HomeMy WebLinkAbout064-340-02964-34-29 O(vq• 3 -1 - O
RICHARD MISER �'�� d! � `�, •?`
14145. E1mir,.:a_.Ci.rc.1 Magalia
Permit#2199-86B,P,E,M(new single amily) {
64-34-29 2284-91B,E,M
.,BARTHOLOMEW,=_Ed &,Lorraine
14145 Elmira Circle, MAgalia
cont:; Don 'B'antum q
.(addition/sf )�,;-
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64-34-29 O(vq• 3 -1 - O
RICHARD MISER �'�� d! � `�, •?`
14145. E1mir,.:a_.Ci.rc.1 Magalia
Permit#2199-86B,P,E,M(new single amily) {
64-34-29 2284-91B,E,M
.,BARTHOLOMEW,=_Ed &,Lorraine
14145 Elmira Circle, MAgalia
cont:; Don 'B'antum q
.(addition/sf )�,;-
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PERMIT NO. 2199-868 P E M
PERMIT EXPIRES D-
OWNER RICHARD MISER
CONTR.
ASSESSOR PARCEL
64-34-29
owner
LOCATION 14145 Elmira Circle, Magalia
�'iL Fir' 1a ,af
OFFICECOPYCOPY
/r I
Address ;L �
�s
GAS•
Meter By- Date
ELEC .I
Meter' p j
OFFICE COPY i
i
Address,Q� $L
GAS
Meter By Date
ELECT
Meter Da�
OFFICE COPY
Te. Address
GAS
j
Meter
Ti ELECTRIC -? J
Meter By a e
Temp. Gas Se
Cal led PC
JOB FINALEI
Signature
Owner • t /[ _ Permit No. IV'
ENERGY CERT.'IF ICAT ION
14145 E1 Mira Circle, Magalia
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material Fiberglass Batts
Thickness(inches) 6 3/4"
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type Fiberglass
Minimum Thickness(Inches) 104"
Area covered(ft.2) 1,092
FLOOR, ELEVATED
Material Fiberglass Batts
Thickness(inches) 6 3/4"
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand.Name Manville
Thermal Resistance(R Value) R19
Brand Name
Thermal Resistance(R Value)
Brand Name Manville
Number of Bags 20 Wt. per bag 40 lb.
Thermal Resistance(R Value) R3
Brand Name Manville
Thermal Resistance(R Value) R19>
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
LOERKE INSULATION CO., INC. #499150
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
January 15, 1987,-
SIGNATURt OF INSTALLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or. are
specifically approved by the State of California.
std 1�40
FtRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
SIG OF GENERAL CONTRACTOR OWVER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1.984
J OK
O -Not OK +
- 'Not Applicable RESIDENTIAL (Single and Duplex)
- Not Ready
Date
UNDERFLOOR P except #:5-
Date FRAMING (Continued)
- -
_-1 _ Ing requirements -S s-E� mat
4 y rriugs
g., Main; it I-Elec nd.- 147j" Fig. Depth
49VExt. Doors -One 3' -Check Garage -3rd story, 2 exits
t , Garage; S s -Sly / /"'Ftg. Depth
l�tg.,
P s & 4ile= /" Fig. Depth
_
41,-"Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
^ malls, Main; Seh-Bloc s-Wsa�ped-frFeb-iding-N
ie
_
ng-X-aPeer-
walls Garage: Steel- kouts r -
- dn. Vents-Underflr. Access
(O
F�-steel
xD.W.V.: -Fi gs-T wa -Se t?F e t
_ _
Glazing Area -Glass Protection -Skylights -Plastic
a Is; Nailing -Bolts
_
�Q
9��(G s Pipe; Size -Anchors
1p, Water Pipe: - ors -Re ator-Servic st
z/ i Dtt� _z wQ��f a•- -e---
(�
Oys
Tiy_-__`nrrE��Q
lenums & DQcis; Clearance�-Matt%rial-Sup ns.
cFAlls-Roth olorr3 ts-Lor'�ts - -Cdr es �
%�i6•.V
Card-BI Dat - 6 Card -BI Date
Card -81. Dat iCard-BI Date
Card -BI Date Card -BI Date
_
Card -Bl-
DatelO��_ IC Card -BI Datel, "
Date FINAL (PI s) OK except H's
Card -BI Dat V Card -BI eV Date r
Date
PLUMBING (Permit) OK except q's
t. Steps -Door & Sidelight Protection -Landings
oke Detector
Card -81
Card -BI
01er HL: ((Vent -Access -Combustion Air
.1 a ipe: Test & Anchors-NaiLSPoi+ ction
Test-Fttngs & Anebare=NailCPraMT-ion
1 IcLaw it�sY, Foor-Tub s
ess
1 as Pipe: Size & Anchors
II''
Dater" �(p Card -BI Date
Date Card -BI Date
- m - r-
I tion
oom Exiting
• G. EJ--& Bath Fixtures & Tub Access
I .Trim & Subpanel; Breaker Sizes -Labels
tai(( Rails
rep!2ce or Stove; Clearances -Hearth
�e utlets at Wood Panel; Int. & Ext.
(it. 'xt. &.A liance; Grnd.-Air Gap -Cooking Clearance
c.' Outlets & Receptacles at K)t. Counter
Date
ELE ICAL' Perrr,it OK except Ws
Garage Fire Door; Swing -Laying- I
r
'
Fi re & Transformer Clearance -Ins. Protection
Receptacles Spacing -Lights &Switches at Doors
Boxes& No. of Conductors-Stapled6
re"
Installed Close _ _of _tuds & C.J.
and mad w'Mech. Fastener -& WV -4p -l'
2 Appliance Circuits in Kitchen_& Conductor Size
Wire Size ga. Cu -et -1M
Range Circ. / �% ga. Cu erM-Oven Circ. / / ga. Cu or Al,
Insulated Neutral es 1-3N. _- _
28. Service -Riser Conductors & Ground -Main Disconnect
A-Fq__u`ip. CXearerc s: Raoe+s-�2W.P - -
-. - _
A&. -Clothes Closet Light=aftmrerl,�t - _
-._. - '--- - --^--
Gard B -I Dat�/•� Card -Bi ___ _Date
Yd /6��
Gard 8-1 Datei ��� Card -BI'- Date
tr. Hit.; -Cleha trrtt<e-Co" it -C nector
In Garage; bdv�ledF-Meth. ProtetTon
7�b., Elec. & Mech. Equip. Listed for Location
ecReceptacles in Garage; (G.F.I.)-Romex P4at .x
rr lation-Fev! -Loo ed in A^ftic Yes
i and Rails Construct Po
7 n. Vents & Crawl 'sole Door -Drat ood-Earth Clearance
Looked under Floor C'1M2
7 owing instld.: Drive � s ' ❑ No; Walks-i`C❑ No;
Planters ❑Yes GNe-
Disconnect-Clrnces-Brkr. & Cond. 'z -115V Outlet
-
7 ents Above Roof; Plbg.- p t nce-Fir .-C earant44&-erp-ngs.
uimo��• n'cronnPr•t FI `ing
99 --Exterior Elec. Trim; G.F.I. Receptacle�dorg�nd
tion throughout House
s Protection
Date
MECHANICAL (Pern-it) OK except q's
Co ctio from Previous Inspections
r'c�
Card -BI
Ca�d-BI
nsu a t n &Support _'
ust above InsulationEnergy,Compliance
33. Condensate Drain & Overflow: Size _& Grade _
: Access -Comb. Air -Return Air_ Vent -115V outlet
35--ATrr,-Aeee9s-& Platform if Furnace in Attic
/'
Date/L-/6��Card-BI Date
Date Card -BI Date 'r -
_st-Metersgas�E
�'S W r & Se�nnected-C/O t ade-#B�&pprav3f
Certificate -Other Certificates
- -
-
Card -BI Date Card -BI Date, a
-
Card -61 �• 7ate.j_ / � �7Card-BI Date
Card -BI Date Card -BI Date
Date
FRAMING(Plans) OK except N's
Com tents at Final
; Proper Material & Anchors
3 W Studs -Nailing, Spacing & Bracing -Plates -Sound
38� Be�cing Walls over Girders &Floor Nailing ---
Draft Stop in We(rat proof)
ire fops: Furred Ceilings -Stairs_ -_ Chases _ -Tub
_
44--f{eader & Beam -Size & Bearing
49ges-Post Caps -Anchors -Connectors
48/ �-Tcnss-S��R}Aq-
orTy*.A_rlue-Fi � C�roat
At ss: Size -& Rome>�eCtion-Iai4rffSlop-I s.
