PERMIT NO. APPLICATION AND PERMIT ' ASSESSOR PARCELNUMBER 0 — — ZONING RTl BUIL ING PERMIT OWNER — TELEPHONE 873 — 078 SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDflESS CONTRACTOR'S NAME JINKNOWN TELEPHONE , CONTRACTOR'S MAILING ADDRESS Fireplace j, sno CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 35-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14167 EL MIRA CIRCLE i�IAGALIA PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 0 Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 1 1 @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: PELLET STOVE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service I 600v'RLESS ) 23.00 200A OR LESS Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. BO- OR AODNS. ( 8, ACC. OLDS. ) 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 FIXEDAPPLNS.OR Ex. Occup. ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certifythat I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �Q' l�-" �`�1"�`� Date �f 02l Signature o Ap licant Owner ❑ ontractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HAZ• D. FEES I IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w c fees have been paid. e l L�• I `� By06/ PERMITEXPIR ON (Date) Receipt No. 17(1501 WHITE-D.D.S.-B.D. CANARY -ASSESSOR, PINK -INSPECTOR GOLDENROD -APPLICANT 'J OK O Not OK ' = Not Applicable _ RESIDENTIAL (Single Not Ready Date. UNDEVLOOR (Plans) OK except #'s Date ;v"Ftg., Main; Soils-Elec. Gadd.-/PaC,Ft . Depth - F . Ftg_ Garage; Soils -Steel -Elea Gr .--/.N" Ftg. Depth Ftg., Porches & Decks; Soils-Steel-41,/Ftg. Depth litemwalls, Main; Steel -Bloc kouts-Wrapped 5d . Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped B.�,Aers-Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 1"titer Pipe; Test -Anchor- ulato - rvice Test 12. ctric; _Underground PieneKs & Ducts; Clea nce-Material-Support-Ins. 1 irders-Sills nc -Joists-Vents-Cripples 15. Insulation Date 11 , Card B-1 Date Card 8 1 % Date Card B-1 S Date Card B-1 Date PLUMBING (Permit) OK exceptA',%___<_ 1 Water Htr.; Vent -Access ombust�, -Baffle titer Pipe; Test & Ancho ail Pr ?i 18.,,l5`W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 2 . Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 CS. Date Card B-1 - Date `'7/Card B-1 Si.1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2251`xture & Transformer Clearance -Ins. Protection _ 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled _ 25. jk5mex Installed Close to Edge of Studs & C.J. e Equip. Q5ou up w/Mech. Fastners-Bon . as & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 29. SubfeW' a Size / / ga. Cu o . Wire Size /@/ ga. Cu OFA i 29. Range Circ. /C/ gaCa orAl-_Oven Circ. / / ga. Cu or Al. Insulated Neutral W'fes 0 No 3 . Service -Riser Conductors & Ground -Main Disconnect _ 31,�Equip. Clearances Panels-Motors-Mech. Equip. 32 -Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date ,C Card B-1 $ Date Card B-1 Date ,�9 f� Card B-1 a Date Card B-1 Date MECHANICAL (Permit) OK except #'s _ 347A C. Ducts Insulation & Support 36 -Vent Fan; Exhaust above insulation _ 3 . Condensate Drain & Overflow; Size & Grade 3TC Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date (o • C t Card B-1 5 Date Card B-1 Date .) Card B-1 C%5A Date Card B-1 Date FRAMING (Plans) OK except #'s •Si,15;-Proper Material & Anchors 4 Wls-Studs-Nailing. Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing ,$Coraft Stop in Walls (rat proof) 4 r.Fire Stops: Furred Ceilings -Stairs -Chases -Tub 4 Headers & Beam -Size & Bearing - & Duplex) FRAMING (Continued) 45. Han ers-Post Caps -Anchors -Connectors I- ZZ7 - Ing. Joist-Rftr. ties- Purlin—root Brac- ., thng.-Ring. '_47. Fireplace Ties or Type A Flue- ' e lace Throat clearance . Attic Access; Size Ro rotectio raft Stop -Ins. Baffles Bdrm. Windows of Exiting Doors-Si1l Rg . & Dimensions 50,615 -rage Fire Protection Framing S�Property Line Firewall & Openings 5Z. --Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53 -Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection y�ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5.5!Siding-Nailing Veneer 56. Stucco Mesh -Drip Screed�F�d. Vents-Underfir. Access Glazing Area -Glass Protection -Skylights_ -Plastic. 58. Shear Walls; Nailing -Bolts -44' \ Insulation -Walls -Ceilings 60. infiltration -Walls -Windows Date Card B-tCX Date Card B-1 Date 6/7/Card B-1 0 Date Card B-1 Date FINAL fans) OK except #'s xt. Ceps -Door & Sidelight Protection -Landings mo elector urnace; Vents -Clearance -Comb. Air-Connector- InGarage; Above Floor-Ducts-Mech. Protection e mExiting G.F . & Bath Fixtures &Tub Access -Spa BA-fiec.jrim & Subpanel; Breaker Sizes & Labels 69.r5fai s-& Rails ire lace or Stove; Clearances -Hearth 6_ Iec,Outlets at Wood Panel; Int. & Ext. 0 it.Fxt'& Appliance; Grnd.