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064-400-024
w � c- a r s64 404 38429089P;E,M w_ w FMER'IWETHER; YTo t c. d 6350 Amherst :Wa ; -,'Magalia:-., :.(new sf) 064=4.0=0-024 9;1_ 4 MER I WETHER T.OM, Y CONTR :' OWNER r§6 350'�'AMHERST WAY ;'r MAGAL�1'V 1. n" s�1ST-aRENEWAL'" 90 :3` "-1* o&� -440d) - y RESIDEWIAL 6'4-40-24 t t +. t . !!s 3384-90B', P E,•M• - ro?� •MERIWETHER,: Tort 6350 Amherst Way` al , Mag is (riew sf) i 'r c_J /9r) lAjk ge;pjc— JW CJ Yf A P t ,. i tt i 4 • 9 aj OFFICE COPY Address GAS Meter B D . .�" M er.BY Date ELECTRIC Date , Meter By JOB FINALED (Date — ,Signature 'J OK O = Not OK = Not Applicable = Not Ready Date UNDEEEL22R Plans OK except #'s . Zoping-Setbacks- Ease meytt's-Flood-Slope Ftg. ain; Soils-Elec. rnd.-/(,&' Ftg. Depth a -fig., Garage; Soils-Steel-Elec. Grnd.-/,,/Z Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel -Bloc kouts-Wrapped temwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped iers-Fireplace Ftg.-Steel t�it�W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors t ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground Awl .�L RESIDENTIAL (gSingle & Duplex) 1 Date FRAMING (Continued) 13. Pienums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date.. 11—'7z Card 13-1�> Date Card B-1 Date.0 /,*—' Qi / Card Date Card B-1 Date 16. Water Htr.; Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchor -Nail Protection . D.)4W.; Test -Fittings & Anchor -Nail Protection S ower Pan; Test, First Floor -Tub Access Te Tub & Shower, Second Floor -Tub Access as Pipe; Size & Anchors 7-% U L An a, n_ Aon ' / Al Fr/Zrs14j.(4 t.t-- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date E RICAL (Permit) OK except #'s 22. F'xture & Transformer Clearance -Ins. Protection 23. E Jac. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 5_Romex Installed Close to Edge of Studs & C.J. 26. E 'p. Ground made up w/Mech. Fastners-Bond Gas & Water L 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 32.,,Service-Riser Conductors & Ground -Main Disconnect 31_.E.quip. Clearances Panels-Motors-Mech. Equip. 32. es Closet Light -Shower Light -Spa Light L -T3. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC NICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support I 35. V nt Fan; Exhaust above insulation 36. Co ate Drain & Overflow; Size & Grade k Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet •--3Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors al s Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub eaders & Beam -Size & Bearing ✓/45. Hangers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Ring. eplace Ties or Type A Flue -Fireplace Throat clearance is Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. arage Fire Protection Framing �S1�-Property Line Firewall & Openings xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stair ; Width -Headroom -Rise -Run -Landing -Fire Protection 4. plyw od on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer t -stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access kz-�57.. Glazing Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts e 5: Insulation -Walls -Ceilings nfi ltration-Walls-Windows I Date ` Card B-1 Date z' Card Date l Card B-1 Date Car B - Date FINA fans OK except #'s 464'Ext.Steps-Door & Sidelight Protection -Landings g2elmoke Detector 3 rnace; Vents -Clearance -Comb. Air -Connector - In G rage; Above Floor-Ducts-Mech. Protection fY4 doom Exiting G.F_I & Bath Fixtures & Tub Access -Spa �6!Ele rim & Subpanel; Breaker Sizes & Labels fairs & Rails 8. Fireplace or Stove; Clearances -Hearth ec, Outlets at Wood Panel; Int. & Ext. &�-<LFixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 6lec. Outlets & Receptacles at Kit. Counter 7 a -rage Fire Door; Swing -Landing -Closer d2fA.C. uct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection ,7 b., Elec. & Mech. Equip. Listed for Location 6ec�Receptacles in Garage; (G.F.I.)-Romex Protection sulation-Foam-Looked in Attic ❑ Yes uard Rails & Deck Construction -Post Caps 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes �Following instld.; Drive ®'Yes 11No; Walks es 11 No; Planters ❑ Yes ❑ No ucco; Brown -Finish C. Unit; Disconnect, Electrical, Plumbing its Above Roof; Plbg.-Appliance-Fireplace.-Clearance to ODeninas ,ye—Water Well; Disconnect, Electrical, Plumbing /8 x•terior Elec. Trim; G.F.I. Receptacle -Underground / ntilation Throughout House Glass (Cti from Previous Inspections es - rs Tagged; Gas -Electric 90 W r & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Date ZCard B-),?