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064-480-034
64 ,4g X34:2.97, t' 2=91B;'F;E' M tiJELBORN, Harold. . 14056 Temple Circle, Magalia (new Sf) �--qv 3'} �� I RESIDENTIAL 64-48-34 2972-91B,P,E,M h WELBORN,Haroid i 14056 Temple Circle, Magalia (new sf) ' I Owner A4 ✓���Gl z., ENERGY i, + , i LOCATiUN N0. FOUNDATION VALL MATERIAL BRAND NAME TM1CKPfESS� THERMAL RE'S, I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH, "HE STATE OF CALIF. E14ZRGY REQUIREMENTS. HAWKINSINDUSTRIES INC. _ #-622164 14.;iE 'rt EP ---- - STATE CONTR. LICENSE X10. �a I hereby certify tate above insulation and all required i.Lert,S as shown Of., Lhe Building Depart, approved plans and Attach;r,eiits have bean .installed as required by the State of Csliftirnis Energy PetluiremenL' All i•yu; tiu,C„L; dcy!,.t�:i died mdLe-i ;.al* 41 .OF the qual ir.y prescribed or urr sirc�cilicnl.ly apprnvL;d by the SLaLe 'of Cillli. P•IRI.1 N�•tE/OW'IER (PLf.ASi, c'K1N?') STATE CONTRACTOR S LICENSE NO. irF t;L i Rist. CON1'RIIC70F/G1v1JEh `' U T1: V tLi1.1:aLe musi:•be onflie wlt11 �-he (i(IILUING DEPARE'M)=NT priur LV l ir,sl inspecr.a .n Lipprov,41 and Copy shall liepgs.teQ within Litt bu;ld;ng, JANUARY I 08 - DESCRIPTION Off'- IN,SULATION - ROOF RQOF McTERIAL >3RANTi .NAME THICKNESS THERMAL- RES" EYTERTOR WALL 1A'ifRIAL FIBUGLASBRAND, NAME C AINTEED T H I C K N E S S ., 2 °! THERMAL RES'.-- Zt"•- �e---W-�--- 'CEILING 5ATT OR BLANKET r TYPE—FiberglasgRAND ,NAME ` = CERT.,iINTEED THICKNESS- ..__ T�t£R}3AL .RES. + - LOO:sE FILL `I' PF L INS L-SAFE�IIBRAND NAME CER D INTEE�. 'Tfi ICFtti ESS %�-%: �s ; -' TNgRMAI, RES ,' > rl,00L, I L.rVATED YtA'rERIAL F I UU1,V S BRAMD'`NAME 'RTAINTEED THICKNESS �_ � ltiEit_MAL',hE�' Ff naR. SLAB MATERIAL. '+* BRAND NA' E T}iIt'.l'.t�ESS —`;:,- TNEFMAL'RES`. WTDTN , FOUNDATION VALL MATERIAL BRAND NAME TM1CKPfESS� THERMAL RE'S, I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH, "HE STATE OF CALIF. E14ZRGY REQUIREMENTS. HAWKINSINDUSTRIES INC. _ #-622164 14.;iE 'rt EP ---- - STATE CONTR. LICENSE X10. �a I hereby certify tate above insulation and all required i.Lert,S as shown Of., Lhe Building Depart, approved plans and Attach;r,eiits have bean .installed as required by the State of Csliftirnis Energy PetluiremenL' All i•yu; tiu,C„L; dcy!,.t�:i died mdLe-i ;.al* 41 .OF the qual ir.y prescribed or urr sirc�cilicnl.ly apprnvL;d by the SLaLe 'of Cillli. P•IRI.1 N�•tE/OW'IER (PLf.ASi, c'K1N?') STATE CONTRACTOR S LICENSE NO. irF t;L i Rist. CON1'RIIC70F/G1v1JEh `' U T1: V tLi1.1:aLe musi:•be onflie wlt11 �-he (i(IILUING DEPARE'M)=NT priur LV l ir,sl inspecr.a .n Lipprov,41 and Copy shall liepgs.teQ within Litt bu;ld;ng, JANUARY I 08 J=OK O=Not OK = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILPTIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete r) 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector k 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 1 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 . u � MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Deptli-Spacing-Connectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RfIrs.-Connectors ti Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing - .11.AExt.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements - i i 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 f Date Card. B-1` Date Card B-1 Date Card B-1' i ti ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UND RFLOOR (Plans) OK except #'s oning-Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec.-(',2/" Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-// " Ftg. Depth tg , Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel -Bloc kouts-Wra pped &jOfemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors lab; Steel -Wrapped 8. Pis -Fireplace Ftg.-Steel . D. .V.; Fall -Fitting -Test -2 Way C/O -Sew est OF Gas Pipe; Size -Anchors - yard piping: size -test Water Pipe; Test -Anchor -Regulator -Service Test fk2. Ele ric; Underground ie ms & Ducts; Clearance -Material -Support -Ins. Gir rs-Sills-Anchor Bolts -Joists -Vents -Cripples 1 Access & Ventilation 16. Insulation Dat _171 Card B-1 Date Card B-1 Date Card 6-1 Date Card B-1 Date PLU GING mit except a's Water Ht Access -Combustion Air -Baffle --------- - --------------------------------- ----------- Water Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection v`J. Shower Pan; Test, First Floor -Tub Access _ 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe; Size & Anchors -------- -------------- ------------------------------------- Date t ��—Card B 1 �� Date Card B-11 `--- - ----- 1 -------------- ---------- Date Ij Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ff's -- — — 22/ Fixture & Transformer Clearance_Ins.-Protection - - — — — fReceptacles S act hts & Switches at -Doors ------------- t - — - - --------- - - -------- ze Boxes & No. of C nto -Stapled - - - Romex Installed Close to Edge of Studs & C.J. 26. Equip Ground made up w!Mech. Fastners-Bono Gas & Water --- ------- --------------------- --------------------------------------- 21. 2 Appliance Circuts in Kitchen & Conductor Size!GFI --------------! --- --------------------------------- ----------------------- 28. Subfeed Wire Size ! ga. Cu or AI-A.C. Wire Size ! / ga. -! Cu or Al d9. Range Circ..�r ga. or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑Yes— - - n Disconnect - -- - ------ ----- -- ✓I. Equip. Clearances Panels-Motors-Mech. Equip. 32 Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector --- --- -- ------------------------------------------------------------------ Date r '4 of Card B-1 Cbl Date Card B-1 ----- ----------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ME ANICAL (Permit) OK except fr's C. Ducts Insulahon & Support Vent Fan Exhaust above insulation ----------------------------------------------------------- 36. Condensate Drain & Overflow: Size - &- Grade --------------------------- ----------- 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------------- 38. -------- 38. Attic Access & Platform it Furnance in Attic -------- - ---------------------------------------------------- - ---------------------------------------- Date �ww' Card B-1 Arid Date Card B_1 — - --- - �-1---------------------------------- ------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 38!5ils. Proper Material & Anchors ------- --------------------------------------------------------------- 40,1 ails Studs -Nailing. Spacing & Bracing -Plates -Sound ----------------------------------------------------- 411'Bearing Walls over Girders & Floor Nailing ------------ ----------i-Wall -(ra----------- ------------- —------------------ ---- Stop - Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------- ------------------------------------------------- 44/Headers & Beam -Size & Bearing tingle & Duplex) - Date FRAMING (Continued) 5. n rs-Post Caps -Anchors -Connectors 4 . ng. Joist-Rftr. ties- Pur'_—root Brac-Truss-Shthng.-Rfng. Fireplace Ties lue-Fireplace Throat clearance 4 . Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4.. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ _Garage Fire Protection Framing eT-Property Line Firewall & Openings --- ---- S . Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54� lywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5f. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ Y/ Glazing Area -Glass Protection -Skylights -Plastic 58., Shear Walls; Nailing -Bolts ><E6 - Insulation -Walls -Ceilings ----------- --------- -1---------- 60. Infiltration -Walls -Windows ---------%—CardBI Date 7 Date Card B-1 - ----Daa- r' Card 6-1 Date Card B-1 Date FINAL (Plans) O e, ept ft's V Ext_Steps-Door & Sidelight Protection -Landings E,2'S oke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------------ 64. Bedroom Exitinq 65. G.F.I. & Bath Fixtures & Tub Access -Spa - -- ----- 66. Elec. Trim & S_ubpanel; Breaker Sizes & Labels 67. Stairs & Rails -------------------- 68. Fireplace or Stove: Clearances -Hearth -- - -- ----------------- 6J Elec. Outlets at Wood Panel: Int. & Ext. Kit.Fixt. & Appliance: Grnd Air Gap -Cooking Clearance 7 Elec. Outlets & Receptacles at Kit. Counter -- 72� Garage Fire Door: Swing -Landing -Closer 7A.C. Duct in Garage -Damper -------------------------------------- — - 7� Wtr. Htr!Vents-Clearance-Comb. Air -Connector -P.. .V. In Garage: Above Floor-Mech. Protection ZePlb., Elec. & Mech. Equip. Listed for Location ------------ -- --- ----- 7'6. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection F Insulation -Foam -Looked in Attic ❑ Yes tia. Guard Rails & Deck Construction -Post Caps -/g'Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ---------- - - — --- 8v Stucco: Brown -Finish -------------- :------------------------ ---- 8VA.C. Unit_ Disconnect_ Electrical, Plumbing - -- - -- 84. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings a4, Water Well: Disconnect, Electrical, Plumbing — ---- __35. Exterior Elec. Trim; G.F.I. Receptacle -Underground 8 j Ventilation Throughout House ----------- -- ------------------------------------------------ 87,."Glass Protection - ---------------- aecorrectie from Previous Inspections 89eter . s Ms Tagged Gas -Electric W,er &Sewer Connected -C/O to Grade -HD Approval -- Energy Compliance Certificate -Other Certificates -------------------------- Date t/1/ Card B_lA;U;Date —Card B-1 Date ` �r Card B-1 _Date - Card B-1 Date y Card B-1 Q y\ Date Card B-1 Comments atfinal: rri�+�-'.} .�.�-. lh�"�-'�.�.h.-•h-�....-•iY� ���41'-Ya'�F. •.�...j���.�L+�:A T':ne4..� COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville,,— Phone: 538-754.1 - 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE Ue dog 2 22z 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. (1I !i UG to --1 y s�l/ ' ,le-, 140-,. "0-/- a 0� �r AZ s. Date �� Inspector " v� f3 M_ COUNTY OF BUTTE - DEPARTMENT OF `PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 2972-91 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,1 64-48-34 1 ZONING RT1 BUILDING PERMIT OWNER Harold Welborn TELEPHONE 877-6071 SO. FT. DCC. BUILDING VALUATION ' 1090 R 55 590 OWNER'S MAILING ADDRESS 6282 Regis Rd Paradise 95969 480 M 8,640 CONTRACTOR'S NAME Harold Welborn TELEPHONE (7 86 co 1,118 160 O 1,120 CONTRACTOR'S MAILING ADDRESS Fireplace "At1 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation is 67 968 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 337.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 168.50 Energy Plan Checking Fee $ 19-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14056 lemple Circle, Magalin Permit fee $ .530.