-Air Gap -Cooking Clearance iT . let~Outlets & Receptacles at Kit. Counter ,Z2�Gasade Fire Door; Swing -Landing -Closer A.C. D ct,in Garage -Damper r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 7 . Elec. & Mech. Equip. Listed for Location 7 ec Receptacles in Garage; (G.F.I.)-Romex Protection nsul tioh-Foam-Looked in Attic C1 Yes 7 uar .Rails & Deck Construction -Post Caps 7a—rd—n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive Zil-<es 0 No; Walks 40-feg- 13 No; Planters O Yes ❑ No Stucco; Brown -Finish ` A.C. Unit; Disconnect, Electrical, Plumbing nts Above Roof: Plbg.-Appliance-Fireplace.-Clearance to dw!lgater,well: Disconnect, Electrical, Plumbing �a!Extejor Elec. Trim; G.F.I. Receptacle -Underground e1ilation Throughout House Glass Protection &&.-`Cq0e-ctionj.V±m Previous Inspections 8 . G -Meters Tagged; Gas -Electric er & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificatesy- Date �, Card B- SSR" Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r.,r. e - --l— --,., �_ I rtn ' +im. "rn visit inh citol J=OK O=Not OK - =Not Applicable ' =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2 Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'U t. / P'Nai. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements _ 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval _ 6. Gas and Electricity Tagged 9. Exits; Insp.-Sketch _ 10. Cert. of Occupancy ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELL,A !SOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Pl�ns)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-S:sel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails. 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #s 1. Setbacks -Easements 2 Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date ---Card B-1 Date Card B-1 Owner: Permit No. ( C�' ENERGY Y CERT IF ICAT ION 2 14167 El Mira Circle Maga iaCa.- �'L� `� y Z LOCATION A.P. No. ROOF Material Tit ickness(incites) DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value)__,,._ EXTERIOR WALL Material Fiberglass battS Brand Name_ Owens-Cor�1Q Thicknese(inches) 31" Thermal Resistance(R Value)— R 11___ CEILING Batt or Blanket Type Fiberglass Batts Brand Name Owens-Corning ______ Thickness(inches) 92" - Thermal Resistance(R ValueR3 ) 0 Loose Fill Type Fiberglass Brand Name_ Owens-Corning . Minimum Thicknes5(Inchea) 1 3 /iii Number of Bagej_ Wt. per bsg_lb. Area covered(ft. ) q_On Tit ermaI Resistance(R Value) R30 FLOOR, ELEVATED Material Fiberglass Batts Tit ickness(inches)_ 64" FLOOR, SLAB Material Thickness(inches) Width(inches) Brand Name Owens-Corning Thermal Resistance(R Value) R19 Brand Name_ �- Thermal Resistance(R Value)___________ FOUNDATION WALL Material Brand Name Thicknese(inches) Thermal Resistance(R I hereby.certify that the above insulation was installed in the above building In conformance with the State of California Bneray Requirements, LOERKE INSULATION CO., INC_. 499150 FIRM NAME/OWNER STATE CONTRACTORS LICENSE HO, s� July 12, 1991 sic URE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plane and attachinents have been installed a$ required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. AA-Al1&2- F1 &2 i FIR print) STATE CONTRACTORS LICENSE N0, SIG TUBE 07ARPlease CONTRACTOR OWNER DA E THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL+ INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING, January 1984 `s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/536-7541 APPLICATIQN ANDITERMIT PERMIT NO. 1013-91 ASSESgOR ARCEL NUMB R 64-34-24 ZONING`' BUILDING PERMIT OWNER Jim Robbins TELEPHONE 877-5339R SO. FT. Dec. BUILDING VALUATION OWNER'S MAILING ADDRESS ' 6466 Evergreen, Paradise 95969 -G50 M 7I CONTRACTOR'S NAME Unknown TELEPHONE 6 cov 6 CONTRACTOR'S MAILING ADDRESS Firepla a 1tAtt 1.00019010 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 0,00 LENDER'S MAILING ADDRESS Permit Fee Plan Checking Fee $ x-80 $ lorm. 00 ARCHITECT OR ENGINEER LICENSE NO. Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 16.00 Solar or heat pump water heater 20.00 LOT NO. 102 SUBDIVISION NAMEPARCEL PPCC 4 I�.O� �� �� Water piping 5.00 5.00 Each das water heater or vent 5.00 5.00 USE OF STRUCTURE SF [X_J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.005.