� Date _ Card B -1 - Date V 9 Card B- Date Card B-1 Dat Card B-1 Date Card B-1 Comments at Final:�� (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE . E^r . DEPARTMENT OF PUBLIC WORKS s a 196 Memorial Way, Chico — Phone: 891-2751 s'• 7 County Center Drive, Oroville - 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. • adz � �1 /,.r'soe� Pi o.�s Sh r"L Date Inspector. n� r4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 ' MCORRECTION NOTICE 2 OWNER r PERMIT NO. A routine inspection i iicatestrt�iat the follows-'n� violations of County Ordinance z;• exist at the above address and sh Id be corrected. PI aa4ge notifq thivffice when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. . 1 d� Date �' �� Inspector C COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ~ 7 County Center Drive, Oroville Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 9, A) ' -/ /? UWNER / — HERMIT NO. f ( r 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 / ter, or need additional explanation, please contact this office immediafely. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` 't 196 Memorial Way, Chico _ Phone: 891-2751 7 County Center Drive, Oroville — Phon : 538-7541 747 Elliott Road, Paradise— Phone: 72-6307 s CORRECTION N WL OWN 'PEAMIT 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 off immediately. ,3 Date t f- ,Y f Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 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. f � % Date;' / 5 �� Inspector el-/ 7� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ✓/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT a PERMIT NO. ASSESSOR P C L NU BER ��+— 0-2 ZONING RTI :, BUILDING PERMIT 1-11 OWNER TOM MERIWETHER TE%� -'M2 SO. FT. OCC. BUILDING VALUATION RENEWAL OWNER'S M 161y7A%V&5 WAY, DURHAM 95938 CONTRACTQ_R4,gMS ( 1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee 2 t; $1/9.uu ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 63505AMHERST WAY MAGALIA Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 915.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other n Describe work: IST RENEWAL OF BP#3384-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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 C(�r9�de[ and my license is in ff 11 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) 37.50 NEW CONST. ( DWELLING OCCUP.&I OR ADDNS. ACC. BLDGS. I 3.6Q sq.ft. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRCITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURESFIXED 20 76 APLNS. Ex. OCCUp. OUTLETS P(RESID.)REA.I I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring *15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 a ainst�/►s�aid Coun i ns'quen of the granting of this per it. % Date �� c1 'gnature 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 194.00 HAz 1 0FEES I IMP I FLOOD I CDF PARCEL I PD HD ISS This permit is hereby issued under the sions of the Butte County Code and/or work ' d' ated a V fOf WhIC fes DI OF eyDate PER ITE IBES Date 11_2Q_ga applicable provi- resolutions to do have been paid. WORKS WORKSit - Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT II ��nW=r•^-rrv7; '�,'�."' rTie"'•'°.rrY'��uf�i'1n{�P'.V�14'�^'fd`Shc•�''J�h�.�,.�+;,;rCt.'�t.✓"i"'�"�,,,'�'+.� •-r.• �.,.-^� `y:,.` COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAI.4, DRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION.AATA SHEET . i�% °�._ •:. :`•'�.: Permit No. OWNER. / C7 /7� A. P. No. 641 0 2 y Proposed Building Use /Sr zf eve w4 L Building Inspecto /*t/ Date % L - ---3 - S' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ..................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements)`° 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 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. Mail to contractor. Telephone grid hold for pickup at office. Deliver w/inspector. Other Applicant s,=\ Date Copy of Haz-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). 1. Index permit for above items No. 2. Additional items required: Y Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,'Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) \1OS 2. I (have/have not) OJ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: j Name Address / City Phone / Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervis and provide the major work: Name Address City Phone / Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work �-/q'4er'rl'-4a r'9r" SP � (f -0 b nes Signed: Property Owner �G60 &0 Y��ilii�rP Social Secu ity Number Date -T NOTE: This Owner -Builder Verification is sent to you'as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Cf 3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7 Awl— an APPLICATION A41) PERMIT IT , ASSESSOR PARCEL NUMBER 64 -40-24 ZONING - RT1 BUILDINaV15RMIT