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DRAPERJOHN
!16291 CUMBERLAND RD, MAGALIA
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DRAPER`JOHN
6291"CUMBERLAND-RDY MAGALIA
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TEMP ELEC SERVICE FOR CONST 6]�ION
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064-40-0-041 93-435 BPEM
pp QVC' DRAPER, JOHN
I`- 6291 CUMBERLAND RD, MAGALIA
NEW SF`,3�
OFFICE COPY
{1 Address
/nP qJ CLIMB
�4 1
1 GAS , �c,r� Date ?i'6
Meter By
ELECTRIC �_ Date
Meter By
�_a--- uFFICE COPY T
Addresscom
GAS
Meter By
L --
Date__
ELECTRIC
Meter By Date i
. i
1•✓lr�/ie<I. z it /� o ./ C/►.
a OFFICE COPY
Address _
GAS
Meter By Date -
ELECTRIC
Meter ByDate; _ 1:
JOB FINALED (Date) 8-2-93
Signature
V=OK.
O = Not OK
-=ot Applicable
•MOBILE HOMES
' =Not Readyeady ,
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fell -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch) .
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ P'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
1. Zoning Requirements -Setbacks Easements
2 Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fell -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements a
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails .
4. Wood Awn.; Posta-Beams-Rftrs-Connectors
Shthg -Rfg: Bracing _ , s .
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
r ' � NA,
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
v
V=OK
O = Not OK
- = Not Applicable RESIDENTIAL (Single & Duplex)
= Not Ready
rP-Ftg. ;Soils-Elec. Grnd.-/l4A-F4g. Depth
tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4. Ftg., P es & Decks; Soils -Steel-/ /Fig. Depth
. to ain; Steel -Bloc kouts-Wrapped
%Stemwaq,rage; Steel-Blockouts-Wrapped
d Downs and Special Anchors
7. Slab; Steel,Wrapped
Pie fireplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer
F. Gas Pipe; Size -Anchors - yard ping: size -t
fS .f�j 1 t.,Water Pipe; Test -Anchor -Regulator -Service Test
12, Electric; Underground
' JekPienums & Ducts; Clearance -Material -Support -Ins.
—~ ders-Sills-Anchor Bolts -Joists -Vents -Cripples
cess & Ventilation
16. Insulation
Date/Initials PLUM Permit OK except #'s
1 . Water .,, Vent -Access- mbustion Air -Baffle
1 ipe; T -Anchor -Nail Protection
D .; Test -Fittings & Anchor -Nail Protection
hower Pan; Test, First Floor -Tub Access Wja - 7-0
-
Test Tu wer, Second Floor -Tub Access
2 as Pipe; Size & Anchors
Date/initials ELECTRIC rmit OK except #'s
ixtu ransformer Clearance -Ins. Protection
lec eptacles Spacing -Lights & Switches at Doors
ize s & No. of Conductors -Stapled
2 o Iled Close to Edge of Studs & C.J.
Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
P 15 27. 2 A iance Circuts in Kitchen & Conductor Size/GFI
ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
/I Cu or Al
ange . /(p/ ga. Cu or AI -Oven Circ. / ga. Cu or Al.
In ted Neutral O Yes o
Sen i -Riser Conductors & Ground -Main Disconnect
quip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
mo a Detector
Date/Initials MECHANICAL—(Permit) OK except #'s
C. Ducts Insulation & Support
-_5rileDt,Pwn; Exhaust above insulation
W-CoDdensate Drain & Overflow; Size & Grade
P-Ifurnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
'38-Qj4ttic Access & Platform if Furnance in Attic
Date/Initials FRAMI Plans OK except #'s
34-ti!s_aterial & Anchors
ailing, Spacing & Bracing -Plates -Sound
41'-qoaKn-g Wells over Girders & Floor Nailing
4 . Draft Stop in Wells (rat proof)
43. Fire Sto s; Furred Ceilings -Stairs -Chases -Tub
eaders & Beam -Size & Bearing
Date/Initials / ' FRAMING (Continued)
3angers-Post Caps -Anchors -Connectors
n of t-Rftr. ties- Puri in -roof Brac-Tri s thng.-Rfng.
ire&wdc Ties or Type A Flue -Fireplace Throat clearance
cess; Size & Romex Protection -Draft Stop -Ins. Baffles
drT., N fdows or Exiting Doors -Sill Hgt. & Dimensions
to. -Ta -rage Fire Protection Framing
Props a Firewall & Openings
6 t. Doors -One T -Check Garage -3rd Story, 2 Exits
14-"-Stairs;,id =Headroom -Rise -Run -Lending -Fire Protection
2U 4A 94!`fyw n Roof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing Veneer
&6-Stucc s -Drip Screed -Fd. Vents-Underflr. Access
azing Area -Glass Protection -Skylights -Plastic
5"hear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINA Ian -OK except #'s
Steps -Door & Sidelight Protection -Landings
fi3eFurnace; Vents -Clearance -Comb. Air -Connector -
In tie; Above Floor -Ducts -Meth. Protection
F.1
e h Fixtures & Tub Access -Spa
e
im & Subpanel; Breaker Sizes & Labels
Stair
ails
irepl
e -or Stove; Clearances -Hearth
qPtre_c._Pvtt6t_s
at Wood Panel; Int. & Ext.
7 1 .Fi
. Appliance; Grnd.-Air Gap -Cooking Clearance
7 e
utlets & Receptacles at Kit. Counter
arag_q Sh 'Door; Swing -Landing -Closer
jg.�. in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Gar , bove Floor-Mech. Protection
7 c:'B.Mech. Equip. Listed for Location
7 ec eptacles in Garage; (G.F.I.)-Romex Protection
7 nsul - oam-Looked in Attic ❑ Yes
7 uard Deck Construction -Post Caps
79, Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instid.; Drive es 13 No; Walks es O No;
Planters O Yes ❑ No
ucc ; Brown -Finish
C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to
Mer Well; Disconnect, Electrical, Plumbing
xter!qr Elec. Trim; G.F.I. Receptacle -Underground
Q6 entilajiomThroughout House
Pfl,<orrectie from Previous Inspections
89. as eters Tagged; Gas -Electric
'/10ater-&Sewer Connected -C/O to Grade -HD ADDroval
at Final:
-.,.,.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.
Date / 1 Inspector/
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1.469 Humboldt Road, Chico, CA - (916) 891-275.1
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
22A nle ►� 93 - el3S
(OWNER PERMIT NO.
A(routineiinepectioniindicates that the following violations of Butte County Ordinances exist at
Ahe:ebovecaddress;and:should be corrected. Please notify this office when correction of work
iisccorr;pleted.[ff,youlhave any questions pertaining to this matter, or need additional explanation,
[please ccontact%this office immediately. `
Ain a Aa.-V—s�egjf 1 4X vc 0, Lle v
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i
[Date 2 Inspector.
[REti1.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routtw iiinweetean indicates that the following violations of Butte County Ordinances exist at
the above mess and should be corrected. Please notify this office when correction of work
iscov&1;ed-lfyouhave any questions pertaining to this matter, or need additional explanation,
pie ase eartfaet this office immediately.
L LAS l`�
�f
6 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
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:--
;
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Date �/ Inspector
Permit No,
E N E R G Y C E R T I F I C A T I.0 N
6291 Cumberland, Magalia Ca.
LOCATION
A,P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Materia, FIBERGLASS BATTS
Material
T1► ickness(inches)
CEILING FIBERGLASS BATTS
Batt or Blanket Type 92"
Thickness(inches)
Loose Fill Type_ F Rfy QSS
Minimum Thicknesl(Inche6s0 1� 2 3/4"_ .