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ba Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 brm _ Permit Fee $ 46.00 Contractor - ELECTRICAL PERMIT Filing Fee 10.00 i Main service 600V OR LESS 100 AMP OR LESS 10.00 1 Main service EA. ADD'L 100 AMP 2.50 I CONTRACTORS LICENSE LAW I declare under penalty perjury p y of p l y (check one): ) F1 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 OCC P. OR ADDNS. ACC. BLDGS. , /20sgft 52 j NEw CONSTR U TI.OUTLE NON•RESID BRANCH CIRCUITS 2.50 ea (POWER APPARATUS e� I SING LE OUTLET CIR. I Ex. Occup( OUTLETS OR FIXTURES .20 @50t AL030 I FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 10.00 I Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor .40 p 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. 177-111, 1 shall not employ any person in any manner so as to become subject LKIto 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 FiIingFee 10.00 Heating 6.00 Dual pak Cooling 11.00 Hood 3.00 11,00 Ventilation permit Fee $ 36.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree t save 'ndemnify and keep harmless the County of Butte against all liabili ' m nts, c s, and expenses which may in any way accrue againstnt in co �s ence of the granting of this per 't. X` r Date L (��- ( Signature of Applicant - OwneA_J Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h ight. Mobile Home Installation Fee $ Energy Inspe tion Fee $ 30.0 Co T PE TOTAL FEE $ J ,ui�77�CJ HAz. s- UA, .� PARKcH F} coF P PD I�HD. Issu ; 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. D PI�OR OFEUBLIC WORKS By Date PERMIT EXPIRES Date y Receipt No. �F L31 a q3 I % L -- 5727, WHITE-D.P.W.. YELLOW-ASS[SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT TO: Building Department FROM: Encroachment Permit rection RE: Driveway Clearance At owner location, AP # Driveway permit has been -issued for the. above property. 4siture date AA�• � TO Buildinc DepartmeatC FROM: Environmental Health SUBJECT: Sanitation Clearance (AaH idt 6 tic weer Location . AP# Plan Approved for:. Sewage'Disposal A Water Supply"\ Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom a home. Other` MOTS** San tarian V Date �; � � �ryy . t �`, ..,s ..�,. :.i' - �i—•',�i �4.�,s�,�r'_-;?'1 "`�'...f" � • '���Sc�,?if ..i'� � 4 �:3h?.oc -,`,T.'�i' i _1"7f� ;lia: spF�:. 1"� +�"ry('�� `S2`��; _+rs-. r w �. �.� y� OWNER COUNTY OF BUTTE - DEPARTMENTi0f PUBLIC WORKS'- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE�CALfFO. NIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA,;SHEETz r. y; Permit. No. A:.P. No.rn Proposed Building Use_ ���� Building Inspector ✓� Date t At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ' DATE RECEIVED !APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... �7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. obilehome installation data including manufacturer's installation instructions .?. . 0. 10. Fees of $ �' ........................ - 2 0 11. Chico Urban Area fees paid ....................................... 12. Park fees paid �'/eR/1/0/Se Sch of District fees paid .............. 5- 2 —Z!/ c -� 4. Sanitation approval from ���' �� J{ Health Department LIZ t 15. City of Chico plumbing permit..... 16. Plot plan and business license approval.from City of (see City for other requirements) . 17. Planning approval for (A) Use: :' (B) Parking: ...... 18 Improvements may be required. Contact Land Development Section DPW AA1101159. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. U. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 2. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... Z- 26. 27. When y u issue the permit process as follows: Mail jp owner. Mail to contractor. Telephone g7t�- S335and hold for pickup at �n'© Office. Deliver w/inspector. Other Applic n Date Copy of Haz-Mat form sent Health Dept. ;' Fire Dept. —Air Pollution Date Copy of plans sent Health Dept Fire Dept. Other• 1 Date By. The followingA-ata must be submitted prior to rmit iss ance: I'ene ''tem not checked above):-' :fes 1, Index permit for above items No. 2. Additional items required: ContractIor, 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_mall_counter by date �j 7 Plans checked .by Date Plans approved by Date _ �< Sets of plans on hold in File cabinet AP folder Copy—DPW ti Fk` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville --Phone: 538-7541' .r ` 747 Elliott Road, Paradise — Phone: 872-6307 i;. CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office `= when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Vis' _, • t z • S " Date- Inspector / ? COUNTY OF E tiTTE M 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 OWNER I PERMIT NO. A r tine inspection indicates that the following violations of County Ordinance exi t at the above address and should be corrected. Please notify this office w en correction of work is completed. If you have any question pertaining to this Iter, or need additional explanation, please contact this office immediately. i R Fr 46'dl)Ik 7o C.