OWNER Tom Meriwether TELEPHONE 343-2082 SO. FT. OCC. BUILDING VALUATION 1542 R 61,680 OWNER'S MAILING ADDRESS CONTRACTOR'S AM ownpr TELEPHONE 175 ov 1,750 CONTRACTOR'S MAILING ADDRESS Fireplace A 1 000 CONSTRUCTION LENDER nong UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 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 10 2.00 Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME 113 PPCC #5 PARCEL MAP / Water piping 5.00 on Each qas water heater or vent 5.00 nn USE OF STRUCTURE SF XX Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK Newp Addition[] Remodel[-] Utilities[-] Installation❑ Other ❑ Describe work: 2BR Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service R LESS i P OR °Do A01 MSLESS 10.00 10,00 Main service EA. ADD'L too AMP 2.50 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oc� OR ADONS. ( ACC. BLDGS. 21 pp��/ p `) '/z¢sgft 54.00 NEW CONSTP_ ULTI.OUTLET NO N.RESID BRANCH CIRC I TS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@090 FIXED Ex. OCCup. OUTLETS P(RESID IREA.7 2.00 Temporary service 10.00 me Facilities Home Mobile H 15.00 Misc. g 15.00 Permit Fee $ 76.50 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. 1t71 I shall not employ any person in any manner so as to become subject C� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 100K BTIJ 6.00 LEG Coolin 1 9 - Hood 3.00 Ventilation0 3,001 Permit Fee $ 31.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseque;cothe granting of this p rmit. X /G297 4/C• q/2-7 GAB Signature of Applicant — Owner E:1 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 $ 30.00 o c coN PE L A TOTAL F E $ 7 .00 HAz "'� cuA -r PARK: � FE AR P. HD Issu t Th's permit is hereby issued under sions sions of the Butte County Code and/or work indicated above for which fees DIRECJ9R OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date_l� Receipt No. fl3g6 Z32So _-5--�/ro. WHITE-D.P.W.. SSESSOR, PINK- PECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 It PERMIT APPLICATION DATA SHEET Permit No. OWNER��/1��/+�lnl��lO~f/2. Proposed Building Use /w"e+,J �K 5 ��+` Building Inspector_ A. P..No. Q y- . a - I V Date z lea At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1\ 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 caics, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... tatement of Intent for Non -Heated and AC Buildings ............... --,6NQ Engineered truss details and layout in duplicate (required prior to plan check) / Mobilehome installation data including manufacturer's installation instructions..... .... .. —m-ro.Fees of $ — . �/Q 5 .................... 72-0 11. Chico Urban Area fees paid ....................................... 2. Park fees paid ... ............... 3. p,40 Ad' S School DistJfict fees paid .............. Z 4. Sanitation approval from /!/+�da'J� Health Department 15. City of Chico plumbing permit ..................................... ` 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW T 19. Driveway permit (construction approval required prior to occupancy) I n 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 .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... :Oj4. Recorded copy of Agricultural Acknowledgment Statement ......... 2 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant ate -! A. gD Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By— •1 - The following data must be submitted prior to permit issua ce: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: i , a 10 / �- —X 0 PSD S Contractor, design wne as advised of above required data by p ne_-nail counter by k— crate 111-16 , �a Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date 41- Copy—DPW 1— TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance _•• . O"AA S ►YI I Vi �TLLL ii/) �I� Owner Locatio ' APS Plan Approved for: Sewage Disposal �,_ Water Supply Water Supply Hold final for: Final clearance O.K. for:.. Water Supply Clearance for bedroom mob!1-e-home. other. NOTE *** —' Date Sanita i tl i TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance %� ons � f /�%er�, iye��e`'• � 3 5 0 �v��i ei•s%� owner location Driveway permit / O�� 7 7 si ature AP # has been issued for the above property. date 7 County Center Drive - Orovllie, California 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER��1l 6,-1— y b 2 "7 ZONING R T-/ BUILDING PERMIT O WNE ��A / v/A� y Lyz n`1i2 TELEP^ -ONE HONEO� S/O.yFT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESSr 6 Q.O 10'Z-77 51ve),f /%il2H/d�h 76'93v X32 Ih se yid CONTRACTOR'S NAME TELEPHONE ✓ l S O a w rJe2 , CONTRACTOR'S MAILING ADDRESS O e, •6 0 Fireplace � � o o .p CONSTRU TION LENDER _GN UNKNOWN Total Valuation Fs LENDER'S