Area covered(ft. )
FLOOR, ELEVATED
Material FIBERGLASS BATTS
Thicknee a(inchea) 64"
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WAIL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name OWENS-CORNING
Thermal Resistance(R Valua) R-13
Brand Name OWENS-CORNING
Thermal Resistance(R Value) R30
Brand Name QAA _W3R NG
Number of Bags 2 Wt. per bag 35 _lb.
Thermal Resistance(R Value) R30
Brand Name OWENS-CORNING
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 Californla Energy Requirements.
LOERKE INSULATION CO., INC. 499150
ZRM NAPtE�O M,RSTATE CONTRACTORS LICENSE NO.
July 19, 1993
BE OF INSTALL . ION APPLICATOR DATE
I hereby certify the above insulation and all required items,as shown on the
Building Department approved plana 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.
FIRM NAME OWNER (P ease print)
SIG Q
RE OF ••NERA CONTRACTOR OWNER
21 ��
STATE CONTRACTORS LICENSE NO.
_ -7/2
DAT
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION 'APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
JCOUNTY OF BUTTE - �EPArQTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965•- Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
44
064-400-041
RT -1
BUILDING PERMIT Ifl
OWNER
595 Sunset Paradise 95969
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
John Draper
CONTRACTOR'S NAME
TELEPHONE
P.O. Box 1103 Paradise 95967
CONTRACTOR'S MAILING ADDRESS
Butte Community
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR'ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
—f --
BUILDING
BUILDING ADDRESS J %fA
A4 �R-4ev]�I
Permit fee
$
.tel
PLUMBING PERMIT
FilingFee 15.00
- V
Each Trap
1 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
Gas piping system 1 - 5 outlets
1 5.00
SF [fig Duplex[]Mobilehome❑ Other
Building sewer
15.00
Mobile Home S I G W
@ 15.00
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Permit Fee
$
Describe work: Temp Service
Contractor
_
RE: B.P. #435-93 \
ELECTRICAL PERMIT
FilingFee 15.00
Main service 200AORLESS
18.50
Main service 200ATO1000A1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p 1 y (check one):
NEW CONST. / DWELLING OCCUP.(I(\
OR ADDNS. l ACC. BLDGS. //
3.64sq.ft.
I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS
NEW CONSTR. ULT LOUT LET
NON.RESID BRANCH CIRC ITS
5.00
and Profe Ions, Code and my license Is In full force an effect.
(POWER APPARATUS e)
(SINGLE OUTLET CIR.
License N(F-W21 5(l._ Classification � 6p�
Ex. Occup( OR FIXTURES
20 76
JAI 0 46A
I, as the owner, Or my employees with wages as their SOIe COmpen-
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.1
3.00
sation, will do the work,and the structure is not intended or offered
Temporary service
1 15.00 15.00
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract -
Mobile Home Facilities
15.00
ors. (Sec. 7044)
Misc. Wiring
-15.00
❑ I am exempt under Sec.'_, Business and Professions Code
for this reason
Permit Fee
$ 30.00
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
FilingFee 15.00
❑ The permit is for $100.00 (valuation) or less.
Heating
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.
Cooling
❑ I shall not employ any person in any manner so as to become subject
Hood
6.50
to the W. C. laws of California.
Ventilation
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
Permit Fee
$
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
S
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Energy Inspection Fee
$
Butte to enter upon the above-mentioned property for inspection purposes.
DCC CONST TYPE
I also agree to save, indemnify and keep harmless the County of Butte against
I TOTAL FEE
$ 30.00
all liabilities, judgments, costs, and expenses which may in any way accrue
HAz DFEES IMP FLOOD CDF
PARCEL PD HD ISSUE
agai rTt s Id Cou in consequence of the granting of this per it.
X Date
I I I I I
This permit is hereby issuedunder the applicable provi-
Signature of Applicant — Owner ❑ Contractor Agent
sionS of the Bu a oun ode and/or
resolutions to do
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
work indica d ov f:r which fees have been paid
D C OF PUBLIC WORKS
Receipt 1 9
By
zorl-z,
Date7�
No.
PERMIT XPIRES Date—�
WNITC-D.P.W., YELLOW-A88(SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
y ��
. ,-.-;,;,.. .-:�x s . � , �,., r 1.;,,rr '.:z-.• ti: •mak:
1J
COUNTYOF BUTTE - DEPARTMENT OF O&ELOPME19S,ERVICES - BUILDING DIVISION
7COUNTYCENTERDRIVE -OROVILLE,CALIFORNIA95965-TELEPHONE(916)538-7541 ^�
PERMIT APPLIQ/ TION DATA SHEET
OWNER �� s-(�/ �/� 4)0 3 A. P. No.
Proposed Building Use to^iA !' P f Building Inspector Date z/ %
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3, Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ..............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer. ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . ..........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre -inspection for required. .. a suiTd IO" -
(Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits.
32. Plan check list . ....................................................
33.
34. ,
r
When you issue the permit, process as follows: _/Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date L� 3
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:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Ca!:fornia 95965 - Telephone: 916/538-7541
ice
APPLICATION',.. AND PERMIT
PERMIT NO.
ASSESSOR vA CEL NUMBER
4( —4100 — L/
ZON
X71
BUILDING PERMIT
R11
"706,
�i�—
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING S AD�SS Jtoh T lf
CONTRACTOR'S NAME
Vlr�-
TELEPHONE
RiCTOR'S MILIGDDRENTA:
1)i
b]3D)e 1003 P011-? C G4
Fireplace
CO STRUCTION LENDER
7-67 6O/y /Pt u
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS OF
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR.ENGINEER
LICENSE NO.
Plan Checking Fee
a
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit tee
$
PLUMBING PERMIT
FllingFee
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
SF �uplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W I
@ 15.00
-
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work: - tf '� 5e c. ro
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 200A TO 1000A1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p er l y (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
and Professions Code and my license Is In full force f_nd/effect.
License No. "Ps ( 3b Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP. N\
OR ADDNS. ACC. SLOGS. I/
3.64 sq.ft.
NEW CONSTR U TI.OUTLET
NO N.RESIO BRANCH CIRC ITS
@ 5.00
APPARATUS &)
OUTLET CIR.
-(SINGLE
EX. OCCUp(OUTLETS OR FIXTURES20
76
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS IRESI D.I EA.)
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
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
against s Id Countin consequence of the granting of this permi .
X s Date
Signature of Applicant — Ownerk Contractor/� Agent El deep
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
S
occ
CONST TYPE
TOTAL FEE $
HAz
I DFEES I
IMP
I FLOOD
CDF
PARCEL
PO
HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
'����
WHITE-D.P.W., CLLO�OR. PINx•INSPECTOR. GOLDENROD-APPL I CANTP�NR-INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 .,�-4,55
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
064-400-041
ZONING IF
RT -1
.1"
IV
BUILDING PERMIT
OWNER
John Draper
TELEPHONE
872-4507
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
595 Sunset Dr., Paradise 95969
1,518 R 81,972.00
509 M 9,162.00
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace A 1,500.00
CONSTRUCTION LENDER
Butte Community
UNKNOWN
Total Valuation $ )2,634.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$566.00 -
ARCHITECT OR ENGINEERLICENSE
. Warner Grou
No.
Plan Checking Fee
$ 283.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
P.O. x 421 Ma alfa 95954
Energy Plan Checking Fee
$ 20.00
Penalty
g
BUILDING ADDRESS
Permit tee
$ 884.00
6991 Cum"her-land Rd., alfa
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00 45.00
Solar or heat pump water heater
20.00
LOT NO.