//3 z n�411,..i < .ate moi/ IVEi _[ Date Inspector c' 777:COUNTY OF BUTiTE Memorial Way, Chico —Phone: 891-2751 -:1 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE WNER, PERMIT NO. ,'A- routine in ection indicates that the following violations of County Ordinance exist at e above address and should be corrected. Please notify this office when rrection of work is completed. If you have any question pertaining to this mat r, or need additional explanation, please contact this office immediately. jow,v.de k Co V eA- Date— Inspector— c�3COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 / County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R y ZONIN 7-- BUILDING PERMIT OWEP �o TELEPHONE Q7%-S3 3 SQ. FT. OCC. BUILDING VALUATION OWNE 'S MAILING A.DDPM-S Ll KV C�l O J' G C+ n C7 CONTRACTOR'S "AME��'��1,% TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER A/o --J & UNKNOWN Total Valuation Is -� 'L —7 X* d LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ "z _ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /76, ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ /I rx4 �R - PLUMBING PERMIT FilingFee 10.00 Each Trap P 2.00 6 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME Cc L/ PARCEL MAP Water piping - 1 5.00 Each qas water heater or vent T 5.00 USE OF STRUCTURE SF DuplexR Mobilehome❑ Other SPECIFYMobile Gas piping system 1 - 5 outlets 5.00 Building sewer -4 5.00 Home S I G I W 10.00ea TYPE OF WORK New Addition ❑ /Remodel ❑ Utilities ❑ ' Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 100 AMP OR00V OR LESS10.00 ~� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under El p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Seca Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 Z .� NEW CONST. DWELLING DCC a OR AODNS. ACC. SLOGS. 1/z0sgft NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES P 209300 eAL930 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service ( 10.00 ' Ho Mobile Ho me Facilities 15.00 Misc. g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 10.00 Heating v,Z !-, 1 P �,VAL loamy Cooling Hood 3.00 3 Ventilation .3 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 t above-mentioned property for inspection purposes. I also agree to _Mdeand keep harmless the County of Butte against all liabi ' ' s dg , and expenses which may in any way accrue again s Id ount ince of the granting of this p r X �. — �• Date Signature of Applicant — 04(.r Contractor ❑ Agent An OSHA permit is required for excavation ee over 5'0" dp and demolition or construct- ion of structures ve'r 3 stories 'n height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30 .. occ CONST TYPE TOTAL FEE $ �� 0 - 190 HAz. cuA PARK scHl FAD cDF PAR PD l HD. ISSUE This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work Indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date v Receipt No. 13 ) 3 WHITE-D.P.W.. YELLOW-AsatssOR PINK -IN PECTOR. GOLD N OD -APPLICANT // ,.,Tr•'�� a��,y�'f'drG7y n.'i�'r#•.yT'�'+�Fi�'X�i++7�ITp`i�1fW�'='/'fi.++elt'eyrT'FviPw'v'.t"''�"'.iR°" ��`�trv�rlr"4ra►`�s•'rOiN"d`r"RKS�°'f�h�a''�na' nr�^�•r.s�+�.r-y✓e�=u''� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) �p A.P. Number i " � -y Building Department ' No`.. ! %3 C_ School District t; ad rJ14 y City D County. r Jurisdiction s Property Owner o 6 b 1' .! hVIU-LI ~ Project Location/Address Zt,,1 �✓� C& �U ► � o Subdivision ,p A � / ,j C ,c ' - (,�� ��,Lot Number Residential Development: I a Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: a �. Sq. Footage New Addition (Including Exterior Roofed Areas) E 1Ldiinj'g Department Representative • Date (F1oor,Plans reviewed by School District-Personnel),f Distric Id. 'No School District certifies that • -. ; �: z ' �: - i �7� X33, .. --(Applicant Namey (Phone Number), (Street Address)' ' y ate) - . I (ZiprCode has complied with the requirements of Resolution No. by the ,payment of $ �T� (� representing square feet. Sdhool District Representative LDAt PAID,BY CHECK• -NO. /y� BANK NO 6 J �3&/ PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEEi (8/88) i iD, /99/ RESIDENTIAL PLAN CHECKING GUIDE -12/90 (S.F. DUPLEX &IMISC. ONLY). I Bldg. Permit. # /o/9- if OWNERD�/�/rI5 A. P. # Plan Checker, 5 - GENERAL lam./Zoning requirements: (sideyards and number of permitted living units). t�2 Valuation. 