MAILING ADDRESS Filing Fee - $ 10.00 Permit Fee $ 3 [� ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ _ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit lee $ -7 S PLUMBING PERMIT FIIIng Fee 10.00 Each Trap j 2.00 2 �— Solar or heat pump water heater 20.00 / LOT NO. 3 SUBDIVISION NAME �� C C 1 S PARCEL MAP Water piping _ I 5.00 S� Each pas water heater or vent ( 5,00 S' — �/ USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 SF l( J Duplex❑ Mobilehome❑ Other Mobile Home S G W 10.00e SPECIFY TYPE OF WORK New[B/Additlon❑ Remodel❑ Utilities❑ Installation❑ Other❑ Permit Fee $ �^ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP 011 LESS 10.00 o' Main service EA. ADD -L 100 AMP 2.50 L CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): oR COt4ST' DWEACCLLIN GgCCU? a) 2h2sglt S ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business N'EW COPISTR ULTI.UUT LE NON.RESID BRANCH CIRC ITS 2.50 ea and Professions Code and my license Is in full force and effect. / POWER APPARATUS e \SINGLE OUTLET CIR. License No. Classification Ex, OCcU OUTLETS OR FIXTURES 20ASOF Occup(OUTLETSeALO 30 ❑ 1, as the owner, Of my employees With wages as their sole compen- Occup. FUTL TS PLN$- OR P• otJLETs IRESID.1 EA.) 2.00 salion, will do the work,and the structure is not intended or offered Temporary service -tea_ 4 10.00 for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring ❑ 1 am exempt under Sec. Business and Professions Code F15.00 T: for this reason Permit Fee $ 76 _ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FllingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating < /oo &6 I 6 0` ❑ I have placed on file with the County of Butte Building Department CPQ a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Coolingbaa foo 1 shall not employ any person in any manner so as to become subject Hood l 3,00 3 �' to the W. C. laws of California. Notice to Applicant: If alter making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with such P erm$ it Fee j provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above Information Mobile Home Installation Fee $ Is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot occ Butte to enter upon the above-mentioned property for Inspection purposes. CONST TYPE ^� I also agree to save, Indemnify and keep harmless the County of Butte against TOTAL FEE $ all liabilities, judgments, costs, and expenses which may in any way accrue HAZ CUA PAnK SC HL FLD PAR PD HD ISSUE against said County in co sequence of the granting of this permit. X Date 9 a D This permit is hereby Issued under the applicable provi- --� Signature of Applicant – Owner Contractor ❑ Agent sions of the Butte County Code and/or resolutions to do work Indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion bl structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS 1001C 14 1 Receipt No. `»3� S= By Date WNITE•D.P.W,. YELLOW ASSE]eOP- PINK -1—P-1— .n, n...-..-_...-, ...... PFRA.IIT FYPInrQ riots COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS( "/ / PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7 '��� 6 APPLICATION AND PERMIT ASSES PARCEL NUMBER —5 0-24 ZONING B I I WNER TELEPHONE SO. FT. OCC. B D G VAL ATIO 175 coy W1 E5 120 open 600 If WNER'S MAILING ADDRESS CONTRACTOR'S AM pwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace A 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 355-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 177.50A Energy Plan Checking Fee y 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS g�g',3,170PLUMBING Permit fee $ PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 10 20.00 LOT 113 SUBDIVISION NAME PPCC #5 PARCEL MAP / Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ®C Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 oonn Building sewer Mobile Home S G I W 5.00 0.00e TYPE OF WORK Newig Addition[] Remodel❑ Utilities [:1 Installation[] Other ❑ Describe work: 2BR _ - Permit Fee $ 5n nn Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 10,00 Main service EA. AOD'L 100 AMP 2.50 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 El 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) rq��I 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 Oc2T74) OR AODNS. ACC. BLOCS. '/22sgft 54.00 NEW CONSTR. MULTI -OUTLET NON-RES...BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 °Lo FIXED Ex. Occup. OUTLETS PIRESIO IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 76.50 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. fCl I shall not employ any person in any manner so as to become subject C 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 100K B111 6.00 LPG Cooling 1 — 