76
SUBDIVISION NAME
P P #5
PARCEL MAP
35-89
Water piping
-1 7.00 7.00
Each qas water heater or vent
7.00 7.00
USE OF STRUCTURE
SF FX1 Duplex[] Mobilehome❑ Other
SPECIFYMobile
Gas piping system 1 - 5 outlets
5-001 5.00
Building sewer
115-001 15.00
Home S G W
@ 15.00
TYPE OF WORK
New a Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: New 3 Bedroom Single Family
g Y
Permit Fee
$ 94.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
1 18.50 18.50
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 Professio s Code and my license is in full f rce and effect.
License No. Classification O_1 C -q
❑L"f,�
I, as the own m 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 20GATO 1000A)
37.50
NEW CONST./ DWELLING OCCUP.�\
ACDNS. ( ACC. BLDGS.
X 3.6a sq -ft -1 70.90OR
NEW CONST F- ULT' -OUTLET
NO N.RESID BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS 61
-SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 V 764
Ex. OCCUp. OUTLETS ((RESID ) FIXED APPLNS. REA.)
I 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$104.40
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
1 1 9.00 9.00
Cooling 3 Ton
1 11.001 11.00
Hood
1 1 6.501 6,50
Ventilation
2 4.50 9.00
Permit Fee
$ 50.50
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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,TOTAL
all liabilities, judgments, costs, and expenses which may in any way accrue
against aidC�inquenceof the granting of this pe mit.
X ) Date `L. Z 13
�ry
Signature of Applicant - Owner Contractor 1 J\ Agent ❑
ava �`
An OSHA permit is required for excavations over 50 deep and dem lit/ nor constrPf-'(
ion of structures over 3 stories in height. �,�,� /r'r Ufa
Receipt No. 363.00 PC 129747// i�04<4L5 - y
a cr/. 9O/ �Zg"�
WNITE•D. P. W., •ELLOW-ASS[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT `
Mobile Home Installation Fee S
Energy Inspection Fee $40.00
occ
CONST TYPE
FEE $1,172,90
HAzDFEE
IMP
FLOOD
COF
I PARC
PD
I HD SUE
This permit is hereby issued under the applicable provi-
Bions of the Butte County Code and/or resolutions to do
- work indicated above for which fees have been paid.
DIREC BLIC WORKS
9 By Date g
PERMIT EXPIRES Date
G.H. USE. ONLY
Hot 1'hm Auachcd —44 -
Floor Plan Au.chcd , —
SentTO: Building Department ,
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner�ocation / APS
Plan Approved for: Sewage Disposal ✓/ Water Supply: Public ✓ Private Well
Clearance for bedroom m i -Iome. Other
Hold final for:
Final clearance O.K. for:
NOTE:
c
- O(IW .
L-nvironmenta ealth Specialist
8/92
Date
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
To A k� a pea^
1 cokh 2 rte, ci _
owner location
Driveway permit
si ature
¢- 4-0- 4- =
AP #
has been issued for the above property.
4-- o 9 3
date
COUNTY OF BUTTE - DEPARTMENT OF PUBO IC4�WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIF C RN'IA'�965 - TELEPHONE (916) 538-7541 /010
PERMIT APPLICATION DATA SHEET
OWNER Jo A. 00 6
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must b@ submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ .
5. Hazardous Material Form . ........................................... .
6. Energ`y;Design Compliance and supporting documentation . ..................
Statement of"Inten f r Non -Heated and A/C Buildings. .
8. Engineered truss detail's and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. . �—
Fee4.0f$5S o ..........................................�
vi
Impact fees ass own on attached schedule.California Department of Forestry plan approval/fees. ........................
Flood elevation letter (100 year flo. bM C�Iifornia;Engineer. .......... .
Sanitation and plot plan approval Health Department . .....:...... --
15. City of Chico plumbing permit . .............. l. ........................
. ,
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17.' Planning approval for (A) Use: (B) Parking: ........
. Contact Land Development about (A) Improvements (B) Drainage. ...........
z19. Driveway permit (construction approval required prior to occupancy). .. .. . .
20. Pre -inspection for to Bussing ins requ
required. . . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... .
MOwner-Builder Verification (Given to owner , Mail to owner )............
X24. Recorded copy of Agricultural Acknowledgement Statement . ..................�
25. Letter of signature authorization. .....' .................................. .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . .......................................... •�
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list.
33.
34.
When you issue the ermit, proces s follows: Mail to wn r. Mail to contractor.
Telephone d hold for pickup at ��� office. Deliver with inspector.
Other
Parcel Creation
Acreage Applican 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 pri to ermit i uance: Ci cle " w ite of checked above).
1. Index permit for above items No.
2. Additional items required:—��
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by ,phone _ mail Counter by _ Date
Plans checked by DatePIans approved by 5 Date - a
W
z
Sets of plans on hold in File cabin AP fld'e
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541
APPLICATION AND PERMIT
PERMIT NQ.
ASSESSOR PARCE NUMBER
— 0--0 — 0 Z/
ZONIN .r
BUILDING PERMIT
OWNER n n� /� '
ft 0S w U`�
TEL PHONE
SO. FT. OCC. BUILDING VALUATION
/
OWNER'MAILING ADDRESS
-� - -t- PA- 2 A- qS-%-
s�
CO CTOR'S AME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace 1VA /1
CO TR CTIO END
UNKNOWN
Total Valuation $&
Silk
Filing Fee
$ 15.00
L DER'S MAILING ADDRESS
Permit Fee
$ 00
ARCHIT CT OR ENGINEE /'
L /Vcl—
LICENSE NO.
Plan Checking Fee
$ .UY Jj
Ener Plan CheckingF
Fee
$ .Od
Aq 11TECT� ENGIN;Y'S ADDR,ES� q<�gg
Penalty
BUILDING ADDRESS
C v/,/ � Q� Z_ 1416169/9
r� /G ZO
Permit fee
$ 106
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.004<670
Solar or heat pump water heater
20.00
LOT NO
SUBDIVISION SUBDIVIS ON AX�
Fs
PA CEL MAP
s
Water piping
7.00 , 0
Each qas water heater or vent
7.00 Q
USE OF STRUCTURE If
SFA Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00 Q
Mobile Home S I G I W I
@ 15.00
TYPE OF WORK
New Addition❑ Remodel F, Utilities ❑ Installation ❑ Other ❑
Describe work: -�� vv/ _
Permit Fee
$ d
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600v OR LESS
200A OR LESS
18.50 I
Main service 200A TO 1000AI
_
CONTRACTORS LICENSE LAW
1 declare under lt of ur check one):
penalty perjury ( )
p j
❑ 1 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 1. as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract
ors. (Sec. 7044)
❑ I am exempt under Sec. . Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUPM
OR ADONS. (ACC. BLOIT
_37.50
3.64sq.tt.
NEW R
NO N.RESID BRANCH CIRCUITS
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
L.1 0 45 20 76
Ex. Occup. ou LETS ED APPIRESID.IREA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. bVirin g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 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
I I q10
Cooling �?
Hood
Ventilation
,S
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. �j
X. 6`�� 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 height.,,//
Mobile Home Installation Fee $
Energy Inspection Fee $ D
c'OsNs�jT PE
V /"
TOTAL FE �$
H DFEES I
IMP
I FLOOD
f
I P
013
HO
YISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. %y �
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, O DENROO-APPLICANT
CGUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS —BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER
lt/j �r �� A.P. N0. �.����%��—e
rtorOsED
BUILDING USE DATE o2 02 3
School Distric Fees T -71G
(paid at District Office) ...........................
Sheriff Fees
(paid at Building Department)
Residential.............
x 3 =$
nit amt.
Commercial(per sq -ft.) x -$
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) — $
Ir A units amt.