8':___jPlans signed by desi�ner. a raper description of� work on application. j�Exstng violations on property,. U Items .on data sheet. (W.C., fees, Health, Developer Fees, License law,:etc). -7.Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions._ Setbacks, sideyards, easements, etc.. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible,.and foundations). FAU & FAS road setback.'--.-, .-� Building or utilities across hot lines (Record.form). FLOOR PLAN Complete to scale plan with*dimensions.' Required windows for light and ventilation (Sec. 1205).,. Required windows for second exit (Sec. 1204). -Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes,. ceiling heights (Sec. 1207). GFCIs in baths., garage, kitchen, and exterior outlets (Article, 210-8). Light fixtures, switches, receptacles, and exterior receptacles for tenance of mechanical equipment. main Locations of water heater,-. heating and cooling ,equipment, other electrical or gas equipment. t O'Garage firewall, door size, and closer (Sec. 503(d)(3)). ' 1--.-1 - 3'0" exterior exit door (sec. 3304 (f). :'Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec.. 1210) �. lumbing fixtures, water closet clearances and shower size. ` STRUCTURAL DETAILS t Standard bracing or engineered design (Table 25V) Unusual shape, size,_or split level house requiring"lateral design. Foundation plan complete enougli to construct building. , Floor construction details complete -enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to.construct building. Fireplace construction details and talcs if necessary.. Rafter ties or bearing ridge beam. Garage door or porch header sizes.. - Stud heights. Adobe soils - special foundation design. - Retaining walls requiring design. —Special Inspectionreq"uired. 12/90 RESIDENTIAL PLM CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOKOUT FOR ` Stairway details: landings, rise and run, head clearance, handrails • (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof convering (Chapter 32). oof covering.type - (fire hazard). oam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required ou garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 'ttic access and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). -ombustion air for fuel burning appliances - L.P.G. requirements. oise requirements on duplexes. - Energy design. lashing at all exterior openings. 5 /S . C.DF responsible area requirements'. -1,�-- 9/ but not limited to cultivation, plowing, - spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All trat real -:property:. -situate in the County of Butte, State of California, described as follows: Lot 102, as 91-14833 -- _ _ -- - — --- --- certain Map entitled, "PARADISE PINES, Return to DPW AGRICULTURAL STATEMENT OF ACXNOWLEDGEIENT UNIT " FOR RESIDENTIAL. DEVELOPMENT which Map was filed in the Office of the Recorder of Section 26-8.1 of the Butte County. Cod0 the County of Butte, State requires this acknowledgement be recorded Book 35 of prior to issuance of a building permit. - _`.T--."',, "'-< - 'T1 r 9 1-4 14833 Rec Fee- ; 5.00 1 The property described herein is adjacent . Check 5;..00 to land or included within an area zonI>r for Recorded Page 4, Official agricultural purposes, and resident's Official Records of this property may be subject to incon County of ,. veniences or discomfort arising from the Butte z use of agricultural chemicals, includinj,, Candace J. .Grubbs but not limited to herbicides, pesticidei t, and fertilizers; and from the pursuit Recorder of agricultural operations including, 9 i`52am 17 -Apr -91 XX i but not limited to cultivation, plowing, - spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All trat real -:property:. -situate in the County of Butte, State of California, described as follows: Lot 102, as shown on that -- _ _ -- - — --- --- certain Map entitled, "PARADISE PINES, - �, - - UNIT NO. 4", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on October 1, 1970, in Book 35 of Maps, at pages 97 thru' 101. Certificate of Correction recorded December 2, 1970, in Book 1648, Page 4, Official Records. 