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 81 2.00 16.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 19 NAME IPP Unit 8 PARCEL MAP �S - 9-' Water piping - 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New Addition❑ Remodel E:1 Utilities❑ Installation❑ Other❑ Describe work: XXX 2 bdrm Permit Fee $ 46.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penaltyof perjury p y (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. EJ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( ACC. BLDGS. DWELLING OCCUP.N� OR ADDNS.' 1 �Z�SQ ft + 39.00 NEW CONSTR U TI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES AL SOC .22 00030 Ex. Occup. OUTLETS (RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. MECHANICAL PERMIT Filing Fee 10.00 Heating 6.00 ICooling 6.00 Hood 3.00 1 3.00 Ventilation Permit Fee $ 25.00 LContractor 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. 1 also agree to save,'indemnify and keep harmless the County of Butte against all Iia lities, judgments, costs, and expenses which may in any way accrue agairkq said Co ty in conseque of the granting of thisp rmit. /j gad Date _ k Signature of Applicant - Owner Contractor EJAgentwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures- 3 stories in height.C�� Mobile Home Installation Fee $ Energy Inspection Fee $ 30,00 I o c cc yST TYPE V-A/ TOT L FEE $ 690.50 HAz. cuA PAfi1C SCF CDF P✓ ✓ PDQ t/ i HD, ISSUE. This permit is hereby issued unaer the applicable provi- sions of the Butte County -Code and/or resolutions to do indicated abov for which fees have been paid. EC R LIC WORKS N Ab- - By Date PERMIT EXPIRES 6bate ( over Receipt No. T� o 0 WNITC-D.P.W.. TELLOW-ASS[SSOR. PIN. -INSPECTOR. GOLDENROD.APPLICANT l 14. " COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENT p• IVE - OROVILLE CALIFORNIA 95985 - TELEPHONE: 918/538-7541 '"PEW. RTVAPPLICATION'DATA SHEET a Permit No. OWNER !r/dAw-J/ 2,Jr,cv►i n/ - Proposed Building Use e14 - 28&- Building Inspector _ A. P. No. _ y`a - 3 G o`� z_T/q 0. 5',j 'J Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 2. 3. 4. 5. 6. 7. & 9. 17. . � 9. 20. 21. 22. �3. 24. 25. 26. 27. All items have been submitted . ..................................... Plot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans in duplicate/triplicate, signed by preparer. of plans . . Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form .......................................... Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings ............... Engineered truss details and layout in duplicate (required prior to plan check) Q Mobilehome installation data including manufacturer's installation instructions........................................................ Fees of $ ........................ Chico Urban Area fees paid ....................................... Park fees paid ................................................... paA-401-f- Sch of District fees paid .............. _- / /g'e��0�l� Sanitation approval from Health Department City of Chico plumbing permit ..................................... Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW 7339 Driveway permit (construction approval required prior to occupancy)$- Pre -Inspection for required Pre-Inspec. requev to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement Z7 77 ......... Letter of signature authorization .............:� ...,.....