B .Windows or Exiting Doors11Hgt. & Dimensions
Garage Fire Protection Framing
II W�_4 y
-
--_— --`---
^�
--
(NOTE: Anenlrymust be made each time you visit job site)
P�
OK
Not O,K
= Not Applicable MOBILEHOMES
Not Ready MISCELLANEOUS
-
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2, Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg.-Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
_
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1, Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Gas; MH Test-Demand-Valve=Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip, w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE
` DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
.sem /e//yS - //,�, Zi ss Jr C
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at th above address and should be corrected. Please notify this office
when cor ction of work is completed. If you have any question pertaining to this
matter or need additional explanation, please contact this office immediately.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS '
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
PERMIT
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 (—/'2/ ��� L/i Date —2 -14
v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - 0roville; 4Iiforni-95965 Telephone 916/534-4541 9i5
APPLICATION AND ,PERMIT
EA
ASSESSO PAR NUMBER
— a
ZO G
T
BUILDING PERMIT
OWNER
i r i er'
TELEPHONE
973-
SQ. FT. -OCC. BUILDING VALUATION
OWN'S AILS ADDRESS
``oJj
CONTRACTOR'S AME - -
TELEPHONE
CO RACTOR'S MAILING ADDRESS
Fireplace v4 /Q00
CO ST UCTION LENDER
UNKNOWN
Total. Valuation $
O
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 0
ARCHITECT OR ENGINEERf
LICENSE NO.
Plan Checking Fee
$ O
Energy Plan Checking Fee
$
ARCHITECT ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS -
Permit fee
$
PLUMBING PERMIT
Filing Fee ' 10.00
5
Each Trap
2.00 (�
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
0
NAME
�y �
PARCOZ MAP
Water piping
5.00 ` QO
Each qas water heater or vent
5.00- ' d
USE'OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other SPECIFY
Gas piping system 1 - 5 outlets
5.00 a
Building sewer
5.00 Q
Mobile Home S G W
0.00 ea -
TYPE OF WORK
New [0 -"Addition Remo el ❑ Uti it' s ❑ installatio .❑ Other ❑
Describe work: Q iJ /��
•.
Permit Fee,
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 0v P LEss
10
100 AMP OR LESS
10.00 �
, O
Main serviceEA. 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. 3���yD Classification 6Ex.
❑ 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
oR ADDNST J ACCL'BLDGS.CC 2'/z�sgft ,
NEW CONSTR. uI Tl.ourL 2,50 ea
.RES
NO N•R BRANCH CIRC ITS
(POWER APPARATUS 61
SINGLE OUTLET CIR. /
2SOC
Occup(ourLETs OR FIXTURES eALAL®30
FIXED APLNS.
Ex. OCCUp. OUTLETS (RESID.)REA.) 2.00
Temporary service 10.00 f0,
Mobile Home Facilities 15.00
Misc. Wiring 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
Filing Fee 10.00
Heating OQ1
Cooling
Hood
3.00
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 County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes. , I
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judts, costs, and expenses which may in any, way accrue
sequence of the granting of this permit.
against said 7j,773:7-3F4��
Signature of Applicant — Owner Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ Q
TOTAL PERMIT FEE $ d
OCCUP.
CONST.TYPe
-TW
I dXDate
FLOOD
+RCEL
PD
ND
s-9
This permit is hereby issued under
sions of the Butte County Code anc/or
work indicated above for which
DIRE TOR OF PUBLIC
BY
PE MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �'%fL -A6.1
• .... G
eceipt No.
F
NITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r J ' '' t t !3•`^ a :.,tet .r'1 ;t y" t. 0::, f-
COUNTY OF BUTTE - DEPAR T,jME,XiT,4dFtPUBLIC;WORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA'95965 - TELEPHONE: 916534-4541 /
PERMIT APPLICATION DATA SHEET
"`d Permit No.
OWNER r }( Se,e— - A. P. No.
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price DPW Valuation
! Other plain) p/
Building Inspector Date
At time of ermit application, I was advised the following data must be submitted prior to permit processing
and./or I - uance: DATE RECEIVED APPROVED
1. All Items have been submitted.
2... Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate/tri.plicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement."
6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . .
9. Letter of signature authorization. . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) ,
15. Improvements may be required. . . . . . . . . . 'R
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -Inspection for Required. Pre-Inspec. request to (Date)
p 4 Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other
Wheou issue the t, r ces as follows: Mail owner. Mail to contractor.
y Telephone � Y993 and ho for pickup at L k office. Deliver w/inspector.
Other--O—r.— — 4
��
Applicant Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
.By y Date
Plans checked by i Dater"
Plans approved by Date—/y
Other:
Copy—DPW
TO: Building Department
PROai: Encroachment Permit Section
RE: Driveway Clearance
G �I �/ R %?�. Se✓ l / �. 7 -S l r G� �i j6� — 3 4'/ - , 2 /
owner location AP #
Driveway permit %41' 3 — has been issued for the above property.
s tu date
TO.: Building Department
FROM: Environmental Health
SUBJECT: SANITATION CLEARANCE
OWNER
LOCATION AP #
Plans approved for: Sewage Disposal'_ Water Supply
Hold final for: Water Supply
Final Clearance O.K. for: Water Supply
Clearance for •2, bedroom m b4 l home. Other
Clearance for addition of
Note
TARIAN
6- S g D V
DATE
RE;QRO£J Ia Oi•�=lCil�l. ffiC��'DS
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL "DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement `f' SHOWN
be recorded prior to issuance of a building permit. JUL 31 '
S6-2468 Ni.
The property described herein is adjacent to land or included ELEa,�110R
within an area zoned for agricultural purposes, and residents of tVEER.5_pEGOVER FEE
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides""
and fertilizers; and from the pursuit 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 established agricultural 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 disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
Lot 107, as shown on that certain Map entitled, "PARADISE PINES UNIT NO.
4", which Map was recorded.in the office of the Recorder of the County of
Butte, State of California; October 1, 1970 in Book 35 of Maps, at pages
97, 98, 99, 100 and 101.
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 described
herein and that no damage shall be done to the surface of said land.
Date: July 31, 1986
State of California 1 )
County of . Butte )
OFFICIAL SEAL
BRENDA CHANCE
110 NOTARY PUBLIC -CALIFORNIA
Principal Office in BUTTE County
My Commission Expires April 20. 1990
Present A.P. No. 64-34-29
PROPE,T OWNERS:
On this the, 31st day of July 198_, before
SS. me, the undersigned Notary Public, personally appeared
/ Personally known to me. Ll Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose names) is subscribed to
the within instrument and acknowledged that ha
executed the same for the purposes therein contained.
IN WITNESS WAEREOF,.I hereunto set my hand and official seal.
Notary Public
RESIDENTIAL PLAN CHECKING'GUIDE 7/85
(S'. F-.-';' DUPLEX ,&'.MISC.•-ONLY')
'04 %s Bldg. -Permit #/f`%�
OWNER A'. P
GENERAL
Zoning requirements: (sideyards and number of`permitted living units)./27—
,'. Valuation. f..
��Plans signed by designer.
f - Energy Design and Compliance.
Existing violations on property:
PLOT PLAN
/1! omplete parcel size and dimensions.
etbacks, sideyards, easements,'etc. "
Other buildings or .structures.
l�Grading, fills, ,drainage.•'
Flood hazard.