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 damages shall be done to the surface of said land. Date: x/11/91 State of Cali forma) ) SS.. County of 00 ®� o `CA, �� .Personally known to me. Q Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is V.subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IiN WITNESS WfiEREOF, I hereunto set my hand and official seal. 9 O No. 1, � I ;L - Notary Public PROP RTY OWNERS: 0 o ..' JAMES G. ROBBINS On this the 11th day of April , 19_2__, before me, the undersigned Notary Public, personally appeared .James :0. Robbins esent A.P. EN® OF DOCUMENT cc O C" C" co LL 0 CL Gil Z LL cr- 5 0 C% Q r - w Q Certificate of Compliance: Residential Climate Zone 11 - Mandatory Measures Checklist: Residential MF -IR Project Title — _ / ' NOTE. Lo -rise residential buildings subject to the Standards must contain these measures regardless of the compliance 1 / approach used. Items marked with an asterisk (*)maybe superseded by more stringerttcompliance requalisrc4 / g on the Certificate of Com once. When this checklist is incorporated into the it documents. the features noted shut 1� �� /!S Build Pttrsnit N• � a -perm C i /�/� be considered by all parties as binding minimum component performance specifications fes the mandatory measures Project Address n L. J `7 + -huhu they arc shown elsewhere in the documents or on this checklin only. ow Checked By / Date i - DESCR vnoN DESIGNER ENMILCEMENT Documentation Author VlephoEnforcement Agency Use Only Building Envelope Measures BUILDING DATA Glass Area % Glass • §2-5352(a): Minimum ceiling insulation R-19 we avenge. . NOM Q 42.5352(b): Loose fill insulation manufacturer's labeled R.Value. Bo Conditioned -or Area � � Number of Stories ' East t • 42.5352(c): Minimum wall insulation in framed walls R- Ill weighted average (does not apply to • ; extenor mass watts). Sla S oor Number of Units South 37-5 �+� 42.5352(k)- Stab edge insulation - water absorption rate no greater than 0.3%. water vapor Single Family Detached (SFD) [ ] Addition Alone West 30 a - o transmission rate no g inter than 2.0 pcW=h. [ } Single Family Attached (SFA) [ ] Existing Building Skylight /1)_ �� §2.5311: Insulation specified or insWkd mats Cal'nfomia Energy Commission(CECT quality (] Multi -Family (NM (] Existing -Plus -Addition Tom standard& Indicate type and form. §2.5352(f): Vapor barriers mandatory, in Climate Innes 14 and 16 only. §2-5317: InfiltratioNEafiltration Controls B UII,DING SHELL INSULATION x. Doors and windows between conditioned and unconditioned spaces designed to limit arc leakage. b. Doors and windows certified. Component Insulation LAeafloiXotnments G Doors and windows-eatherse;pved: all jam and penetru;on: caulked ,nnsettled Type R -Value (auric, to garage, MMiCCL etc.) (' f 42-5352(c): Special infiltration bonoe barrier installed tocomply with §2.5351 mtaCEC quality stairi Wall .............. R 13_ §2-5352(d): 15onsttaland faa ion of Fu fueplaoes have Laccs WaU ............... a. Tight fnuing, closeable metal or glass door Roof ............. b. Outside air intake with damper and control d c. Flue damper and control Roof ............. a 2. No continuous burning gar pilots allowed. Floor ............. HVAC and Plumbing System Measures a floor.............�� §2-5352(g) and 2-5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2.5315: Setback thermostat on all applicable heating systems. Slab Edge ..... - o + • §2-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 tJMC. « GLr�ZING Shading Devices §2-5316(b): Exhaust systems have Gamper controls. GIazin g Area Glass Type Interior Exterior Overhang Ft aurin §2-5314(c): Gas -feed space hating equipment has intermittent ignition devices. g g Type �; §2-5314: HVAC equipmem water haters, showerheads and faucets certified by the CEC. Orientation (Sf) (single, double) (Toiler blind, etc.) 0hade=een. etc.) (yes/no) (metal/wood) t §2.5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior No rth insulation (R-16 or grater): first -5 fuer of pipes closest to tank insulated (R-3 greater). §2.5312 ' 8 NC' IZ.11 ( ) E (Exception 1): Pipe insulation on steam and steam condensate return& recirculating piping. East ( ) / / / / §2-5319(d): Swimming Pool Heating East ( ) f- -f -- I. System has r a On/off switch on hater. SouEh ( ) f t b. Weatherproof instruction plate on heater. ....... ( ) ff e. Plumbed to allow for solar. SOuCIl Y• 2.thermal Pool cover. West ( ) �I rf 4. Time clock. West ( ) 5. Directional -ata inlet Skylight....... 1r)_ ff / Lighting and Appliance Measures 42.53520): Lighting- 25 lumcnstwatt or greater for general lighting in kitchens and bathrooms. THERMAL MASS §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. r Type/CoveringArea Thickness ` , 12.5314(a): Refrigerators, refrigerator -freezers. freezers and fluorescent lamp ballasts certified (slab/exposed, tile, etc.) (sf) (inches) Location/Description.