Commerical(per sq.ft.) x =$
sq.ft. amt.
4. Recreation District Fees
(paid at District Office) ..........................
5. Drainage District Fees
(Contact Land Development) .........................
REC. #
DATE REC
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid prig=
_o issuance of the permit.
'►PPLICANT
DATE 2 3 �3
.Return to DPW AGRICULTURAL STATEMENT.OF AM. OWLEDGE?T
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
The property described herein is adjacent
93-013871,
to land or included within an* area zoned.
Rec Fee
for agricultural purposes, and residents
1 Cash
of this property may be subject to incon-
Recorded I
veniences or discomfort arising from the
Official Records I
use of agricultural chemicals, including,
County of I
but not limited to herbicides, pesticides,
t
Butte I
and fertilizers.; and from the pursuit
Candace Grubbs I
of agricultural operations including,
Recorder
er I
ReRe rdApr-93
but not limited to cultivatio I
1:42I PUBL
XX
5.00
5.00
1
n, p owing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows:
OT -7(qG 5 S �10.w ry opo itil 1~+ C E2-�k' ,v r) q•Q . -i-1-1 E�
P� R�.�.,sE Pim � s u� T ►,, �, s
`\ C o 4_ c"e U f- (' f? CC OL c rz �r C o
S+Q4-, o f Cry I �OR ►v I Ck , S-� z�
I of 1 b i vv ✓moo IC
C F R-+(+, (-4.4-E: 0; COQIz�cr-�r�vce5 QfLC0rr.,c Cj 01zC cm Ca. 2 � � 9%o �
-{za. -4-, -L c 1 (q� CO3-_& S � VJ-+ 00813 Z.
V-xccasphG�u�, awa o
P -(h EtE v U 1 � �S�
ER h4 ;QR.GGCrt.lz
OR4 7 (,QS p, P 1�/O� 4 QKI� (� QII INTIni tt� t7P�{24'4tV°'� J 5�1141� �IL (6K)r j -(_L ^� i
p� QC E `�-h rti SwZF� [r Att-Ec. cr yid � Date:' dc�u�1 a-��x.[I b� 1�; -ro rh �e
5,0%,Z ,�-,r"U9. ERTY OWNERS:
State of California )
County of Butte )
On this. the 31st day of March , 19 93 , before -me, the
SS. undersigned Notary Public, personally appeared
��os>.aromm mmr�mmmatatamam®
REBECCA ARNOLD
NOTARY MWOCALWORNIA
Iw Butte County
;' My Commission Expires Y
eft April 2, 1993 ■
aYme®;4aem®emeamosa�
,ent A.P. No. 64-40-41
John Draper
® Personally known to me. 0 Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) is
subscribed to the within instrument and acknowledged that he
executed the same for the purpose herein contained. IN WITNESS
WHEREOF, I hereunto set -my hand and official -'seal.
Notary Public
.'�'-r".�-'+`�r:��*;:..:•�rtt'N�ty'Cv"'= �l�.acz,�rr'et,`. �� .-�..-_•., �..,.-..,�.y.�-7s'x�-.i:�.r�-'t;r•�i
r
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building) //
r
f //
O&
School District e7l % —"Q' �. Building Department No.
A.P. Number P�� Go Jurisdiction 0 City County
Property Owners tt /U Dt° A ems/yam
Property Location/Address
Subdivison Lot No.
Residential Development
Commercial/Industrial
No. f Living MHI
Units
Sq. Footage Sal a
Addition (Group R)
0 = Sq. Footage
New Addition
(Floor Plans reviewed by School District Personnel)
Date .,
(Including Exterior
Roofed Areas)
Distri Identification o.
School District certifies that
(Applicant)
12 U
(Street Address) (Phone Number)
(City)
has complied with the requirements of Resolution No.
representing I �� square feet.
School District Representative
Paid by Check Number
Bank Number
Paid by Cash
Remarks:
(zip
by payment of $
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MI SC. ONLY)
° Bldg. Permit # C13,5-
OWNER
,SOWNER A. P. #O—
Plan Checker
GENERAL •
Y. V:ning requirements: (sideyards and number of permitted living units).
Valuation.
�ans signed by designer.
t4 ----Proper description of work on application.
Existing violations on property.
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
Recorded notice of violation.
PLOT PLAN
omplete parcel size and dimensions.
etbacks, sideyards, easements, etc.
her buildings or structures. -
rading, fills, drainage.
ood hazard.
Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
stible, and foundations).
FAU & FAS road setback.
Building or utilities across lot lines (Record form).
1
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec.,1205). .,
Required windows for second exit (Sec. 1204).
kylights (Chapter: 34 & Sec. 5207). y�
Hu n impact glass (Sec. 5406).
equired room sizes, ceiling heights (Sec. 1207): + `F
GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and -exterior receptacles for main-
tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
s equipment.
rage firewall, door size, and closer (Sec. 503(d)(3)).
- 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
. Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
�Standard -bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
ree story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
loor 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.
place construction details and calcs if necessary.
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Stud heights.
Adobe soils - special foundation design.
Retaining walls requiring design.
Specia spection required.
1 t,
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
. (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
terior plaster - weep screeds (Sec. 4706).
oper roof pitch for roof convering (Chapter 32).
of covering type - (fire hazard).
oam insulation - protection.
11. 36" halls and stairways.
Living area over garage - complete 1 -hour separation required on garage side
J-Aincluding supporting walls and posts, etc.
gojnderfloor
Texits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
ic access and ventilation (Sec. 3205).
access and ventilation (Sec. 2516).
bustion air for fuel burning appliances - L.P.G. requirements.
se requirements on duplexes.
-15.7- nergy design.
Flashing at all exterior openings.
OF responsible area requirements.
�• Je uae
OROVILLE�CALIFORNIA
GENERAL CLAIM
CLAIMANT: Jim Harding
ADDRESS: 5581 Honev View Terr.
CITY & STATE: rarani se, CA Y )YbY IMPORTANT:
December 10, 1992
DATE OF CLAIM:SEE INSTRUCTIONS. ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
W14
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner has decided not to do work. Permit #92-4215B,P,E,M,
AP#064-400-041, Receipt #122888, dated 12/2/92.
Total Permit Fees Paid ---------------------------------- 1373.45
Rptnin Building Permit Filing FPP ----------- $19 -nn
Retain Plumbing Permit Filing Fee----------- 15.00
Retain Electrical Permit Filing Fee--------- 15.00
Retain Mechanical Permit Filing Fee--------- 15.00
Total Permit Fees Retained------------------------------ 60.00
TOTAL REFUND DUE ----------------------------------------- $1313.4.5
Total Sheriff's Fees Paid ------- -------------- ---------- $360.00
Total Fees Retained------------------------------------- 0.00
TOTAL REFUND DUE --------------------------- ------------- #360.00
TOTAL REFUND + TOTAL
1673
5
I• the undersigned• declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Dated this ..........\til ................ day of .. �il�.. Calif.
Si eture of Claimant \
I, the undersigned, hereby certify that. to the best of my knowledge, the services or articlgorhe,�ne.L-
Dated
ci[ied above have been perform dor de-
livered and that there Is a Budget Appropriation or Specific Board Approval O (Checkone) 10th Decem�r 92 Oroville thio .................................... day of 19...et .............................. . CaLLt•.
Dept 440-002 ExP• 4210500 C Permits
Code............................................ Code ................................................PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT.
COBUN D O DBUTTE
DEC 10 1992
`40-0-6/
� • ; " ��—.r_ Jam- � %� • _ . __ _ ..�
COUNTY OF BUTTE'
/ 9F ICIA1 RECEIPT
1228,88
-...Li r.,.....-�.r...