�.......... ' When you issue the permit, process as follows: P' Mail to owner. _ Telephone and hold for pickup at office. Other �s Mail to contractor. Deliver w. /inspector. • 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 Rr.iprto permit issuancN: (Circle rkw !;,em not checked above). 1. Index permit for above items No. 2. Additional items required: m Contractor, designer, owner, was advised of above required data by_phone---nall—counter by ..date Contractor, depigner, owner, was advised of above required data by—phone —ma ll—counter by date Planby Date—Plans approved byDate 4,-1-7 Sets of plans on hold in File cabinet AP folder COPY—DPW C1* C T0: Building,Department , FROM: Encroa,Omgnt Permit `Section RE: Driveway Clearance owner location -AP # Driveway permit 9/�O O L= has been issued for the above property. si ature - 'date ' V TO Buildinc Departme.-t C_ o FROM: Environmental Health SUBJECT: Sanitation Clearance _ -any Owner Location 'O ocat onyO f,a AP4 Plan Approved for: Sewage Disposal Water Supply• _ Fold final for: Final clearance O.K. for: Clearance for _ bedroom nate home. Other Water Supply Water Supply NOTE San.-ta n Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 [[ APPLICATION AND PERMIT PERMIT NO. ASSESSOR P!!CE`NUMBER .r ZONIN� BUILDING PERMIT Ow ER \ J�.'t f\ TELEPHONE g77- 7 SQ. FT. OCC. BUILDING VALUATION a 4&IS- p OVINER'S MAILING ADDRESS CO TRACTOR'S NAME TELEPHONE eb o,f , �0- CONTRACTOR'S MAILING ADDRESS (KE_ Fireplace /5-<D c) , CONSTRU T ON LEN d UNKNOWN Total Valuation $ % 6� Filing Fee $ 10.00 LENDER'S MAIL'NG ADDRESS f} Permit Fee $ 37- AR HITECT OR ENGI EERLICENSE -'-' No. 0•016&6q Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS S AL /'j// F— —_ Penalty $ BUILDING ADDRESS M / Qjda�/ Permit fee C $144 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME Q PARCEL MAP Water piping, 5.00 O� Each gas water heater or vent 5.00 USE OF STRUCTURE SIX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 1 5.00 57 Mobile Home S I G I W 10.00ea TYPE OF WORK New% Addition ❑ Remodel ❑ %III lities Installation❑ Other [_1 Describe work: �Jr.:U �� �djLE- _ Permit Fee $ �6 — Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1o°D AMP ORS 0 LESS �r 10.00 /0 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business /—' and Professions Code and my license is in full force and effect. License No. G1 — / �_6 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) W I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC OR ADDNS. ( ACC. BLDGS. J 'j C/ I/z�sqft 3 / NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS 2,50 ea (POWER APPARATUS &) (SINGLE OUTLET CIR. OUTLETS OR FIXTURES Ex. Occup(BAL930 20@030 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )KEA.) 2.00 Temporary service �-- 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ' Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating do- �O Cooling `L p.J (� LHood _ i 3.00 3 I Ventilation �— permit Fee $ 3 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 liab"lities, judgments, costs, and expenses which may in any way accrue 't. again t aid Coun�y in onsgUen of the ranting of this;7z, Date Z2/ Signature of Applicant — Owner)-Xj, Contractor ❑ Agent 6 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 $ ?o occ CONST TYPE q TOTAL FEEV-' 0'. � 0 '- - HAz. can PARK SCHL rLo cor PAR Po I �SGE This permit is hereby issued unoer the applicable provi- sions or the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. Y� � o O 0, WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT rw3.,.+v..ep.•,.-yv,.Mr^'t*r`wnTl6•�r•�,M"'..,:i'..:•v rrriarr.`rte-"4`iiari'1 �:�:5.`:+cra,}rnwWr•n frc*.4K."y'�'+�••a.0.