Special conditions on creation map,or compliance document...,.
FLOOR PLAN a
_Comp.lete to scale plan with dimensions.'. 4 �.
2. Required wind'ows'for light_and.ventilation (Sec. 1205).• .
J-- Required windows for second -exit (Sec.: 1204).
,4— Skylights (Chapter 34`& Sec. 5207). ,
Human impact glass' (Sec. 5406).
two_ Required room sizes, ceiling heights (Sec. .1207).
//. G.F.C.I.'s'in baths, "garage and exterior outlets (Article 210-8).
Lght fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.-
, -9- Locations of water heater,, heating and. cooling equipment, other electrical or gas
_:equipment; and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 5.03(4).(3)).
.1+. 1 - 3'0" -exterior exit door (Sec. 3304(e)).
,1-21" Fireplace and wood stove location. >
tJ-3. Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
4`! Foundation plan complete enough -:to construct•building.
e2! Floor.c'on'structio'n details complete enough`: to• construct building.
�3! Elevations and wall construction details complete enough to -construct building.-
Roof,construction.details complete enough to construct building.
Fireplace construction details and calcs if necessary.
Sufficient data and details to satisfy energy requirements (State Law) (Form'l).
MISCELLANEOUS ITEMS TO LOOK OUT •FOR
.k'o�:Exposure I' plywood on exposed locations and overhangs. �uGse�/Q
,,,Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
ardrail details (Sec. 1711-& 3306(j)).;
Brick or stone veneer (Chapter,•30).
Exterior plaster.- weep screeds (Sec. 4706)
roper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.,-
RESIDENTIAL PLAW CHECKING GUIDE (CONT'D) 7/85
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
, " Garage door or porch header sizes.
Adequate bracing.
.jo@l Living area over garage - complete 1-hour separation required on garage side
including supporting walls and posts, etc.
Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
,1.20' Attic access and ventilation (Sec. 3205). y
Z;1 Underfloor access and ventilation (Sec. 2516).
,44-.-- Wood stoves, clearances, alcoves & 1-hour shafts.
Combustion air for fuel burning appliances.
Noise requirements on duplexes.
Adobe soils - special foundation design.
J.9"'—Retaining walls requiring design.
JA! Unusual shape, size or split level house requiring lateral design.
Table 3-1. Slab Floor Points
I In^-jla- I R -Value of Insulstion
I
I tiun I I
I Derth, -T
I Inches 1 0-2 1 3-4 ! 5-6 1 7+ 1
I 0- 11 I -5
ZONE 11
I -5
OWNER ,Wl POINTS
PERMIT NO. --.-/ASSIGNED
ACTUAL
1.
SLAB - INSULATION
116 - 19 I -5
2.
RAISED FLOOR - R-19
1 0 1
3.
CEILING - R-30
4.
WALL - R-19 tenet
-9
5.
NORTH GLAZING - 2.4-3.67 �, a
4-
6.
6.
EAST GLAZING - 2.5-3.67
I -8 1
7.
SOUTH GLAZING - 1.6-3.67 0-6
5.0 I
3.
WEST GLAZING - 2.9-3.6% Sk
-8 i
9.
SKYLIGHT - 0-1.37 �•
2
10.
SHADING (Exclude Overhang)
I 5.7-
6.2 I
EAST
-14 I
-12 I
SOUTH - V .19-.42
(si
-21 I
WEST - $•.3 .13-.36
•- / S
I 7.0-
.SKYLIGHT - .4;.3.7-.57
-24 I
11.
HORIZONTAL SOUTH OVERHANG 2'
I 7.7-'8.2
12.
A[OVABLE INSULATION - NONE
-20 i
13,
INFILTRATION (Standard=0)(Tight=+12)
8.8 I
14.
THERMAL MASS SF
-19 I
15.
GAS FURNACE (SE) 71-767
-31 I
16.
HEAT PUlfP (EER) 7.5-7.9%
I 9.6-10.1 I
17.
DUAL PACK (SE, SEER) 8,0-8.3/71-767
-22 I
`
WOOD STOVE
Y ¢ ZQ
WATER IiEATER
p /
ATTIC 7 U
OTHER
TOTAL POINTS =
Z
Table 3-1. Slab Floor Points
I In^-jla- I R -Value of Insulstion
I
I tiun I I
I Derth, -T
I Inches 1 0-2 1 3-4 ! 5-6 1 7+ 1
I 0- 11 I -5
I -5
I -5
I -5 1
I 12 - 15 ( -5
I -3
1 -2
I -1 I
116 - 19 I -5
I -2
I -1
1 0 1
I 20 + I -5
i I
I -1
I
1 0
I
1 +1 I
I I
7/7/83
J
Table 3-2. Raised Floor Points
T
I R -Value of I I
I Insulation I Points I
I I I
below 3 1 -12 I
I 3-a I -8 I
I 5-7 I -6 F
I 8- 12 1 -4' I
I 13 - 18 I +2 I
I •19+ I 0 i
Table 3-3a. Ceiling Insulation
Points
I R -Value of Insulation I Pointe I
I I f
I '22 I -2 I
I
_T8- I V2 I
I 49 I +4 I
i I I
Table 3-4a. Wall Insulation Points
R -Value of Insulation I Points
11 1 - -7
19 I
T- I +2
30 I +3
North -Facing Glazing Pts
I Glazing Type
Total I
Z of Sngl, Dbl, Trpl,
Floor l u- l U- I U- I
Ares 1 0.66 10.42- i 0.41 I
I 1.10 10.65 I dorm I
O •4 +� ♦4
0.1- 1.2 1 +4 ! +4 I +4 I
1.3- 2.3 I +1 I +2 I +2 I
2.4- J -r-T -2 I 3 I +1 I
3.7- 4.8 I -4 I -2 I -1 1
4.9- 6.1 I -7 i -4 I -3 I
6.2- 7.3 i -9 I -6 I -5 1
7.4- 8.2 I -12 I -8 I -7 I
8.3- 9.7 I -14 1 -10 I -8 I
9.8-10.8 I -17 I -12 I -10 1
10.9-12.0 I -19 I -14 I -12 I
12.1-13.2 1 -22 I -16 I -13 i
13.3-14.5 1 -24 I -18 I -15 I
14.6-15.3 1 -27 I -20 I -17 I
Table 3-6. East-Facin¢ Glazin¢ Pts.
I Glazing Type
- -'-1 Total I
1 Z -of I Sn 1 I Dbl
I
s •
Floor I (U - I (U - I (UY-�I
Area 1 1.10) 1 0.65).1 0.41)1
I�Ipoints Ipoints I ointsl
o I +4 +41 r4
1 up to 1.3 I +3 i +4 1 +4 1
1 1.4- 2.4 1 +1 I +2 I +2 1
I 2.5- 3.6 I -2 I 0 1 0 1
I 3.7- 4.6 I -5 I -2 i -1 1
I 4.7- 5.6 I -8 i -4 I -3 I
I 5.7- 6.7 I -10 I L i -5 I
i s" -T-7 I -13 I -8 I -7 i
I 1.8- 8.7 I -15 1 -10 1 -8 I
I 8.8- 9.7 I -1.7 1 -12 I -10
I 9.8-11.2 1 -21 I -15 I -13 ;
111.3-12.7 i -25 1 -18 •I -15 I
112.8-14.0 I -28 I -21 I -18 I
1 14.1-15.3 I -32 I -24 I -20 I
Table 3-7. South-FEIM Glazing Pts
1 Glazing Type 1
I Total I 1
( Z of I Sngl, Dbl, Trpl,
I Floor I (U - I (U - I (U . I
I Area 11.10) 10.65) 1 0.41)1
I I ofnts I oints I ointsl
o +3 +3 +3
I
up -VO -r-51-1 +2 1 '*1- 1 +2 I
1.6- 3.6 1 -1 1 0 I 0 1
I 3.7•- 5.2 1 -4 1 -2 I. -2 1
I 5.3- 6.5 1 -6 1 -4 I -3 1
I 6.6- 7.7 1 -9 1 -6 I -5 1
1 7.8- 8.9 1 -11 1 -8 I -7 1
I 9.0-10.0 1 -13 1 -10 .1 -9 I
110.1-11.5 I -17 I -13 1 -11 I
111.6-13.0 i -21 I -16 1 -14 I
113.1-14.5 I -25 1 -19 I -16 1
114.6-16.0 I -28 I -2I I -19
1 I I I I
Table 3-8. West -Facing Glazing Pts.