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 Countyot01-3 Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequenc of the granting of this p rmit. /6�'�%►'l�4/<<dl/f/�N+� � Date 2-7 90 Signature of Applicant — Owner❑ Contractor ❑ Agent h 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 -r $30.00 c CON PE TOTAL FEE $ 745.00 HAz 0— CUA PARK FLO Aa Po Ho IssuE Th's permit is nereby issued under sions or the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �3e6 Z3Zs° WHITE-D.P.W.. PINK P[CTOR, aaLD[NROD-APPLICANT RESIDENTIAL PLAN CHECKING GUIDE 5/89 (S.F., DUPLE & MISC. ONLY) Bldg. Permit � 3 3�7 q0 OWNERf'' A.P. GENERAL - --k— Zoning requirements: (sideyards and number of permitted living --2-:— Valuation. - units).. --3—.—Plans signed by de signer. Energy Design and Compliance. ---5''Existi_ng violations on property. © Items on data sheet. . 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 or- compliance documeit. FAU & FAS road. setback. - 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, and exterior outlets (Article 210-8). .-Light:_.-fixtures,. switches-,... receptacles, and exterior receptacles for maintenance -�• o503(d)(3)) f:. mecfianical equipment:::. ..:Locations "of water heater, heating and cooling equipment-, other electrical or-• -..gas equipment, and plumbing fixtures. •�- Garage firewall, door size, and closer (Sec. . . 1 — 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210).,. STRUCTURAL DETAILS Foundation plan complete enough 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. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stair -.ray details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). . Brick or- -stone veneer (Chapter 30). RESIDENTIAL PLAN CHECKING GUIDE 5/89 MISCELLANEOUS ITEMS TO LOOK OUT" FOR (CONT' D) - -� - wee - screeds (Sec. 4706). Exterior plaster P 8 ( P Cha ter 32). Proper roof pitch for roof coverin _ Oa covering type - (fire hazard)._ Rafter ties ride beam. or bearing 8 Garage door or porch header sizes. dequate bracing. . Living area over garage -complete 1 -hour separat�.on..requiredon garage side including supporting walls and posts, etc- Sec. on three-story dwellings (Sec. 3303 &see Mezannines - 1716). Two exits ttic access and ventilation (Sec. 3205). 1 Underfloor access and ventilation (ec.2 16). t Combustion air, for fuel burning app oise requirements on duplexes. P ecial foundation design.. Adobe soils - s ..Retaining walls requiring design.. - , Unusual shape, size, or split level. house requiring lateral...design.:.. '•. ing at all exterior - Flash openings. _ BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per.Building) / A. P. Number � ( � Gr 0' 2-�''%•Building Department No. School District )PWA' A 4 11 C_ City [::] County ®Jurisdiction Property Owner ! /✓I /�/ 1/V Project Location/Address .�M�-��Cr/I'✓'ty /'2'Y,o;tC-e-&_C Subdivision Lot Number Residential Development: y Sq. Footage �� Z # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) uil qg 9eppartme t Representative Date (Floor Plans reviewed by School District Personnel) District Id No. 7 0 —4- , School District certifies that (Applicant Name) (Phone Number) 10 9,, u i (Street Address) 01 a aI &ix-- I - q SJ9 (City) (State) (Zip Code) has complied with'the requirements of Resolution No. by the payment of $ , �p representing square feet. LD� a /I '�-s' go school District Representative Date PAID BY CHECK NO. //- BANK NO / d - �Q U PAID BY CASH white -applicant, yellow-building'department, pink -school district SCHOOL.FEE (8/88) R.CLUi'n to 'DPW hl,K1.l,UL1 UhHL 01l11LI•U.jV 1 llC DEVELOPMENT 9 4 4 5 1265 1 - FOR RESIDENTIAL Section 26-8.1. of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. - .0 The property described herein is adjacent TheJ R 90-051265 Fee 5.00 � Check 5.00 Che to land or included within an area zoned for agricultural purposes, and residents Recorded of this property may be subject to incon= Official• Records veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte J. Grubbs but not limited to herbicides, pesticides, Candace and fertilizers; and from the pursuit Recorder R CD i of agricultural operations including, 9.gAM-1dNdA 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 wi.Lh:in said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operatigns. All that *real property situate in the County of Butte, State of California, described as follows: LOT 113, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 5", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 20, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 88, 89, 90 -AND 91. CERTIFICATE OF CORRECTION RECORDED DECEMBER 2, 1970, IN BOOK 1648, PAGE 2, OFFICIAL RECORDS. EXCEPTING