OFFICE OR DEPARTMENT/ISSUING RECEIPT172
VReceived from .V . s
. ,-
T%e,Sum of 17=t
J D/1 P50 S Ixr V
For
3R Received:
CASH Title
' CHECKSf� By
7S FORMS AND MORE (916) 763-6523 '
' le7
74 . P C.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone,. 916.538-7541.`
• APPLICATION AND PERMIT l cs
ASSESSOR PARCEL NUMBER
17641&
BUILDING PERMIT
O WN.F \\
TELEPH NE
SO. FT. OCC. BUILDING VALU TION
OWNER'S MAILING ADDRESS
s7� _, �.,.. r� P�,ra �,'tsF.�591�1
7�
CONTRACTOR'S NAME
TELEPHONE
_z
CONTRACTOR'S MAILING ADDRESS
Fireplace /
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
AI I
LENDER'S MNG ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ,0G
Energy Plan Checking Fee
$ �p.Q
ARCHITECT OR ENGINEER'S MAILING ADDRESS
I�211_\1
Penalty
$
BUILDING ADDRESS
Permit fee
$ p
PLUMBING PERMIT
Filing Fee
15.00
Each Trap
5.00
S QU
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAPj�
�
Water piping
7.00
'
Each qas water heater or vent
7.00
7. 0 Q
USE OF STRUCTURE
SF -N Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
6
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New9 Addition❑ Remodel❑�7 Utilit�i�essl Installation❑ Other❑
Describe work: �'y!✓y/ _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200ATO1000A)
_
37.50
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.
'� �-'Zb
License No.-3a-�� Classification
F1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.61
ACDNS. ACC. BLDGS. I
3.64sq.lt.
NEWCONSTOR
NON.RESID R" BRANCH CIRCMULTI-OUTLEUITS
@ 5.00
POWER APPARATUS &)
SINGLE OUTLET CIR.
EX. OCCU p�OUTLETS OR FIXTURES
20 76
EX. DCCUp. OU LETS (PRESID.IREA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
r5T I have placed on file with the County of Butte Building Department
�I a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject`
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
v
Cooling
g
O
Hood
6.50
Ventilation
Pennit Fee
$ 1
Contractor
I certify that I have read this application and state that the above information
is correct. 1 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 'tNg-,<.-- -_--N
Signature of Applicant — Owner,R 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 $ Q r�
occ
CONST TYPE
TOTAL FEE $
HA2
DFEES I
IMP
700
1 CDF
PA CEL Zr
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. i z ���
WHITE-O.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
.� . b. .-.;y,..-..y��T. - ^..ir .�re44�'- t't�-.�.1�.r'+....vf�I.,..�•1-.r..�-.+`n.'1'"?"�+-i.,i'?�,'iv+.°imr•!-rl:F.i :s�ti��.Y\s �.' 1 .�-� - . .� -
r c
MINTY OF BUTTE:,k r�PARTMENT OF PUBLIC WOh; BUILDING DIVISION
W647 COUNTY CENTER DRI:UE - OROVILLL, CALIFORNIk95965 - TELEPHONE (916) 538-7541
/N
PERMIT APPLICATION DATA SHEET
OWNER Iv ` +t a, P 1 t� A.113, No. �D Z�G DSZ
Proposed Building Use Building Inspector Date Z
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
Energy Design Compliance and supporting documentation . ..................
. Statement of Intent for Non -Heated and A/C Buildings. .
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesof$ ..........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13 Flood elevation letter (100 year flo db�AC Iifornia Engineer . ................. .
. Ham'
4. Sanitation and plot plan approval Health Department . .............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18- Contact Land Development about (A) Improvements (B)Drainage ........... .
19. Driveway permit (construction approval required prior to occupancy). ..... .
Pre -Inspection reque-}s
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... .
21- Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ................. .
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ....................................... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: M *It wi er. Mail to contractor.
Telephone hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant' 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:
Contractor, designer, owner, was advised of above required data by - phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
C01111`11 OF 1118.1'1; DITAR'1111'.Ill' OF 111111:1(; .Nt►11R'1 - 111111,111 N1; DIVISION
! C1111NI'Y I;fJrl'L:II DIIIVi, t11211VI1.1I , CA1,1rt111111A 9�91i5 II.I,I.I'lIIIIII: ('II(;)i:1H15�►1
i� ly A . P. lit 1.
I'IIUI'I►SED 01.111191.11611SI,
DATE f Z Z-
IIEC. I DA'I'S II Et;
Vx/j,School I)I strlct Fees
-- ld nt 11101 lct Office) ..........................
1. Sheriff Fees
I►ni__ ______-______
(pall at Bill.I11i.ng Uepertment:)
ilesidelttlal
lilt I t Dint .
f /z —Z-,
6. 1)t Icer
7. Other
At time of permit al►pl. 'Cal: 101" I. was 811vise11 the nl►ove fees are required to be paid prior
to Issuance of the pern►1.t.
Z Lei
A PPI.I CANT DATE Z_
-564 66� qd
Z 7y Fo 3,ra
Cclnnnerclol(per sq.ft.)_X-----
/j�
3.
Ilrbnn Area Fees
(110111 at Bul.lding Department
Ilesidentlal. (I►er nnit) _ _ _X _ =� --
��
ultl.ts amt.
Conmlerical(lier s►i.ft.)X 4--
sq.ft. nett.
�/' l►,
Recreation Ilistrict Fees
(pai►I at District Office) ..........................
d'y 5.
Drninnge I)istrlct Fees
((,,ontact Land Development) .........................
6. 1)t Icer
7. Other
At time of permit al►pl. 'Cal: 101" I. was 811vise11 the nl►ove fees are required to be paid prior
to Issuance of the pern►1.t.
Z Lei
A PPI.I CANT DATE Z_
-564 66� qd
Z 7y Fo 3,ra
Wayne Stout Re: Abandonment - Public Utility
1358 Manhattan Drive Overhang Easement in Lot 76
Paradise, CA 95969 of Paradise Pines Unit No.5
tA.P. 64-40-41
Dear Mr. Stout:
Pursuant to your letter of December 15, 1992, concerning the above -noted abandonment,
please complete the following on the attached petition for abandonment;
1. Obtain signatures and addresses of adjoining property owners who may
have an interest in said public easement, plus other property owners
in the area, totaling five or more.
2. Date petition.
We need letters from all utility companies stating they no longer need said easement.
Submit a check to this office in the sum of One Hundred & Sixty Dollars ($160.00)
made out to the Butte County Treasurer.
If we can be of further assistance, please notify this office.
Very truly yours,
IDel&—' -° led ty
William Cheff_,
WC: ss
ERP
Encl.
cc: Mapping w/o encl/
,,Wdg. Dept. w/o encl.
William Cheff
Director of Public Works
4 '
6u me
Dunt
--��
- LAND
OF NAT - URAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
P-
7 COUNTY CENTER DRIVE * OROVILLE, CALIFORNIA 95965
TELEPHONE: (916) 538-7681
FAX: (916) 538-2140
COUNTY OF ISUTTE
RONALD D. McELROY
December 18, 1992 Deputy Director
BUILDING DEPT
DEC 18 1g2
Wayne Stout Re: Abandonment - Public Utility
1358 Manhattan Drive Overhang Easement in Lot 76
Paradise, CA 95969 of Paradise Pines Unit No.5
tA.P. 64-40-41
Dear Mr. Stout:
Pursuant to your letter of December 15, 1992, concerning the above -noted abandonment,
please complete the following on the attached petition for abandonment;
1. Obtain signatures and addresses of adjoining property owners who may
have an interest in said public easement, plus other property owners
in the area, totaling five or more.