I i Glazing Type I
I Total I 1
I 2 of I Sngl, I Dbl, Trpl,
I Floor I (U - I (U - I (U • i
Area 1 1.10) 10.65) 1 0.41)1
I I ointsI aints I ointsl
o •6 •6 +6
I up to 1.3 I +5 I +6 I +6 l
I 1.4- 2.2 I +3 1 +4 I +5 I
I 2.7- 2.8 I 0 1 +2 I +3
I 2.9- 3.6 I -3 I 0 1 +1 I
3.7- 4.2 I -5 I -2 I 0 1
I 4.3- 5.0 1 -8 I -4 I -2. I
I 5.1- 5.6 I -10 I -6 I -4
I 5.7- 6.2 I -13 I -8 I -6 I
I 6.3- 6.9 ( -15 I -10 I -7 I
7.0-•7.6 I -18 I -12 I -9 I
7.7- 8.2 I •-20 I -14 I -11 I
8.3- 8.8 -22 I -16 I -13 1
8.9- 9.5 I -25 I Z8 1 -15 I
9.6-0.1 I -27 -20 I -16 1
10.2-11.0 I -29 I -23 I -17 I
11.1-11.8 I -35 I -16 I -21 I
11.9-12.7 I -38 I -29 I -24' 1
12.8-13.5 I -42 I -32 1 -17 I
13.5-14.3 I -46 I -35 I -29 I
14.4-15.2 1 -50 I -33 I -32 I
Table 3-9. Skylipht Points
1 I Glazing Type I
I Total I I
I Z of T Sngl, I Dbl, Trpi,
I Floor I U- I U- l o- I
I Area 10.66- 10.42- 10.41 I
I 11.10 10.65 I dews I
I up to
1.3 I
-1
I O I
0 1
1Y�
I East
I I 3.2�-
I
1 0-3.1 I to 16.4 up
I
6.3
-6
I Z I
-3 i
I 2.9-
3.6 I'
-9
I -6 I
-5 i
I 3.7-
4.2 I
-11
I -8 1
-6 I
I 4.3-
5.0 I
-14 1-
-10 I
-8 i
1 5.1-
5.6 I
-16 I
-12 I
-10 I
I 5.7-
6.2 I
-19 1
-14 I
-12 I
I 6.3-
6.9 I
-21 I
-16 1
-13 1
I 7.0-
7.6 I
-24 I
-18 I
-15 I
I 7.7-'8.2
I
-26 I
-20 i
-17 I
( 8.3-
8.8 I
-28 I
-22 I
-19 I
8.9-
9.5 I
-31 I
-24 I
-21 I
I 9.6-10.1 I
-33 I
-26 I
-22 I
TAh11 i -1n e-1 -- n
SSC -by
I ---- -
I Orten-
I 2 Floor Area
tation
I East
I I 3.2�-
I
1 0-3.1 I to 16.4 up
6.3
I 0 -.19
I 0 i +1 ( +2
.20-.36
I 0 I 0 I ♦1
I 37-.66
I 0 1 0 1 0
I .6"' i_-8 2
I 0 I "8- I -1
( .83 up
I
I 0 I -1 I -2
I i I
I South
1 0 1 3.2 16.4 18.0 19.f
I
I to I to. I' to I to I up
1
I
13.1 16.3 17.9 19.5 I
I 0 -.18
1 0 1 +1 I +2 I +21 +3
1 .19-.42
1 0 1 0 1 0 1 0 1 0
I .43-.66
1 0 1 -1 I -2 I -2 I -3
1 Ver rP
I "8-'I -2 I -4 I -4 I -6
i
West
I .1 ( 1.6 1 3.2 16.4 18.0
I to I to 1 to I to I up
11.5 13.1 16.3 17.9 I
( I I I I
0-.12
i 0( +1 I +3 I +6 I +7
.13-.36
I 0 1 0 1 0 1 0 1 0
.37-.57
I 0 1 -1 I -3 I -6 I -7
.58-.82
I -1 I -3 I -6 1 -12 1 ;LL
- up
I -2 I -4 I -8 1 -16 1 -70
I I I 1 I_
Skylight
i .1 I .8 11.6 1 3.2 14.0
1 to I to I to I to I to
I.7 1_5 Ir 3.11-9 5.2
0-.12
1 0 1 +1 I +3 I +6 I +7
.137.36
1 0 1 0 1 0 1 0 1 0
.37-.57
1 0 1 -1 I -3 I -6 I
.58-.82
I -1 I -3 I -6 I -12 I -.
-2 ice- i -8 i -16 i -23
Table 3-11. Horizontal South
Overhang. Points
South Glazing
1 Length Out I Area, Z of Floor I
from Wall I i
I ft r
I 1 0-6.3 I 6.4 up I
I I I I
0 - 0.5 -2
10.6 - 1.0 I -2 I -3 I
1 1.1 - 1.9 1 -1 I -2 I
I 2.0 up 1 0 I 0 I
I I I I
Table 3-12. Movable Insulation
Points
Moveable Insulation] 1
I Area, Z of Floor I Points I
I I I
I 0- 5.5 I 0 I
I 5.6 - 11.5 I +2 1
I 11.6 - 17.5 1 +4, !
I 17.6 - 23.5 I +6 I
`23.6+ I +8 I
Table 13. Infiltration Control
Fee.tvres Points
r--- --
Control Features I Points I
T- I
I Standard I 0 I
I I I
1 0.9 air changes per hr I I
Tight ( +12 I
0.6 air changes per hr I'
Table 3-15. Gas Furnace Without
ReFrJeeratJon Coo1_r.e Points
r- I
Peat PumD
I Seasonal Efficiency I
Points I
I (SE),
� I
I
I 71 - 76 I
0 I
I 77 - 82 I
+2 I
I 83 - 88 I
+4 I
I 89 - 94 I
+6 . I
I 95 up I
I I
+8 1
I
8.3
1 +6
Table 3-16.