(kitchen, bath etc.) by the CEC. Indiatc make and model number. , COMPLIANCE STATEMENT. ` This certificate of compliance lists tl3r: building fcatrlres and performance specifications needed to comply with ' T'itle 24, Chapter 2-53 and Title 20, CUptr2. Subdupw4. Article l'of the California Administrative code- This 4 certificate has been signed by the individual with overall design responsibility and the building owner. who shall HVAC SYSTEMS Minimum Duct retain a copy of it and transmit the create to any subsequent purdlaser of the building. Type (furnace, air Efficiency Locadon Duct Output Manufacturer / Model # - condi(ioner, heat pump) (SE. SEER,HSPF) (atric, etc.) R -Value (Btuh) (or approved equal) { Designer Building Owner SA, G 1, Name: Name a ddret Adtttteas: rm Address: � Telephone: - Tc -9: Maximum Furnace Heating Output: Btuh r '+( -g-� ;. tx. a: _ HOT WATER SYSTEMS `'� `=`•fes Tank Manufacturer/Model #, �C' , System T (storage as, etc.) Capacity ora roved equal) of ea`ires (signature) (date) (signature) (date) Ilk Documentation Author Enforcement Agency - SPECIAL FEATURES/REMARKS (Add ears sheets if necessary) Name: Name: � T;�tr,n A tcncy: ' ' Adtirzss: `,t 1. Ceiling Insulation U -value 0.50 -176 Number of stories .54 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 -2 .1 .1 R-38 0 0 0 U -value 0.50 -176 -84 .54 0.30 -102 -49 32 0:10 -26 -13 -8 O.C8 -18 -9 -6 O.C6 -11 -5 -4 O.C4 -4 -2 .1 O.C2 4 2 1 O.C3 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Insulation in Floor Single- Single - Number of stories R -value 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 -144 -70 -46 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 Insulation in Floor Controlled Ventilation Crawlspace -4 Number of stories Number of stories 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. Slab Edge Insulation 40 i 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 .22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 5 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1. 0.00 10 5 3 Controlled Ventilation Crawlspace -4 3 -1 Number of stories -1 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 -2 -2 R-19 .1 -2 -2 -1. Slab Edge Insulation 40 -90 .. Number of Stories -14 R -value One Two Three R-0 0. 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 3 -1 0.80 -1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points Smndwel 0 6. Glass Heat Loss Total Exterior Slab Floor Effective Pei cart Clan Mass U -value (percent glass x SQ Percent Effective Stories .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 .39 .24 .10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -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 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 _ 20 7..Shading (Shade Open) Exterior Slab Floor Effective Pei cart Clan Mass Effective Pereertt Class (percent glass x SQ Family Effective Stories (Per,ceat glass x SC) /CFA Effective Two %Glass North East %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 ha 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 -1 -9 1 a3. Shading (Shade Closed) Exterior Slab Floor Effective Pei cart Clan Mass Wall (percent glass x SQ Family Effective Stories Detached /CFA One Two %Glass North East South Weft Skylight 18 -14 -48 -69 -64 na 16 -12 .42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 .29 -40 -37 na 11 -7 -26 -36 .33 na 10 -6 .23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17. -23 .21 -56 7 -4 -14 -19 .18 -47 6 .3 -11 -15 -14 -38 5 .2 .9 -11 -10 -30 4 -1 3 -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 4.5 3 7 8 10 9. Interior Thermal Mass Interior Exterior Slab Floor Raised Floor Mass Wall Stories Family Mui6 Stories Detached /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 -i 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single. 16 or Wall Family Family Mui6 Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 200 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst.!m SEER (assumes ducts In attic) Sim of 7-10 -25 or -24 to 04 to d b Sum of 1a 16 or SEER lest .15 1 3 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 it 9 7 0.95 8.71 20 18 15 13 11 8 17 14 12 ERective SE or HSPF 6 WSB 5 (SE or HSPF x duct efficiency) 2 (SEER Effective -25 or -24 to -141) .4 to +6 b 16 or SE HSPF less .15 .5 +5 +15 more +6 b 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 Syst.!m SEER (assumes ducts In attic) Sim of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories -25 or -24 to 04 to d b +6 to 16 or SEER lest .15 1 3 +5 +15 more 8.0 -14 .12 -10 3 -6 -4 8.5 -9 .7 -6 -5 -4 3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 2C 17 14 12 9 6 WSB 5 Effedlre SEER 3 2 2 (SEER xluct efficiency) 8 5 43 25 Sal of 7-10 SE None Effective -2S or. -24 to -14 to 4 b +6 b 16 or SEER 'less .15 5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 3 4 6.6 -5 -4 .4 3 .2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. One -5 -4 -4 .3 .2 -2 Two + 3 3 2 2 2 1 Single -Family Iktached and Attached Unit Size (sQ I7.7w7wc•.. 