`t��'�` I^' '7�} z�., l . �."��f`- ^�`'-YK'r''t.�:-•*r .++c.'m•,,""'r^:-:1✓T'ot,� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM �:': ( One Form per Building) yy�� A.P. Number Building Department No., /"6 /�— 4A0913)Ja- Cit School District y D County Q'� Jurisdiction Property Owner YAK 0- (, 4 W f 48-n-Ae-,( 'L Project Location/Address /AY�(Sr4A, ;b% Subdivision /p, Lot Number Residential Development: �.d11 Sq. Footage (� # of Living MHI Addition (Group R) Unit's Commercial/Industrial: O Sq. Footage New Addition (Including Exterior Roofed Areas) a� —e / ,ri81ui ding Department Representative Date (Floor Plans reviewed by School District Personnel)- -__-- ".'. _.r"•{ District. Id NO • F School District certifies that a (!Applicant Name) k (Phone Number) (Street Addre ,) - +'(City) (State) (,Zip Code) \ Y has complied with the requirements of Resolution No. R by the payment of $ -Ig C) representing Q square feet: 4116 Sc ool District. Representative. I Daie PAID BY .CHECK NO. REMARKS: BANK NO l V U O PAID BY. CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) �. r AFOUESTED BY: C-, 9 I -37637 / •Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 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 to land or included within an area zoned 91-037637 1 Rec Fee 5.00 for agricultural purposes, and residents I Check 5.00 of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace.J. Grubbs of agricultural operations including, Recorder but not limited to cultivation, plowing, 8:00am 12 -Sep -91 I CD 1 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: PARCEL I: Lot 19 as shown on that certajn map entitled "PARADISE PINES UNIT 8", recorded in the Office of the WPcorder of the County of Butte, State.of California, on October. 21, 1,9'-m, Book 38 of Maps, Pages 141 2, 3, and 4. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done to the surface of said land. PARCEL II: A non-exclusive easement over Lot A (the common Pines Unit 8 and the lots designated for common described in the Declarations of Annexation for State of Calif. ) County of Butte ) 9)�ea>e�arooao4®o�oo®�®coo m �• FREED L. HASKETT NOTARY PUBUC-CAUF.ORNiA • Butte County aMY Commission Bxp3res e May 20, 1994 e �oaaoo®000aaaam00a1212'12 area) of said Paradise and recreation areas as Units IV and VI. PROPERTY OWNERS: On this the 3rd day of September , 19 91 , before me, the SS. undersigned Notary Public, personally appeared Harold L. Welborn *********************************** Personally known to me. Q Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) it subscribed to the within instrument and acknowledged that hp executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 4064-- 49(0-03¢ Notary Public END QE DOCUMENT 5eaNc-Ie „c _ �..� CIRCLE , AW s 91 toF ansa ita iS vll i x' kept on the job ata times and it is unlawful to f �:-6r e any changes alterations on same without ¢= --�— - �; -z-- I;v_� the Department of Public ,;;written permission from - i 89 `� �,�� TFL o Wgks, 4unty of Bu e ' rr�•y 5.00' � -�— ,., � ,• 95 _._.- A 1. -1 *�k i' NOTE AI[ Materials & Workm i a413e iri Accordance.with Recognized cti d Pr W, � ` 'Q of a quality pre'kri-bed for the v eclfie use ira:tl�e ." r /'� i A f "S R. >jrom't�he 'e^nc`''�L - 'rc.�t 5 p operty lines and a setback .* y Uniform Building, Plumbing& echan aFCodes anLd Of 50 R. from the road - the National Electrical Code. __ .-� 9 jgnterllne shall be clear; of r, trF� straatures or equipment .except' I for a 2 ft. eave overhaug. .r,: — _t� iii �. ...:� R{!