Peat PumD
Points
T-
Gas Only 1
I
O
I Energy Efficiency
Floor Area
I Polars I
I ' Ratio
(EER)
I
I 7.5 -
7.9
I +3 I
I - S.0 -
8.3
1 +6
I 8.4 -
3.7
I +9 I
I 8.8 -
9.1
I +12 I
I 9.2 -
9..6
I +13 I
I 9.7 -
10.2
I +18 I
I 10,3 -
10.8
I +21 I
I 10.9 -
11.5
I +24 I
I 11.5 -
12.3
I +27 1
I 12.4 -
I
13.2
I +30 i
I I
Table 3-17. Gas Furnace With
Refriveration Cooling Points
IRefrigeracionl Gas Furnace I
Cooling I SE 11 1
I 1761 821 881 941 ue I
t 8.0 - 8.3 1 0l +21 +41 +61 +8 1
1 8.4 - 8.7 1 +21 +•41 +61 +41+10 1
I 8.8 - 9.2 I +41 +61 +GI+101+12
9.7 1 +61 +81+101+121+14 1
I 9.8 - 10.3 1 +311101+121+141+16 1
1 10.4 - 10.9 j+1Gj+L2i+141+I61+13 I
1 11.0 - 11.5 1+121+141+161+•181+20 1
I I ! I I I
7/7/83
208E II
TALE 3.14 (ADAPTED) _ INTERIOR THERMAL MASS POINTS
MASS _ DWELLING ARFA SgUARE FOOT I
AREA 1,000 1,500 2,000 2,500 I 3,000 ` 3.500 { 4,000 I 4.SGO 5_,000 1
SQ. FT. I A 8 C D A 8 C D A 6 C D4 A 6 C 0 A B C D A S C' 0 A 6 C 0 A 6 6 1. B C 5
50 2 2 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0 0 0 A 0 0 00 O r o0 0 0 0 G 0 C0 0
100. 4 4 4 2 2 2 2 2 2 2 2 2 I 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0. 0 0 0 0 1
150 6 6 6 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 7 2 01 2 2 2 0 1
200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 I 2 2 2 21 1 t 0
259 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Z 2 ;
300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 7' 1. 2 2 2
350 14 14 12 8 10 1G 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 I 4 4 2 7I 2 2 2 2
400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6• 6 4 2 4 4 4 2 4 4 4 2 I 4 1 1 1 I 1 4 1 1
503 18 18 16 10 12 12 10 6 10 10 8 6 R -8 6 4 6 6 6 4 6 6 6 2 6 5 1 4 4 4 2 4 4 4 j
600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 1 6 6 4 2, • 6 6 4 2'
709 24 24 20 14 18 16 11 10 14 14 11 3 10 10 10 6 10 10 8 6 8 8 5 4 8 6. 6 4 I 6 6 6 41 6 6 b 2
i
230 126 14 22 16 20 16 16 10 14 14 12 8 12 10 10 6 10 10 B 6 10 R 8 4 -a 6 6 4 I 8 6 6 4� 6 5 6 _ 1
900 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 I s 8 '8 4 8 8 5 4; B 8 6 c
I.0i'0 30 :10 15 18 22 20 20 14 10 18 16 10 14 14 12 8 12 12 10 6 12 10 10 6 10 10 8 6 I B 8 0 4j 8 4 4 i
1,;OU .32 32 28 20 I24 24 22 14 20 20 18 10 16 16 14 8 114 14 12 8 12 12 10 6 10 is 10 6 10 10 9 C j !•3 e f . I
1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 114 14 12 8 14 12 72 8 •12 12 10 6 10 10 8 6! 10 10 8 6
1 1
1.JC0 34 34 32 22 28 26 24 16 22 22 20 12 IS 18 lE l0 1„ 14 14 8 14 12 12 8 12 12 10 6 12 10 10 GI 10 ;0 F. 6
1,:00 134 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 14 14 12 B 14 14 I2 8 12 12 :G F; 10 to 17 4 1
1.500 116 34 34 24 30 30 26 18 24 24 22 14 I22 20 18 12 18 18 16 10 16 16 14 8 14 14 12 a 11 12 10 GI 12 l2 1C o i
2.900 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 20 20 18 12 18 18 16 10 ,14 16 is LI 14 14 12 3 I
2,500 I 34 34 30 2T I30 30 26 18 26 26 24 16 14 24 22• 14 12 22 13 :2 120 2n 18 !i I is
J.OGO 34 32 30 22 30 30 26 18 28 C6 24 16 124 24 22 14 122 21 20 11,
3.;00 I 32 32 30 20 30 30 2618 128 28 14 16 26 24 22 l t 174 21 20 i 14
1 ,090 32 32 30 20 j 30 30 26 18 79 28 24 It 75 2.3 22 1F
I
4,509 132 32 28 20 170 30 16 It j iti . r. C ;
�' _
5.003 I2 V N 19 j iJ 76 1
A) 1. ]'s• Concrete Slab: HC*8.97; R•.29: Factor -7.3
-.
2. 3 3/4- Thick Common Brick: IIC=7.125; R -.I3; Factor -7.3
• a) 1. Sk• Concrete Slab: HC -14.106; R•.41S. F4ctor•7.1
C) 1. 8" Solid Filled Block: *HC -2G.63; R-1.93; Factor -6.1 wood stove #33 points -(no back up) '
2. 8` Solid Filled Bloc: With Both sides Exposed To Conditioned Air. casablanca fan + l.point
NOTE: Use all square footage directly exposed to conditioned air
for Thermal'�Mass Area: HC=10.164; R-.965; Factor -6.1
0) 1• Thick Concrete/Tile: MC -2.55; R•.083; Factor?1.7
Table 3-19. tonally Controlled
Electric Resistance
Space Heating Points '
I Points foe this measure v!1� Table 3-21). Solar hater Heating With Gas Backup Points
I be completed afterthe CEC )
I has approved an Alternative I
I Component Package for Resistance 1
I Beat. I
Table 3-13. Active Solar Space
Heating with Gas Points
I Vet Solar Fraction I Points I
I (NSF), z I
I I I
I o-6 I 0 l
( 7 - 14 I +2 I
15 - 23 j +4 I
I 24 - 30 I +6 I
I 31 - 39 i +8 I
I 40-47 I : +10 I
I 48 - 55 ( +12
I 56 - 63 I +14 I
I 64 - 71 I +18 I
I 72 up I +20 I
I: I
lultifamil (per unit
slats)
I I
I
Gas Only 1
I
O
I
( Heat Poop (
'
Floor Area
i
I Solar with Electric I
I
Net Solar Fraction (NSF), X .
I
perunit,
ments is Part 2 1
I
0
I Electric Resistance I
I
I
I Only
-40 ;
ft2.
0.9
10-19
20-29
30-39
40-49
50-59
60-69
70-79 ,
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+5
+8
+11
+14
+16
+19
1,000-1,499
0
4.2
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+l
+3
+4
+6
+7
+8
+10
2.r00 and up
0 1
+l 1
+2
+4
+5
+6
+7
+q
All others ( er build nF points)
800-9.94
0
+5
+10
+•14
+19+
4
+29 r +34
900-999
0
+4
+9
+13
+17
+il
+26 I +30
1,00D-•1,199
0
+4
+7
+11
+15
+19
+22 +26
1,20(5-1,499
0
+3
+6
+9
+12
+15
+18 +21
1,500-1.999
0
+2
+5
+7
+9
+12
1
+14 +16
2,000-2,919
+2
+3
+5
+7
+8
+10 +I1
3,0G0 nr.d uo
-0
0
+1
+3
+4
+5
4.7
+9 +10
I
Table 3-21. Other Water Beating Pts.
T --
I System Type I
Points I
I I
I
Gas Only 1
I
O
I
( Heat Poop (
'
1
0
i
I Solar with Electric I
I
( Re+!stance Backup I
I
I Meeting the Require-
ments is Part 2 1
I
0
I Electric Resistance I
I
I
I Only
-40 ;
FORM
RESIDENTIAL ENERGY PLAN1CHEiCK/INSPECTION SUMMARY
Owner
Climate Zone Permit No..
�Flooar Area
'Compliance
path:
Package ❑ A ❑ B ❑ C ❑ Point System ❑ Budget ( Other
MIN
R-VALUE DESCRIPTION
REQ 1-D
INSTALLED
ITEMS
(1)
INSULATION:
®
Roof/Ceiling On 30
®
Wall
❑
Slab Floor Perimeter
Raised Floor
(2)
INFILTRATION•
❑
(A) A vapor barrier is required in climate zones, 1, 14 & 16.
1
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
(�
(C) All swinging doors and windows leading to.unconditioned areas
shall.be fully weatherstripped.
Tight - the above.standard features plus:
❑
(D) Continuous infiltration barrier
❑.
(E) Electrical. outlet plate gasket
❑
(F) Air-to-air heat exchanger .
'
(3)
GLAZING:
(A) Location
Area Glazing %Floor Area. Single Double Triple
'
b
Total Bldg 3 /7o rL
®
_
North W/S /.4
�.
East 44 S.!1
South
®
West QO.3 &.3
❑
Skylights _ e
',.
(B) Shading
Shading.