THEREFROM ALL MINERALS,'OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FR014.:ORIFICES OUT••SIDE THE SURFACE AREA OF THE -LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO SURFACE OF SAID LAND. DaLe: 1( / 8 f 9 0 PROPERTY OWNERS: ��1o�✓1GS /C, %�2�/ eve ��r P� Jv b e A, M e p - i eve 74-4 e, State of CA ) On this the 2$ day of neo Ut1M be a- , 19io—, before me, SS. the undersigned Notary Public, personally appeared County of 13IJ4 ) Thomas R. Meriwether and Julie A. Meriwether Personally known to me. [] Proved to me on the basis 4 of satisfactory evidence. to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN W7TNR;SS WHEREOF, I hereunto set my hand and official seal. BARBARA J GARIUy" Notary PubOc-C a BUTTE C , j My Comms Present A.P. No. '� �"�� July 16, 1993""Notary Public CD 0 1 AM ?Aim H?IM8!AO t, 6lStAOPJAC . . 0991 ,61 VWL a 7. Certificate of Compliance: Residential Climate Zone 11 Project Tltle •� y��� �3 �d/ ��� Roof ............. a v Building Permit N Project Address Floor ............. (belied By/ Date Documentation Author Telephone Enforcement Agency Use Only Slab Edge..... GLAZING ..:. Shading Devices BUILDING DATA Glaring North Glass Area % �Glass Orientation ' ed Floor Area Conzm- Slaboors - Number of Stories Number of ,Units East -• South - : -- c U -/00 s [L] -Single Family Detached (SFD) _L [ ] Addition Alone West East ( ) _10_ [ ] Single Family Attached (SFA) [ ] Existing Building Skylight U [ ] Multi -Family (MF) ' [ ] Existing -Plus -Addition Total x BUILDING SHELL INSULATION - ' ' 'West ( ) Component Insulation Locaffnn/Commenits Skylight....... ` '• . Type R -Value (attic, .co garage, typiccl, etc.)` Type/Covering Wall .............._ WaU ......... Roof ............. a v Roof ...:......... Floor ............. Floor ............. Slab Edge..... GLAZING ..:. Shading Devices Glaring Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (roller blind. etc.) (shadesereen, etc.) (yes/no) (metal/wood) North North ( ) East ( ) _10_ t East < ) Sou th ( ) West 'West ( ) Skylight....... ` —�— `c �• THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPI) (attic, etc.) R -Value (Btuh) (or approved equal) . r Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank' Manufacturer/Model#.. DEPARTME� Rustem Tvoe (storaee eas. etc.) Caoacitv for aooroved eaual) A Q l eci�hFeaal�fsl -5(7 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards mutt contairithcze me=4= regardless of the compliance approach used Items marked with an asterisk (•) may be supersedod by more stringent compliance requucments fisted on the Certificate of Compliance- When this checklist is incorporated into the pernfiil documents, the features noted shalt be considered by all parties as binding minimum component perfonwnce specifications for ft mandatory measures whether they ac shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNU ENFORCEMERr Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R•19 weighted avenge. §2.5352ft Loose fill insulation manufacturer's labeled R -Value- • 12-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352 ft Slab edge insulation - water absorption rate no greater than 0.3`b, weer vapor transmission rate no greater than 2.0 perm(urch. §2.5311: Insulation specified or installed mces California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Taus 14 and 16 only. §2.5317: InfiltratioNExfiltration Controls _ a. Doors and windows between conditioned and unconditioned spaces designed t6 limit au leakage b. Doors and windows certified. e. Doors and windows weatherstripped: all joins and penetrations caulked and sealed. §2.5352(e): Special infdtration barrier installed to comply with 12.5351 mats CEC quality standards §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a Tight fitting. closeable metal or glass door. : I b. Outside air intake with damper and control a c. Flue damper and coned 2. No continuous burning clots allowed. HVAC and Plumbing System Measures f` §2-5352(8) and 2.5303: Space conditioning equipment sizing: attach calculations §2-5352(h) ind2-5315: Setback thermostat on all applicable heating systems. • 12.5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC §2.5316(by Exhaust systems have damper controls. §2.5314(e): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters• showerheads and fauces certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior insulation (R.16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Excepdon 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2.5318(d): Swimming Pool Hcating 1. System has: a. ONoff switch on heater. b. Weatherproof instruction plate on heater: e. Plumbed to allow for solar. 