2. Date petition.
We need letters from all utility companies stating they no longer need said easement.
Submit a check to this office in the sum of One Hundred & Sixty Dollars ($160.00)
made out to the Butte County Treasurer.
If we can be of further assistance, please notify this office.
Very truly yours,
IDel&—' -° led ty
William Cheff_,
WC: ss
ERP
Encl.
cc: Mapping w/o encl/
,,Wdg. Dept. w/o encl.
William Cheff
Director of Public Works
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must cdntain these measures regardless of the compliance
Certificate of Compliance: Residential Climate Zone 11
approach used. Items marked with an asterisk(') may be superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features '
noted shall be considered by all parties as binding minimum component performance specifications for the ProJectTlUe
mandatory measures whether they are shown elsewhere in the documents or on this cheddist only. IM?!r
Building Permi
DESCRIPTION DESIGNER ENFORCEMENT Project Addren Checked ;
Building Envelope Measures
ate
• §150(a): Minimum R-19 ceiling insulation. Documentation Author Telephone Fnfbircement Agency Use Only
§150(b): Loose fill insulation manufacturer's labeled R•Value. Glass Area % G
• §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass wails). BUILDING DATA North 00 . 0
§150(d): Minimum R•13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. Conditioned Floor Area Number Of Stories East,
§150(l): Slab edoe insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no Number Of -Units South
greater than 2.0 oernvinch. Slab/RaSoul
tsed Floor
§118: Insulation specified or installed meets California Energy Commission quality standards. [ Single Family Detached (SFD) [ ] Addition Alone West
Indicate type and form. [ ] Single Family Attached (SFA) [ ] Existing Building Skylight
§116-17: Fenestration Products, Exterior Doors and InfiltratioNExfiltradon Controls [ ] Multi -Family (MF) [ ]Existing -Plus -Addition Tot
a. Doors ano winnows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products have label with certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
B UII,DING SHELL INSULATION
§150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. -
§150(0: Special infiltration barrier installed to comply with §151 meets Commission quality standards. COmponent Insulation LoeatiorrlOomme,10
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs Type R -Value (Aldi, to same. 24 etc.)
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door Roof .............
b. Outside air intake with damper and control i Roof ...........»
c. Flue damper and control
2. No continuous burning gas pilots allowed, waj1,,,,,,,,,,,,,, '
Space Conditioning, Water Heating and Plumbing System Measures i wall ..........
§110.13: HVACC equipment water heaters, showerheads and lancets certified by the Commission.
Floor .............
§I50(i): Setback thermostat on all applicable heating systems. Floor ............. _
§150(j): Pipe and Tank Insulation Slab Edge ....: -
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation G LA2Il\rG Shading Devices
(R• 12 or greater) or combined intenoriextenor insulation (R-16 or greater).
2. First 5 feet of pipes closest toi water heater tank, non rsectio atiof systems. insulated (R -a or greater). Clam Alva G1y Interior Exterior Overhang Framing Type
3. All buried or exposed piping insulated in recirculating sections of hot water system..; g Type
4. Cooling system piping below 5VF insulated. Orientation SQ (singlis. double) olla blind. ere.) wwiesctreem etc-) ) (metaUrtr )
5. Piping insulated between heating source and indirect hot water tank.
- §150(m): Duras and FansNOiZtl
1. Ducts constructed. installed and seared to comply with UMC Sections 1002 and 1004: duan insulated North
a minimum installed value of 8.4.2 or ducts enclosed entirely within conditioned space. East ( )
120
2. Exhaust fan systems nave backdraft or automatic dampers East ( )
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible.
manually operated campers., East
SOUth ( )
§1.14: Pool and Spa Heating Systems and Equipment South
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions. ( )
no electric resistance neauno and no pilot light Went _
2. System isinstailedwith: West
a.. At least 36' Poe oetween tiller and heater for future solar heating. Skylight .......
b. Cover for outcoor pools or culcloor spa.
3. Pool system nas arectronai inlets and a circulation pump time switch.
THERMAL MASS
§115: Gas•fireo centra, furnace, pool heater, spa neater or household cooking appliance have no Type/Covering Area Thickness
continuously buena pilot I oht. (Exception: Non Hectrltal cooking appliance with odor c 150 BtWhr.) (slab/exposed, tile, etc.) (SO (inches) LocahOn/DCScriation (kitchen• bath, etc.)
Ughting Measures
§150(k): 40 lumensmac or greater for general lighting in kitchens and rooms with water closets: and _
recessed catling fixtures iC iinsulation i:cven approved.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply -with Title 24, Parts 1 and 6, or
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the li V A C SYSTEMS Minimum Duct
inrbvidual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
Type (furnace, air Efficient Location Duct Heat Pump
orientations, any shading feature that is varied is indicated in the Special Feattues✓Remarks section conditioner, heel puree) AFWF SEER, SPF (attic. etc.). R -Value Thermostat Tyne (split n
t or kQ1
Designer or Owner (per Buatne" a Professions code) Documentation Author, ,�.- _
Name: Name: I�
Ttle/Firm:' Tide/Firm:
Address: Address:
Telephone- Telephone:
Lic. t:
HOT WATER SYSTEMS Tank
t
(signature)rel (date) (signature) (date) - Svstem T R Value
(storage as, etc.) Ca acit Number Ener Factor t
Enforcement Agency - � i0 �
! Name:
1 Tide: "
Agency: SPECIAL FEATURES/REMARKS (Add extra sheets if necessary):
Telephone:
(signature/stamp) (date)
Point System Summary: Climate Zone 11
Point Scores
1. Ceiling Insulation t3 0 or =L
R- ue MAI U -value 10.0281
2. Wall Insulation _0 or - S
R -v ue 1191 U -value (0.0651
3. Raised Floor Insulation or
R -v ue (191 U -value 10.0371
4. Slab Edge Insulation or
R -value 101 F2 factor (0.75]
S. Infiltration Any Ducts in Unconditioned Space? ( Y / N) (Y]
6. Fenestration Heat Loss ► (0! /V.0 -1
Type U -value 10.651Total % Fenes.1161 sum 1.6
7. Fenestration Heat Gain
% Fenestration SCshade open Eft. % Fenes. Shade ff. Ratio
North x 7-7 = 3 �V .,;r
East x =
South
West x J<
Skylight �_ x = Q
Overhangs? ( Y / N
8. Interior Thermal. Mass or
%Exp. Slab [20] Int Mass/CFA
9. Exterior Wall Mass _�
_ _ Ezt Wa, Sum 7-9
10. Heating System % x
AFUE lir HSPF Dua Effic. (1 story: Effective AFUE Zonal Control
[78% or 6.81 0.83; 2+ to 0.881ar PF Adjustment 101
11. Cooling System p.0 x . _
SEER 110.01 Duct Ethr (1 story: Effecave SEER Zom-ac-Gnttol
0.81: 2+ story: 0.871 Adjustment (01
12 Water Heating
System 1 ��
He r Type En(0y Factor Ext ns. R -value- Auxiliary Input Disinbution
(SG501 .531 (121 INonel [STD] r
System 2�/-_
Heater Type (None[ Energy Factor Ext. Ins. R -value AuxiliaryInput Distnbunon
Point Total:
1. Ceiling Insulation
-72 -57
-43
Number
of stones
-4
R -value One
Two
Tliiee"
R-0 -74
-48
.27
R-19 -5
-4 -
-2
R-30, -1
-1_
0
R-38 0
0
0
2. Wall Insulation
Insulation in Floor
.76
Single-
Single -
.61
Family
. Family
Mulltf-
R-0
-72 -57
-43
R-11
-7 -6
-4
R-13
.5 -4
-3
R-15 "
-.4 -3
-2
R-19
0 0
0
R-21
1 1
1
3. Raised
Floor Insulation
1.01
.91
Insulation in Floor
.76
.71
Numtter of stones
.61
R-vajue
One Two
Three
R-0
-14 -9
-5
R-11
-3 .2
-1
R-19
0 0
0
R-30
2 1
1
4. Slab Edge Insulation
Numoer of Stones
R-0 0 0 o g, Infiltration (Duct Air Leakage)
R•5 6 4 2 Ducts in Unconditioned Space 0
R-7 7 4 2 No Ducts in Unconditioned Soaw 3
6. Fenestration Heat Loss
7. Fenestration Heat Gain (based on Shoe Eftecttveness Ratio)
Elf
%
Fen-
estia-
lion
North
.87 .67 .52
or to to
more .86 .66
.51
or
less
.87
or
more
East
.67 .52
to to
.86 .66
.51
or
less
.87
or
more
South
.67 52
to to
.86 .66
U-Vwue
west
.87 .67 .52
or to to
more .86 .66
.51
or
less
skylight
.67 .66
or or
more less
18 %
-5
-
' .3
-Total
-1.31
1;21
1.11
1.01
.91
.81
.76
.71
.66
.61
.56
.51
.46
.41
.36
.35
Percent
or
to
to
to
to
to
to
to
to
to
to
'to
to
to
to
or
Fenestration more
130
1.20
1.10
1.00
.90
.80
.75
70'
65
60
55
.50
.45
40
less
50Y.