Coefficient Description '
❑
East
❑
South
❑
West
❑
Skylights
(C) South Overhang
Length of projection _�`ft.- Description
❑
(D) Moveable insulation: .Area ftZ Description
(E) Thermal 'mass _ /Z Ao Q�� /,/dT r-,
13
Type, - Area Ft.2 HC= - R=
MC= Location
❑
Type - Area Ft. HC= - R=
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft.7 HC= R=
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type = Area Ft.Z HC= R=
MC= Location
7/83
FORM
r.-� ❑ -(4) MASONRY AND FACTORY -BUILT FIR2PLACES shall be.equipped with tight
fitting closeable metal or glass doors covering the entire opening
of.the firebox; a combusion. air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
` outside of the building; and a tight fitting flue damper with a
readily accessible control.
i
*1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM
ating
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
Q Heat Pump.
(brand and model number)., -ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
.,,type ,(liquid or air), Collector'brand and
ft2
model number solar fraction 'collector area collector..
orientation collector tilt- rated y -intercept
rated slope
Other L!/O2aV`Z
(describe)
*1 (B) Cooling
❑ , Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
[} Electric Heat Pump %�Irlli%
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
j (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
Q (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
Q (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances'.
49 (F) BACKDRAFT.DAMPERS shall be provided for all fan systems exhausting
air to the outside.
49 (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or .
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83 2 ;
�y
FORM 1;
(6)
DOMESTIC WATER SYSTEM
t s,
°f,)•• Gas Only Gallons
(brand and model number). (tank size)
Q
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑.* 2
Active Solar
(collector brand and model number)
(rated y -intercept)— (rated slope) (solar fraction)
,
ft
-:(backup heater type,'brand and model number) (collector area)
(collector orientation) (collector tilt).
E3
Location of Solar Panels
❑
Other
(Describe)
®"
:(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be .externally wrapped with
'
R-12 insulation or -'greater.
®'.
(C) PIPE INSULATION. The five.feet'of pipe closest to the water
heater and outside conditioned.space shall be insulated .with a
minimum'of R-3. Steam.and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined.in the new appliance efficiency standards and shall
be certified to the Energy Commission. ..
(7) LIGHTING
® (A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than'25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other.approved methods,..section 2-5352(8), and fill out the
following:
Heating: Winter design temperature ° , elevation 7ZCXab heating load'20.6' #B
BTU
elevation factor' x heating load maximum outlet capacity gas -furnace.
Q BTU
Cooling:. Summer design temperature °, cooling load BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other -approved system (form #5) to document.sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title -24, Part 2, Chapter 2-53 of the California Administration Code.
7/83
SIGNMW OF BUILDING DESIGNER OR APPLICANT
3
RESIU ENTIAL
64-34-29 2284-91B , E', M
'1 I BARTHOLOMEW, Ed & Lorraine
14145 Elmira Circle, MAgalia.
i cont: Don Bantum
i (addition/sf)
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JOB FINALED (Date)
<.
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1_
i
•'
RESIU ENTIAL
64-34-29 2284-91B , E', M
'1 I BARTHOLOMEW, Ed & Lorraine
14145 Elmira Circle, MAgalia.
i cont: Don Bantum
i (addition/sf)
f
EP/5i
r,
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JOB FINALED (Date)
<.
• r Signature
1_
ENERGY INSTALLATION CERTIFICATE""'_
Building
Owner BE Y I i1 n 10 Me c
Building Permit .
2 -
Z2 -
Building'
Building
Location 1 4 l q,5 -i;' ( i► -i i
�#,
r z � � r fig 1 � �� ►�}�
C+, z ,
DESCRIPTION OF INSULATION,
ROOF .
Material P-1,
Thickness(inches),
EXTERIOR WALL /
Material Rz Q �aL
Thickness.(inches) _
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width (inches)
FOUNDATION WALL
Material
Thickness(inches).
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Therinal .Resistance(R. Value)
Brand Name .
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building, t
..:is..consistent with approved -building 'depa-rtment.-•plans•--and- attachments -
forms with requirements of -Chapter 2-53 of State of California Energy Requirement
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
DATE
I hereby certify the required features, devices, and equipment, ati shown on the approved
Building Department plans and attachments have been installed and conform --to the appli-
ance standards and Chapter 2-53 of the State of California Energy requirements.
p,, 0. gzh0Y11 �aY1CDo,
BUILDING CONTRACTOR/OWNER (Please Print)
FIRM -NAINIE)
IGNATURE OF BUILDING CONTRACTOR/OWNER
HVAC FIRM NAME/OWNER-(Please Print)
STATE CONTRACTOR'S LICENSE NO.
DATE
STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF HVAC CONTRACTOR/OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN, -HE BUILDING.,
SEPTEMJtR 1988
J=OK
O = Not OK
Not =
Readyable
MOBIL'E HOMES"
"
MISCELLANEOUS•:.: y
Not
-
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS, CARPORTS, GARAGES, *(Plans)OK except #'s T
1. Zoning Requirements-Setbacks-Easements
1. Zoning Requirements-Setbacks-Easements %
•2.
2. Soils; Special MH Support Sketch
2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel
3. Sewer; Location-Test-Fall-C/O Concrete
3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Rails
4. Water; Location-Test-Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete
,
6. Gas; Location-Test-Wrap: ' P'L-ft.
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures
/ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows-Doors
7. Well Clearance & Disconnect
7.. Electric
8. Utility Clearance {
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses '
9. Siding; Nailing-Veneer-Stucco-Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
11. Ext.; Steps-Doors-Landings
Date
Card B-1 Date Card 6-1
"�'*"
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
.• ,
1. Zoning Requirements-Setbacks Easements '
Date
Card B-1 Date g'•• Card B-1 '
2. Footings; Size-Spacing-Marriage Line
Date
Card B-1 Date Card'B.-1
3. Gas; MH Test-Demand-Valve-Connector
Date
POOLS (Plans) OK except #'s
4. Electricity; MH Test-Crossovers-Breakers-Clearances
1. Setbacks-Easements -
5. Drain; MH Test-Fall-Flex Connector
2.1 Soils; Compaction-Structure Stability
6. Water; MH Test-Regulator-Connector
3. Pool Structure; Steel-Connections-Thicknes$,,
7. Water and Sewer Connected-C/O to Grade-HD�Approval
Dead Men -Lining J
w8.. Gas and Electricity Tagged 1
'�.�
4. Elec.; Receptacles and Lighting, Distances !GFI
9. Exits; Insp.-Sketch
_
5. Elec.; Pool Lighting;, 15 volts-GFI -
10. Cert. of Occupancy
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.
Date
Card B-1 Date Card B-1
_
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Date
Card B-1 Date Card B'1
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
. - r
4;
V OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UN ERFLOOR (Plans) OK except ti's
;on ing-Setbacks-Easemen ts-Flood-Slope
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3 tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
tg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
S/Stemwalls, Main; Steel-Blockouts-Wrapped
Stemwalls, Garage; Steel- Blockouts-Wrapped
6'ta. Hold Downs and Special Anchors '
7: Slab; Steel -Wrapped
ff.'Vie rs-Fi replace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. EI tric; Underground
iLAenums & Ducts; Clearance -Material -Support -Ins. ,
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
1>i�cess & Ventilation r
16. Insulation i
Date -"Card B-1 Gam-. j/ Date Card B-1
Date Q - 5 17 . Card B-1 ,..j Date Card B-1
Date PLUMBING (Permit),O xcept ti's
16. Water Htr.: Vent- ccess-Combustion Air -Baffle
--------- -- - -------------------------
17. Water Pipe: T t & Anchor -Nail Protection
18. D.W.V.; Te/ -Fittings & Anchor -Nail Protection
-- - ----- -- - --------------
19. Shower an; Test, First Floor -Tub Access
20. Test b & Shower. Second Floor -Tub Access
--- -- 21. Ga/Pipe: Size & Anchors
--------- - ---- -----------------------------------------------
Date Card B-1 Date Card B-1
-------- ---------------------------------------------------
Date Card B-1 Date Card B-1
Date ELE RICAL (Permit) OK except ft's
2 . Fixture & Transformer Clearance -Ins. Protection
23. lec. Receptacles Spacing -Lights & Switches at Doors
2 . Size Boxes & No. of Conductors -Stapled
------ ------------------------------------------------------
omex Installed Close to Edge of Studs & C.J. ,
----------- ---------------------------------------------------------
c-4$"�q ' . Ground made "up w/Meeh. Fastners-Bond Gas & Water
-------------- --------------------- -----------------------------------------
nce Circuts in Kitchen&Conductor Size/GFI
_ _
ee Wire Size r r ga Cu or AI-A.0_Wire Size / ga
Cu or AI
nge irc. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
---------- i----------------------------------------
-------------
--96"9evc-Riser Conductors & Ground -Main Disconnect
----------------
------------------------------------------
---------------
--------
---- -- ----- uipClear-an-c-e-s -P-a- nels-Motors- Mech.
otors-Mech. ---E-qu---i
p-.