2.'75 percent thermal efficiency. _ 3. Pool cover. 4. Time clock. 5. Directional water inlet A , Lighting and Appliance Measures §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. " _i ........ - §2.5314(c): Gas feed appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators• refrigerator -freezers• freezers and fluorescent lamp ballasts certified by the CFC. Indicate make and model number. COMPLIANCE STATEMENT - This c=hcate of compliance lists tih-, building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Clupttr2. Subchapter 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design rm nsibility and the building owner, who shall detain a copy of it and transmit the certificate to my subsequent pur dlaser of the building i.4. Designer Building Owner •, _ Name: Nano TttkJFtrm: . Titk/Fnem: .. Addma: . Address: Tekphona Tekphonc Lic. 0: (si6ehaaue) (date) (sibnantre) _ (date) Documentation Author Enforcement Agency Name: Name, ralciFim Address: Tekphorw 1. (veiling insula000 2. Wall Insulation Single- Number of stories Number of stories R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 -2 -1 -1 R38- 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 6.08 -18 -9 _ -6.. . O.C6 -11 -5 -4 0.C4 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Single- Single - Number of stories Total 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 Number of Stories _. --•- 0.60 . 0.8(x' -153 -114 -76 0.5 .......-.91 ..._._ ---68 -: .--46 0.30 -47 -36 -24 0.10 0 0 0 0.;8 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 Controlled Ventilation Crawlspace Insulation inTloor -64 Number of stories Total Number of stories One 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 -- Number of Stories _. --•- 0.60 . -144 -70 -46 0.50 -120 -58 38. 0.40 95 -46 30 0.30 69 ' ; A .34 -22 0.20 -t3 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 .3 -2 0.04 -1 0 0 0.02 4 2 1 O.CO 10 5 3 Controlled Ventilation Crawlspace -69 -64 Number of stories Total R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 1 .2 .2 -2 R-19 1 -2 -2 •1. Slab Edge Insulation -53 -39 -- Number of Stories _. R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -13 -4 4 0.90 -4 -3 -1 - 0.80 -1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points Standard 0 -'6. Glass Heat Loss -69 -64 na Total %Glass North East South :West U -value - t Percent 4 1 .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 51 -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 5 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) Etfective Percent Class (percent gtass x SC) Effective -69 -64 na -42 %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1. 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 - 1 2 "" 4 2 3 4 0 - 2 3 1 3- 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -i 2- -0 0 -1 .2 -4 -2 0 na = not allowed 5 7 7 8 IB. Shading (Shade Closed) Efrecthe Percent Clasa (percent glass x SC) Effective %Glass North 18 -14 16 -12 14 -10 12 -8 11 -7. 10 5 9 -5 8 -5 7 -4 6 3 5 .2 4 -1 3 0 2 1 1 1 0- 2 na • not allowed E*A South West Sky*t -48 -69 -64 na -42 -59 -55 na -35 .50 -46 na -29 -40 -37 na .26 -36 -33 na -23 31 .29 -74 . .20 -27 -25 -65 -17 -23 -21.. -56 -14 -19 -18 -47 -11 -15 -14 38 -9 -11 -10 .30 5 -8 -7 -23 -4 -5 -4 -16 -1 -2 -1 -9 1 1 1 -4 3 4 3 0 9. Interior Thermal Mass Interior 0 Slab Floor Raised Floor Mass 3 Stories 1 0.40 Sbries; 4 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 .2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7. 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 55 5 8 -9 11 12 12 1 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 i 7.0 6 9 it 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 - Wall Family Family Mum 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 2.00 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 j Sum of 15 SEER -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 .6.60 0 ' 0 0 0 0 0 0.75 .6.88 3 3 3 2 2 1 0.80 " 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 ' ' 15 13 11 8 1 10.5 EfTectfve SE or HSPF 4 3 2' (SE or HSPF x duct efriciency) 9 7 6 Effective -25 or -24 to -14 to 4 to +6 to 16 or SE HSPF less -15 5 +5 +15 more 0.30 275 -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 j ' SEER -5 -4 -4 -3 (assumet ducts In attic) Two + 3 3 :.. 2 Sten of 7-10 2 1 Single -Family Detached and -25 or -24 to r14 to -4b +6 to 16 or SEER .less -15 1 5 +5 +15 more 8.0 -14 -12 -10 -8" 5 4 -.8.5 .9 -7 -6 -5 • .4 3 8.9 -5 .4 -4 3 -2 .2 . 