71 t c.ava.e .t_bt Water 039 12LV 1700 2200 2700 Heater txedit or l b to to or Type Type !oss ,1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 0 WSB 5 3 3 2 2 1.S POU 8 5 43 25 3 SE None -37 -24 -18 -15 -12 44 Solar -1 -1 -1 0 0 0.4 HWR -18 'A2 -9 -7 -6 1.9 WSB -25 -16 -12 -10 -8 3.3 '3.5 POU -18 . -12 -9 -7 -6 IG None -5 -3 .2 -2 -2 0.6 Solar 7 5 4 3 2 2.2 POU 3 2 1 1 1 IE - None -28 -19 -14 .11 .9 52 Solar 8 5 4 3 3 1.1 POU -10 -6 -5 -4 .3 26 Multi -Family (individual 3.2 units) 3.7 19 4.1 4.3 Unit Size (so 4.7 Water 5.1 699 700 1200 1700 2200 Heater Credit or b to to or Type .Type lest 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 14 3 HP HWR •9 5 3 -2 2 27 WSB 9 4 3 2' p `2 , r•.2 42 POU 9 5 3 2 i SE None -45 -23 -15 -11 -9 1.6 Solar 2 1 1 0 z: 0 3 HWR .23 -12 .8 -6 -5 4.5 WSB -25 -13 -8 -6 =5 6 .ROU -23 -12 -6 -5 IG None -8 -t _-8 3 -2 , -2 3.3 Solar 6 3 2 1 1 4.8 POU 1 0 0 0 0 IE None 30 15 -10 -8 3 22 Solar 18 9 6 4 4 36 POU -8 -4 .3 -2 .2 Interior Mass/CFA S rn[ 2 MSS Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) I7.7w7wc•.. 71 t c.ava.e .t_bt t -TYPE I PASS (e177C 4.2, ie- exposed slabs 0% 5% 10% 15% 201/. 2S% 30% 35% 40% 4SY. 50% 55% 60% 669. 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125` 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.S 1.7. 1.9. 21 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 44 4.6 4.8 5 S3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 2S 27 2.9 3.1 3.3 '3.5 3.5 17 4 4.2 4.4 4.6 4.8 S 5 2 54 20% 0.3 0.6 0.6 1 1.2 1.4 1.6 1.8 2 2.2 24 '27 29 3.1 3.3 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 2e 3 3.2 3.5 3.7 19 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 28 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 53 S.S 5 7 59 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2.5 27 3 3.2 14 3.6 18 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 9.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 .56 58 6 62 60% 11.2 1.4 1.7 1.9 21 23 2.5 2.7 29 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 52 5.4 '56 5.9 61 63 65% 1.1 1.3 1.5 1.7 1 22 24 26 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 -55 5.7 5.9 61 64 70% 1.2 1.4 1.6 1.8 2.9 22 25 27 29 11 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.8 S 52 5.4 56 58 6 62 6 4 75% 1.3 1.5 1.7 1.9 21 23 25 21 3 12 14 16 3.8 4 4.2 4.4 4.5 4.8 5.1 5.3 S.5 5.1 5.9 6.1 6.3 6.5 801: 1.4 1.6 1.8 2 22 24 26 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 58 S. 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 29 3.1 3.3 3.5 3.8 4 42 4.4 4.6 48 5 52 54 S6 59 6.1 63 6S 67 goy. 1.5 1.7 2 2.2 24 262.8 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 62 64 66 68 95% 1.5 1.8 2 22 2.5 27 2.9 3.1 33 3.5 17 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 67 69 100% 1.7 1.9 21 2.3 25 28 3 3.2 3.4 3.6 18 4 4.2 4.4 4.5 4.9 5.1 5.3 5.5 5.7 5.2 6.1 8.3 6.5 6.7 7 10S% 1.8 2 22 2.4 2.6 28 3 3.3 33 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 66 68 7 110% 1.9 21 2.3 2.5 27 29 3.1 13 3.6 38 4 4.2 4.4 4.6 4.8 5 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 2.62.8 3 3.2 14 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 S.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 Z2 i 120% 2 2.3 2.S 2.1 29 3.1 3.3 15 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.S 6.7 69 7.1 13 125% 21 2.3 ZS Z11 3 3.2 3.4 3.6 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 6.7 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 6. Glass Heat Loss 7. Shading (Shade Open) Measures � u oI R -v a [381 U -value (0.030] R t3 or R -value (11] U -value (0.098] -= q Or R -value (191 U -value (0.0371 or R -value (01 F2 factor 10.771 .BL,- /d - a__ Type [double] U -value [0.65] % Total Glass (161 Point Scores O 0 Sum l� % Glass SC Eff. % Glass a. North �,�- x 7 �_ - I- b. East x =)o4-7 c. South x �- = d d. West x �- _ 0_ e. Skylight D x O 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass TIO. Exterior Wall Mass .11. Heating System ' Zonal Control? ( Y / N ) V12. Cooling System i Zonal Control? (Y / N ) 13. Water Heating % Glass SC Eff. % Glass x (4(,0= O 7 x =!5 X Do X TYPE 1 MASS AREA 8 COND. FLOOR AREA Interior Wiss/CFA TYPE 2 MASS AREA 9 Exterior Wall Mass ND. FLOOR AREA 7 x� SE or HSPF Duct Efficiency 10.781 Effective [0.72/6.6] HSP -7F (0.56/5.15] SEER [9.51 Duct Efricie cy [0.741 Effective SEER [7.03] 5(9 Type (SG] ` Credit [none] �nir.ITn/n1, �'