Clo set Light -Shower Light -Spa Light
----------------------------------------------
-
33�SmokeDetector -
---
------
--- --- ---------------------------------
Card
- - - - --
Date Card B_1 Date Card rB-1 --------- --- -------------------
Date Card B-1 Date Card B-1
Date M CHANICAL (Permit) OK except ti's
34. A.C. Ducts Insulation & Support
----------------------------------------------------------------- --------------
35. Vent Fan: Exhaust above insulation
-------- --------------------------------- -----------------------------------
36. Condensate Drain & Overflow; Size & Grade
-------------------- ----------
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
------ ------------------------------------ ----------------------------- -
38. Attic Access & Platform if Furnance in Attic
------- - -------
- -- - --- -- - - - - -- -- -
Date �n Card B-1 I Date Card B-1
--- ---- --------------- ------------ -------------- ------ ---- -- -------
Date Card B-1 Date Card B-1
Date FR
(AING (Plans) OK except ti's
Date
9. S Is. Proper Material & Anchors
---- --- 4 - - ------------------------- ------ ---
---------------------
alts Studs -Nailing. Spacing & Bracing -Plates -Sound
----------- - --------------------
----- -----------------------------------------
4 . Bearing Walls over Girders & Floor Nailing
----------- --------------------------------------------
------------------
42.' raft Stop in Walls (rat proof)
- ---------------
--------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------------/-------------- -----------------------------
44- Headers & Beam -Size & Bearing
ingle & Duplex)
Date FRAMING (Continued)
ngers-Post Caps -Anchors -Connectors
4 CingJoist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. re ace Ties or Type A Flue -Fireplace Throat clearance
4 AtticAccess;AAccess; Size & Romex Protection -Draft Stop -Ins. Baffles
indows or Exiting Doors -Sill Hgt. & Dimensions
--- �0. Garage Fire Protection Framing
1. Property Line Firewall & Openings
_ xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
------ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
5 �p�l-ywood on Roof Overhang -Attic Vents -Rafter Outriggers
53. Sidinq-Nailinq Veneer
56. ,Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights- Plastic
--------------- -
58; Shear Walls; Nailing -Bolts
----- 51/ Insulation -Walls -Ceilings -
60. Infiltration -Walls -Windows
--------------------------- -
Date [jW Car -1 Date Card B-1
Date f rd B-1 Date Card B-1
Date 2 K -(Plans) OK except
xt. Steps -Door & delight Protecti Landings C:5I`&J41?;$_J
o e Detector
66-Ptr,ft e; Vents -Clearance -Comb. Air -Connector -
lo Garage: Above Floor -Ducts -Meth. Protection
--------------"-"--�--------------
c}/esedroom Exiting
------------------
-------- & Bath Fixtures & Tub Access -Spa �-
Trim & Subpanel; Breaker Sizes & Labels
-------------- ------------
tairs & Rails _
..............
-----------------------
-4Z_6w-&place or Stove: Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
- -- - =�� t F'xt & Appliance; Grnd.-Air Gap -Cooking Clearance
- Z E'er Outlets & Receptacles at Kit. Counter
e Fire Door Swing -Landing -Closer
------------- ----
sz2r,4� Duc in Garage -Damper
z4-Wtit.V�rAbove
ts-Clearance-Comb. Air-Connector-P.R.V. .
I Floor -Meth. Protection
--Plb__Mech. Equip. Listed for Location
------ �z
-Wo-Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
----------------------------------
----------------
7;-I-nsulation -Foam-Looked in-- Attic ❑ Yes
--------------------------- -
Yc9!Guard Rails & Deck -Const ruction -Post Caps
------------------d - --------------
7 o Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
8t3--Futtowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
&,1 --Stucco: Brown -Finish
------------ ------------------------ --- -
§2-A.C. Unit_Disconnect. Electrical, Plumbing
a3 -Vents Above Roof; PIbg.-Appliance-Fireplace. -Clea rance to
Openings
-94 -Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
-------------------------------
86_Ventilation Throughout House
8iL,43fass Protection
--- - - - - ----------------------------------------
8". orrections from Previous Inspections
----- ----- ----------------
*89.,
- -- -----------------------------
89'., tasTest-Meters Tagged: Gas -Electric
--------------------------------------- ---- ---
":77 ""P a er & Sewer Connected -C/O to Grade -HD Approval
C,/,,o nergy Compliance Certificate -Other Certificates
..Date-�j fQ/ --ard B_t Date __ _Card B-1 -
Date - - I IV Card B_1 -G 3-% Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
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
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.
IF
0094
Qin 012 c� o 4e4,4,,
roe r /"-)4 N O/NI-
/Jr Rif
Date 9. r Inspector
NOW --
4 t
0. 0.
-j-�'�COUNTY-OF BUTTE
DEPARTIVIENIT;OF PUBLIC WORKS
196 Memorial Way, Chico - Phone: 891 -2751*% -
7 County Center Drive, Oroville = Phone,: 538-754A.
X747 Elliott Road, Paradise -.Phonb: 672-6307
CORRECTION NOTICE.,'
OWNER PERMIT NO
routine inspection indicates that the following violations of County Ordinance -
and should be corrected. )(11st at the above address d. Please notify this office
A—w-hen correction of work is completed. If you have any question.rOertaining to this
matter, or need additional explanation, please contacts' h s"office immediately.
I
AY-!,
CIL
N,
Date—Inspector
COUNTY OF BUTTE - DEPARTMENT 0r PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 2284—
APPLICATION AND PERMIT inn
ASSESSOR PARCEL NUMBER •-ZCV(1
64 34 29
G
RT -1
BUILDING PERMIT
OWNER
ED & LORNINE BARTHOLOMEW
TELEPHONE
SQ. FT. -OCC.1 BUILDING VALUA ION
_308 15,708
OWNER'S MAILING ADDRESS
14145 ELMIRA
256 4,608
CONTRACTOR'SNAME
DON C. BANTUM
TELEPHONE
877-6886
CONTRACTOR'S MAILING ADDRESS
P.O. BOX 1251 PARADISE CA I
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ 146, 0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
73.25
Energy Plan Checking Fee
E$. $
1510. 0
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
14145 ELMIRA CIRCLE MAGALIA
Permit fee $ 244-99
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition [� Remodel ❑ Uti lities ❑ Installation❑ Other ❑
Describe work: SHOP R SITTING ROOM
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service OOOV 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 Business
and Professions Code and my license is in full force and effect.
License No. 51 i g 8 3 Classification.Ex.
❑ 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 OCCUP.8d7.70
OR ADDNS. ACC. BLDGS.
�20SgIt
NEW CONSTR. ULTI-OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS h)
SINGLE OUTLET CIR.
OccupOUTLETS OR FIXTURES
20®e0t
FIXED APLNS.sAL030
Ex. Occup. OUTLETS P(RESID.)REA.\�
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 17.70
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
Filing Fee 10.00
Heating
DUCT
6.00
Cooling
Hood
3.00
Ventilation
--- -
Permit Fee
$ 16.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 aid Counttyy�in consequence of the granting of this permit.
i
X Date -7— O —9 1
Signature of Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE -
TOT L F E $ 30
HAz.
cuA FL
c
P
V1
I HD. I I SOt
chis permit is hereby issued unoer the applicable provi-
ions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECT F PUBLIC WORKS
By. C Date
PET EXPIRES Date _ ::7.= 4 6�
Receipt NO. 96704
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
i
4 -'.+.r;..J i';at` 'r?, r. 'I'T� �•.�-�7``•'t tr.r... S—� .. �; _ �.�'....}.,.