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2' 11.0 10 9 7 6 4 3. =- 12.0 15 11 9 7 9 5 ' 6 `13.0 20 141.2 -15 _ 4 Solar -1 _,e SEER -1 0 0 (SE uct efficiency) HWR -18 -12 "wi of 7-10 -7 -6 1.4 Effective -25 or -24 to -1410 -4b +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 -6 4 j 6.6 -5 -4 -4 3 -2 2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 I 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_ ' ' One -5 -4 -4 -3 -2 .2 Two + 3 3 :.. 2 2 2 1 Single -Family Detached and Attached - I: L Unit Size (sq Water i 199 1200 1700 2200 2700 Heater Credit or b to to , or . Type less .1699 2199 2699 more _Type. SG None 0 ` ( 0 0.. 0 0 or Solar 12 ' j 8 6 5 4 HP -HWR 8 5 4 3 3 100% 105% 110% 115% 120% 125 WSB 5 3 3 2 2 1.1 POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 4 Solar -1 1 -1 0 0 10% HWR -18 -12 -9 -7 -6 1.4 WSB . -25 -16 -12 -10 -8 2.9 R%L 48 _ -12 -9 _7- .6 IG None -5 -3 -2 -2 .2 0.3 Solar 7 5 4 3 2 1.8 POU 3 2 1 1 1 IE None -28 19 -14* -11 -9 4.8 Solar 8 5 4 3 3 0.7 POU -10 -6 .5 .4 .3 22 Multi -Family (Indlvldual 28 units) 3.2 3.5 3.7 9.9 Unit Size (sq 4.5 4.7 Water 5.1 699 700 1200 1700 2200 Heater C•edit or b to to or TYPO Type less 1199 1699 21gg more SG None 0. 0 0 0 0 or - Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 27 WSB 9 4 3 2 2 42 POU 9 5 3 2 2 SE None -45 -23 -15 -11 .9 1.5 Solar 2 1 1 0 0 3 HWR -23 -12 -8 -6 "-5 4.5 WSB -25 -13 -8 -6 -5 _PQU.. 62 _23 _12_8_._-.-6 -5 IG None -8 -4 -3 -2 { -2 - Solar 6. 3 2 1 ! 1 _ POU 10 5.2 0 0 0_• 1E None 30 AS -10 -8 _ . -6 "-Solar 22 18 9 6 4 4 ... POU ' -8 .. -4 .3 2 2 Interior Mass%CFA S TT►x 2 MSS ' I1.7OIMC-1.21 le.ay.e.a .I_el t TYPE 1 KASS (URIC b 4.2. Se: exposed slab) 0% 5% 10% IS% 20% 25% 30% 35% 407E 4S% 50% 55% W% 6tk 70% 75% 8o% 857'. 90% 95% 100% 105% 110% 115% 120% 125 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 29 32 3.4 3.8 3.8 4 4.2 4.4 4.8.-4.8 5 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 Z I 23 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% - 0.3 0.6 0.8 1 1.2 1.4 1.5 1.8 2 22 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 1.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 3.2 3.5 3.7 9.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 OA 1.1 1.3 1.5 1.7 1.9 22 24 28 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 .50% 0.9 1.1 1.3 15 1.7 1.9 21 23 2.5 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.5 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 11.2 1.4 1.7 1.9 21 23 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 2.8 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 10% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 14 5.6 58 6 6.2 64 75% 1.3 1.S 1.7 to 21 23 25 27 3 3.2 3.4 3.5 3.8 4 - 4.2 4.4 4.6 4.8 5.1 5.3 55 -5.7 _ 19 6.1 6.3 65 80% 1.4 1.6 1.8 2 22 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.S 4.7 4.0 5.1 5.4 5.6 5.8 6 62 64 66 851 90% " 1.4 1.5 1.7 1.7 1.9 2 2.1 2.2 2.3 24 25 28 2.7 26 2.9 3 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.t 63 6S 67 95Y. 1.8 1.8 2 2.2 25 27 2.9 3.1' 3.2 33: 3.4 3.5 3.6 3.7 3.8 3.9 4.1 1.1 4.3 4.3 ' 4.S 4.7 4.9 5.1 5 3 5.5 5 7 5.9 6.2 6.4 6 6 6 8 100Y.. 1.7 1.9 21 2.3 25 28 3 12 _ 3.4 . 3.8 = 4... . _ 4.2 4.4 4.8 4.5 4.8 4.9 5 5.1 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 .3.6 ^1.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 26 28 3 3.3 3.5 3.7='"3.9 4.34.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 21 23 2.5 27 29 3.1 •3.2 3.3 3.8 3.8 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 2.6 2.8 3 3.4 •3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.5 5.7 5.9 62 6.4 6.6 6.8 7 7.2 120% 2 2.3 25 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 5 8 6 6.2 6.S 6.1 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 65 • 6.7 7 7.2 74 rulut system Summary: Climate Lone 11 SCORE CARD _. Measures 1. Ceiling Insulation d " ''or R -value 1381 U -value (0.030) 2. Wall Insulationor - R -value (I I] U -value (0.0981 3. Raised Floor Insulation or R -value 191 U -value [0.037] 4. `Slab Edge Insulation or R -value 101 F2 factor 10.77] 5. Infiltration Standard 6. Glass Heat Loss Type (double] U -value [0.65] % Total Glass (16] 7. Shading (Shade Open) o Glass SC Eff. % Glass a. North _ _ X . b. East X _ C. South X = � 0 d. West U X = e. Skylight �- x = D 8. Shading (Shade Closed) % lass SC Eff. % Glass a. North b. East � O , x �- = 3 oZ c. South 5 x "... d. West O x _ d e. Skylight x = 9. Interior Thermal Mass TYPE 1 MASS AREACOND. FLOOR AREA = ti Interior W--,, CFA 10. Exterior Wall Mass TYPE 2 MASS AREA = Exterior Wall Mass ND. PLOO; AREA 11. Heating System ;� X = Zonal -Control? ( Y / N) SE or 14SPF . Duct Efficiency [0.781 Effective SE ort [0.72/6.6] HSPF 10.5615. 151 �12. Cooling System Q� X ?Anal Control? ( Y / N) S�ry :. Duct Efficiency 10.74] Effective SEER [7.03) 13. Water Heating _ Type [SGI • Credit [none] Point Scores 0 Sum 15 4 -CL Point Total: Sum 7-10 l