-100
-76
69
-62
•55
-48
-41
-38
.34
.31
-27
-24
-20
.17
.13
.10
40Y.
-77
.58
•52
-47
-41
-36
-30
-27
-25
-22
-19
-16
.13
.11
.8
.5
35%
-66
49
44
-39
-34
-29
-25
-22
.20
.17
-15
-12
-10
-7
-5
.3
30Y.
-54
-40
•36
-31
-27
•23
-19
-17
-15
-13
-11
-8
-6
-4
'-2
0
28Y.
•50
-36
-32
-28
-25
-21
.17
-15
-13
-11
-9
-7
-5
•3
-1
1
26%
-45
-33
-29
•25
-22
-18.
-14
-13
-11
-9
-7
-5
-4
-2
0.
2
24%
-41
-29
-26
-22
-19
-16
-12
-11
-9
.7
-0
-t
.2
.1
1
3
22%
-36
-25
-22
-19
-16
-13
-10
-8
.7
.5
.4
-2
-1
1
2
4
20%
-31
•22
-19
-16
-13
-11
-8
-6
.5
-4
-2
-1
1
2
3
5
18%
-27
-18
-16
-13
-11
-8
-6
-1
-3
-2
-1
1
2
3
4
6
16%
-22
-14
-12
-10
•8
-6
-3
-2
-1
0
1
2
3 .
4
6
7
14%
-18
-11
-9
-7
-5
-3
-1
0
1
2
3
4
5
6
7
8
12%
-13
.7
-0
4
-2
-1
1
2
3
4
4
5
6
7
8
9
101.
-8
-t
.2
-1
1
2
3
4
5
5
6
7
8
8
9
10
80/.
-1
0
1
2
3
4
6
6
7
7
8
8
9
9
10
11
7. Fenestration Heat Gain (based on Shoe Eftecttveness Ratio)
Elf
%
Fen-
estia-
lion
North
.87 .67 .52
or to to
more .86 .66
.51
or
less
.87
or
more
East
.67 .52
to to
.86 .66
.51
or
less
.87
or
more
South
.67 52
to to
.86 .66
.51
or
less
west
.87 .67 .52
or to to
more .86 .66
.51
or
less
skylight
.67 .66
or or
more less
18 %
-5
-
' .3
-2
-21
-20
-15
.12
.26
-23
-16
-12
-36
-32
-23
-16
-75
-50
16%
•4
-4
.2
-1
-18
-16
.13
-10
-21
.19
-13
-9
.31
-27
-19
-14
-65
-44
14%
-4
-3
.2
.1
-14
.13
-11
-8
-16
.14
.10
.7
.26
-23
-16
-11
-55
-38
12%
-3
-2
.1
-1
-0
-11
-10
-8
-0
-12
.10
-7
-4
-21
.18
•13
-8
-46
•31
11%
-2
-2
.1
4
-10
-9
-7
-0
•10
-8
.5
-3
-19
.16
-11
-7
-41
.28
10%
-2
-2
-1
0
-8
-8
-0
.5
-8
.7
.4
.2
-16
-14
-9
-6
-37
-25
9%
*-2
-1
.1
0
•7
-7
-5
.4
-6
-5
.3
-1
-14
-12
-8
-5
-32
-22
80/.
-1
-1
.1
0
-6
-5
-4
-0
-4
.4
.2
0
•11
.10
-0
-4
-28
' -19
7%
-1
-1
0
0
-5
-4
-4
.3
.3
.3
•1
0
.10
-8
-5
-3
•24
.17
6%
.1
-t
0
0
-4
-4
.3
-2
.2
.2
-1
0
-8
-7
-4
-2
-20
-14
5%
-1
0
0
0
-3
-3
-2
-2
-2
-1
0
0
-6
-5
-3
-1
-16
-12
4%
0
0
0
0
-2
-2
.1
-1
i
-1
0
1
-4
-4
-2
0
-12
-10
3%
0
0
0
0
•1
-1
-1
0
0
0
0
1
-2
-2
0
1
-9
-7
2%
0
0
0
1
0
0
0
0
0
0
1
1
0
0
1.
2
-6
-5
1%
1
1
1
1
1
1
1
1
0
0
0
0
1
1
2
2
-3
-2
0%
1
1
1
1
1
1
1
1
0
0
0
0
3
3
3
3
0
0
8. Interior Thermal Mass
9. Exterior Wail Thermal Mass
Exterior
Method A (Slab -on -grade Construction Only)
Percent
One
Wall
Two
Family
Three
Exposed
Ston
Atmcnw
Stones
0.00
Stories
0
0
-3
3
-2
2
t
10
5
-2
0.60
.1
8
1
20
12
0
7
0
14
0
30
1.20
1
13
1
1.40
1 .
40
11
3
21
2
13
1
50
18
4
200
3
19
2
60
1.
5
0
3
7.4
2
70
4
6
2
4
1
2
80
7.6
6
7
5
4
3
90
95%
9
8.0
6
9
3
100
4
10
100%
6
8.5
4
11
9
Method
B
2
At
Ina
Effective AFUE or HSPF
SL1b Floct
•5
Raised Floor
Mass
more
Stories
-41
-02
Stones
/CFA
One
Two Three
One
Two Three
0.0
-11
-8
-6
-1
.1
0
0.1
-10
-7
.6
0
0
0
0.3
-9
-6
•5
1
1
1
0.5
-8
-5
-0
2
2
2
1.0
-6
-3
4
4
4
5
1.5
-0
.1
1
6
6
6
20
-2
2
4
8
8
8
2.5
1
3
5
9
9
9
3.0
3
'6 .