COUNTY OF BUTTE - DEPARTMENT OF PUB'LiC OkkS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVFCLF-*CALIFORNIA 95965 - TELEPHONE: 916/538-7541
- PERMIT"iDATA SHEET
// ermit No.,/ ��
OWNER L� �/V MF-/ 7�%" A. P ( 4f —341
d
Proposed Building Use �7 ��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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions....................................................... /
10. Fees of $
11. Chico Urban Area fees paid .......................................
1 Park f ed ..................................................
` School District fees paid ............... —7— (O—tel l
!;�O'. Sanitation approval from ;e AK ---° " Health Department
5. 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
19. Driveway permit (construction approval required prior to occupancy) -
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... .
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. -y'—Mai I to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant 'A', Cy /'`-v"``��r�r�L Date_7A
Copy of H.az-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).'A.
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_rnail_c tunter by date_
Contractor, designer, owner, was advised of above required data by_phone_mail c unter by date_
Pins checked by Daae approved by Date
Sets of plans on hold in-L—/Filecabinet (TAP folder
Copy—DPW
TO buiA nv Department Got
FROM: Environmental•Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for: ,, Water Supply
Final clearance O.K. for: Water Supply
Clearance for room mobile home. Other
zx
Saiii tar' an D to
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPL.Ir, ATI&I AND PERMIT
PERMIT NO.
ASSESSOR PA CEL _NUM ER .�
ZON1 f
BUILDING PERMIT
owtJE::_ _ Lv�t�
64 Z
1 41
TELE�PHO
SO. FT. OCC. BUILDING VALUATION
/ J
OWNER'S yt LIN A RES ��
Y//J`
CORACTO'S NAME
N
oR
ltl �fpw'�Inzjl
TELEPHONE- /
CONTR CTOR'S MAILING ADD S
ZZ
Fireplace
CONSTRUCTIOr-rLENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILOIyG p�or�Ess �� ��
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each pas water heater or ve
5.00
USE OF STRUCTURE
SF)5�( Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5,alltlets
5.00
Building sewer
5.00
Mobile Home ZI S I G JW 1
110.00 ea
TYPE OF WORK
New ❑ Additionk Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Q l —7 Z J
Permit Fe
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service ;00 OR LS
ORES
SLESS
10.00
Main service EA. AOD'L too 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 oCCUP.ad
OR ADONS. ( ACC. BLDGS.
/T¢sgft
NEW CONSTR.ULTI-OUTLET
NON -R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
200800
5AL03o
FIXED
APLNS.EX. Occup. OUTLETS (PRESID,)REA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$ 762 1
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
Provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in het.
Mobile Home Installation Fee $
Energy Inspection Fee $ .
occ
CONST TYPE
TOTAL FEE $
HAL CUA 1 PARK
SCHL
ELD
cDE
PAR PD HO
ISSUE
This permit is hereby issued unser 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
Receipt No D
wNITE-O.P.W.. TELLOw-ASSFISOR, PINR"INSPECTOR. GOLDENROD -APPLICANT
XMA', _
run i
y
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)-, '
' Climate Zone
91)6
Permit Z� / Floor Area 3� b
The following data showing mandatory, and required features of Package "A" shall
Ex. installed for additions to dwellings. Additions to dwellings include room
additions, converting•garages`and patios -,to living areas, house moves that add
footage and attic conversions, and any.space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
ZONE 11 ZONE 16
APPLIES TO NEW AREA
CEILING_ . R-30 1=38
WALL R-11 R-1�9,
FLOOR R-11
- ;
SLAB R-7` R-7 R -
GLAZING U-.65. (Dual) U=.65 (Dual)
SHADING
SOUTH -•OPTIMUM OVERHANG
or .36 Shading Coefficient
WEST - .36 -Shading -Coefficient
LOOSE -FILL INSULATION (Density) ,
INFILTRATION CONTROL.(Weatherstrip doors, certified windows, caulking) -
VAPOR BA' Zone
DUCTS PER UNIFORM MECHANICAL CODE --Ch. 10
34
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT�J ,
MAXIMUM GLAZING 16% OF',AREA PLUS REMOVED GLAZING
NEW.HEATING, VENTILATING, AIR CONDITIONING AND Ho YSTEMS IN-
CONJUNCTION`WITH AN ADDITION SHALL BE INSTAL. N'ON BACK
OF THIS SHEET. �J Q
OTHER
`12/85
P
FOR M_ 7
ADDITIONS TO RESIDENTIAI; BUILDINGS ESIERGY SHEET
PACKAGE "A.':,(Additions)'
Owner. Cwt/ Climate Zone /
Permit. # / Floor Areal .:
The following data showing mandatory and,required features of Package "A" shall
be installed for additions to dwellings. .Additions to"dwellings include room
additions, -converting garages and patios oto. living areas,...house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. neling of existing conditioned
space -is not included.
ZONE 11 ZONE 16
APPLIES TO NEW AREA
CEILING R-30 R 38
WALL R-11 R-
FLOOR R-11 R_
SLAB R-7 R_
GLAZING U-.65 (Dual) U .6 (Dual)
SHADING
SOUTH OPTIMUM OVERHANG
or, .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
I TRATION CONTROL (Weatherstrip:_doors, certified windows, caulking-)
_ VAPOR B Zone
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING r^11N
NEW HEATING, VENTILATING, AIR CONDITIONING tT SYS MS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED &p BACK
OF THIS SHEET. ev�L�Ji�
OTHER P10%j rww
12/85
0
O
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
HEATING, VENTILATING, AIR CONnITIONING SYSTEM
(A) Heating ' ., I • X_ -v
Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
Other
(describe)
(B) Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
Other
(describe).
DOMESTIC WATER SYSTEM
(A) Gas Only
Gallons
(brand and model number) (tank size)
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
Location of Solar Panels
Other
(Describe)
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature °, cooling load BTU
*2 Submit T.I.P.S.E."chart'or other approved system (form #5) to document sizing of
solar panels.
f DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
11 Title 24; Part 2, Chapter 2-53 of the California Administration Code.
f
t *n,5 Vo -
k; d SIGNATURE OF BUILDING DESIGNER OR APPLICANT
r ..�rr,..-.� rr f i�u^- � ,� �t-rte ,.';, t �i .air..• ,.•rr�r•�' :T.t `lfi ` ��^4.s. anv:iSi.:K �+'}.* ',�s �.1t,K,�-� ,oe�.._ ..,.y�. .�'Gt�'{i„�tr -s .fin; -+-7•: juw+. -;�.
BUTTE COUNTY.SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One ' Fo [ , perr- Building )
_ -
A. Pt".- Number ��';;�° / Building Department No.
School District L� y. City�= ,County Jurisdiction
/ T
Property,Owner Q 4AA,41i�46i� h4%?77-ie4'"0 4 l
Project Location/Address
Subdivision Lot Number
Residential Development:,/-', - E�]� ,3 �
Sq. Footage Q
# loft Wing. MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
District
Roofed Areas)
D to
(Floor Plans reviewed by School District Personnel)
d No. T a
School District certifies that
6
Applicant Name) (Phone -Number)
0'
Street Address )- - tl`
(City)
f
State
p Code
_has complied with the.requirements of Resolution No.
by the paymen-t o representing square feet.
School bistrict Representative D to
PAID BY CHECK NO.
BANK NO
PAID BY CASH)
REMARKS:
white -applicant, yellow -building department, pink -school district
JA
SCHOOL.FEE (8/88)
I
r'
,. it ! 7 li rl_. - ,i - p 2 y ,, i
., � 'f i � ,_ I � '.i i . � � i � 1 � III � i ��i .I