5
11
10
10
4.0
4
6
7
13
13
13
5.0
4
6
8
14
14
14
6.0
5
7
9
15
15
15
7.0
7
8
10
16
16
16
8.0
8
9
11
18
17
17
10. Heating -System
9. Exterior Wail Thermal Mass
Exterior
Single-
Single-
Mufti
Wall
Family
Family
Family
Mass
Detached
Atmcnw
-14 to
0.00
0
0
0
0.20
3
3
2
0.40
7
5
4
0.60
9
8
6
0.80
12
10
7
1.00
14
12
9
1.20
17
13
10
1.40
18
14
11
1.60
21
17
13
1.80
23
18
14
200
24
19
14
10. Heating -System
Houses With Ducts (R4.2)
1000
water 1k mg
SEER '
to
Poen Scare
Houses With Ducts (R4.2)
1499
-30
Sotn
Pekg
-25 or -24 to
-14 to
-4 to
Sum
of 1.6
AC
AC
Gas
Split
Pkg
-25
-24
-14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-
NSPF HSPF less
-15
-5
+5
+15
more
780/.
6.8
6.6.
0
0
0
0
0
0
80%
7.0
6.8
1
1
1
1.
0
0
85%
7.4
7.2
5
4
3
2
2
1
90%
7.8
7.6
8
7
5
4
3
1
95%
8.3
8.0
11
9
7
5
4
2
100%
- 8.7
8.5
13
11
9
7
4
2
At
AC
Effective AFUE or HSPF
-15
•5
+5
(AFUE or HSPF x duct efficiency)
more
Effective
-41
-02
-19
Sum of 1-0
5.0
Gas
Split
Pkg
-25
-24
-14
.4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-0
HSPF HSPF
less
-15
-5
+5
+15 more
One Story House
0
0
0
0
0
8.1
33%
2.9
2.8
-62'
-53
0
-34
-25
-16
40Y.
3.5
3.4
40
.34
-26.
-22
-16
-10
500/6
4.4
4.2
-19
-16
-13
-10
-7
-5
60%
52
5.1
-4
-4
-3
-2
-2
-1
64%
5.6
5.4
0
0
0
0
0
0
70%
U
5.9
6
5
4
3
2
1
WY.
7.0
6.8
13
11
9
7
5
3
90%
7.8
7.6
19
16
13
11
8
5
100%
B.7
8.5
24
20
17
13
10
6
Two or
Three
Story
House
7.0
6.8
-11
A
-7
33%
2.9
2.8
-09
-58
48
-37
-26
-15
40%
3.5
3.4
-06
-39
-32
-24
-17
-10
50%
4.4
4.2
-24
-20
-16
-13
-9
-5
60%
5.2
5.1
-9
-0
-0
•5
.3
•2
69%
6.0
5.8
0
0
0
0
0
0
700/,
6.1
5.9
1
1
1
1
0
0
80%
7.0
6.8
9.
8
6
5
3
2
.90%.
7.8
7.6
15
13
10
8.
6
3
100%
8.7
8.5
20
17
14-
11
8
4
Zonal Control Adjustment
System Type.
Resistance
6
4
3
2
1
0
Other
3
3
2
1
1
0
11. Cooling System
AdJustment for No Tank fnatladoa
Nunoer of Water Heals
water Hewer Tvoe One Two
SG50 -2 5
SGS -3 4 b
SE -5 -0
HP -2 -4
House Shin Adjustment
Home size (e)
Subtotal
Houses With Ducts (R4.2)
1000
water 1k mg
SEER '
to
Poen Scare
Sum of 7.9
1499
-30
Sotn
Pekg
-25 or -24 to
-14 to
-4 to
+6 to
16 or
AC
AC
less
-15
.5
+5
.15
more
10.0
9.7
0
0
0
0
0
0
11.0
10.7
4
3
2
2
1
0
120
11.6
8
6
5
3
1
0
13.0
126
11
9
6
4
2
0
14.0
13.6
13
11
8
5
2
0
15.0
14.6
16
12
9
6
2
0
'8
11 9
Effective SEER
4
8
SG75
All
(SEER
x duct etfMciency)
1 -1
-12
Eft SEER
-2
Sum of 7-9
am
3
Solft
PcKg
-25 or
-24 to
.14 to
-4 to
+6 to
16 or
At
AC
less
-15
•5
+5
.15
more
One Story House
-41
-02
-19
5.0
4.9
-29
-23
-17
-11
.4
0
6.0
5.8
-16
-13
-9
-0
-2
0
7.0
6.8
-7
-0
-4
-3
-1
0
8.0
7.8
-1
0
0
0
0
0
8.1
T.9
0
0
0
0
0
0
9.0
8.7
5
4
3
2
1
0
10.0
9.7
-9
7
5
3
1
0
11.0
10.7
12
10
7
4
2
0
12.0
11.6
15
12
9
6
2
0
13.0
126
18
14
10
6
3
0
14.0
13.6
20
16
11
7
3
0
15.0
14.6
22
17
12
8
3
0
Two or Three
Story House
-15
:G
AS
0.80
5.0
4.9
-35
-27
-20
-13
-5
0
6.0
5.8
-21
-17
•12
-8
-3
0
7.0
6.8
-11
A
-7
-4
.2
0
8.0
7.8
=4
3
-2
-1
-1
0
8.7
8.4
. 0
0
0
0
0
0
9.0
8.7
2
1
1
1
0
0
10.0
9.7
6
5
4
2
1
0
11.0
10.7
10
8
6
4
1
0
12.0
11.6
13
10
7
5
2
0
13.0
126
16
12
9
6
2
0
14.0
13.6
18
14
10
6
3
0
15.0
14.6
20-
16
11
7
3
0
AdJustment for No Tank fnatladoa
Nunoer of Water Heals
water Hewer Tvoe One Two
SG50 -2 5
SGS -3 4 b
SE -5 -0
HP -2 -4
House Shin Adjustment
Home size (e)
Subtotal
less
1000
water 1k mg
than
to
Poen Scare
1000
1499
-30
47
.5
.25
.14
.4
•20
-11
•3
.15
A
-1
-10
-6
.2 .
.5
J
•1
0
0
0
5
3
1
10
6
2
15
9
3
20
11
3
25
14
4
House Size Adjustment
House Site (ttz)
Subtotal
ism
mpp
water Hunrig
to
or
Poen score
1999
more
-30
0
3
-25
0
2
.20
0
2
-15
0
1
•10
0
1
.5
0
0
g
0
0
5
0
0
10
0
-1
15
0
-1
20
0
.2
25
0
-2
Z.otuJ Control Adjustment
All 6
5 4
2 1
0
IZ Water Heating
Out Water
Heater -
No Auxiliary Czadhs
Dlmtermna System2
Re= Systeme
waxer
camates
Energy
STD
MR Rpe
No
Timer Demd
Hemer Two,
Zones
Factor
POU Imw1
f]A
SG50
All
am
0
3 1
-0
-5
0
0.63
5
8 6
-4
0
5
0.73
'8
11 9
0
4
8
SG75
All
0.48
.2
1 -1
-12
-7
-2
am
3
6 5
-5
-1
4
am
7
10 8
-1
3
7
SE
Aa
0.87
--20
-12 -17
-41
-02
-19
0.83
-17
-0 -13
-W
-28
-18
IG'
All
0.80
2
5 3
JE
At
093
-21
-12
MP
6.11.13.15
1.80
4
7 5
•5
-1
4.
Two Boater Hestars -No
AaxULary Credks
SC%w
All
0.53
-7
-4 -6
-17
-12
•7
0.63
1
5 3
-a
.4
1
0.73
5
10 8
-2
2
7
SG3
AN
0.48
-12
-0 -11
-22
-17
-12
0.58
•1
3 0
-11
-0
-1
0.68
6
9 7
.4
1
6
SE
AN
0.87
-22
-14 -19
46
-35
-22
0.93
.16
.7 -12
•39
.28
-15
:G
AS
0.80
.4
-1 .3
lE
At
0.93
-21
-12
HP
6.11,13.15
1.80
.1
3 1
•10
-6
0