/./iI'�8 Ll�� T F 1 •-.�." .t�. _ S 1`rt •� �s K,. � .� ��.�t *,� h i�"!• �JI el t r 1 ter' wza s1,E , A+hso- ID - N �a r' TOP `CHOP 2X4 FIR -LARCH 01 907 CHORD 2X4 FIR -LARCH #1 WEBS 2X4 FIR -LARCH STANDARD CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH '°- REOUIREMENTS OF I.C.8:0. RESEARCH REPORT 02849. ALL PLATES ARE.TO BE CENTERED ON THE JOINT. LEFT TO RIGHT AND TOP TO BOTTOM, EXCEPT KHEN LOCATED BY CIRCLE OR DIMENSION. SEE O'AAWING.130 FOR "PLATE -LOCATIONS ON TYPICAL JOINTS. 'NOTE: iia=13-[iEK--F1RVOR BETTER COWINUQUS LATERAL BOTTOM �Cj4M=BRAC;{yG-V-72" MAX. Q.C. AEOUIR,ED. ATTACH WITH 2-16d -NAILS. BRACING IS NOT RCOUIRED IF A RIGID CEILIN13 IS ATTACI-EQ DIRECTLY TO BQTTOM CHORD. BRACING MATERIAL T4 BE SUPPLIED AND ATTACHED AT BOTH ENDS TO A SUITABLE SUPPORT BY ERECTION CONTRACTOR. 1X3 3X6 4 4x4 3Xd 3X4 7C X -LDC L-Fz 0.29 6.56 12.00 17.44 23.71 SC X -LOC L -R: 0.29 8.69 15.31 23.71 SINGLE CUT WES 0 -TC: 1.4 (U) BOTTOM CHORD CHECKED FOR 10 PSF LIVE LOAD_ TOi?�Cl-IORO-SHALL BE VA-:TERALLLY BRACED +ISH -PROPERLY CONNECTED 1,P -ML -INS -SPACED -AT A MAXlMUMYC0*241U'C J CONNECTOR PLATES CESIGNED FOR GREEN LUMBER PER NQS. -TABLE 8.1B. 12-0-0 t12-0-0 3X4 1X3 r* �4.00 3X6 .r 0 D C D nr m O GD lA 0 N 0 I - r__2-Q:�0=t3 R-72221 x- 3.50' r� l R-12224 x- 3.50' /I LT. TYP.-ALPINE SEGN-- 97131 FURNISH A COPY OF THIS DESIGN TO ERECTION CONTRACTOR REV 15.3.4 C+1LE - O. 0 0 o t= c= c=*39IMPORTANT-A* C= t= v t C= em o t= =1 :� o c C= C= t= cs !" Q �� C o TR g a .ssrr� osmrsssa amsu�tia, tee. *aau +sem * eaas are► oar as arssors,ae �� .rn ARNING ar r«.a,� L71LCtm(M .,o ac+urrvr trs+r++ua mses:arta�o m an IMLIFIM smn:rs.m •rt-ra. m=$m lose MAW= Tme a,tm a am scmtm ro sato rrs Huss IN ew urmw me �ev.00.avo-sora. 'm am nt 'Q^r" polio" awls• :R Mar. xrna: coogr" a "as semAor no rooQrMOM aeara PtIVA- An amwACV%M aor as SUM sauraao 6+m Ma Wn" rtwaeees. vam CMIM a mwmm oast sa Tm Geon wv ai Amos s"s aaoc a. wmr 1'av ow a-" a tarosu t soosao r.lr eDKCt7i v wm em= N cam 10" MQ LOW% a vvu mswat Moo" PLv" o "A"an► am=. wwwo srsrro ut a• Aron outss amsr■ts[ parr. mcm aeao KTM alma c2lu e a malt seta mm"m we +rr*r .rarcast Wa+�ures ar As :vmnw a amts. m tar mt "ns asr xe .*a± mart . Cgt,�r rr7M Itmi rt'�orn 1c>EattD UAev. Ca � �fl� ��(� !31 I� 4 OES EGN C R ET: UHC REF 8427 TC LL 30. 0 PSF TC OL 10.0 PSE BC OL �U} 5.0 QSF T0T . LO . 45.0 PSF DATE 06/0 QAWG CtUDUV CA -ENG Q/A LEN- 24 OUA .FAC . 1.15 PITCH 4 __ . ..... .. _ gnu• RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) r 1st.; $ • •1 y�,s Bldg., Permit # OWNER `/Cc/�y/rl 'y Gy����0.0�6U A. P. # �p ;Plan Checker GENERAL ' t Zoning require ents: (sideyards'and number` of permitted living. units). f luation. dans signed by designer. �.. Proper description of work on' -application., Y. *, &j*t"e=s on data sheet. (W.C., fees; Health, Developer Fees, -License- law, etc).- . 7 a,..._.•A .7 t F• �.. - _ n. PLOT PLAN -, �mplete parcel size and.dimensions.B. �; ] ����S��e,,jjtbbacks., sideyards, easements, etc.. AV'Flood^hazard. , , - ad e ,� — a.;; 1 d�---��°�„r�;�.; ��e�--ao�-sss. l (RP�n a•-�e2�e) . FLOOR PLAN y •. omplete to scale plan with dimensions. Required windows for light and ventilation`(Sec. 1205). ” Required windows for second exit (Sec. 1204). ylights (Chapter 34,&'Sec. 5207). ! n impact -glass (Sec: 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths,garige,'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 coolingequipment, other electrical or gas equipment. .Garage firewall,.do.or size, and closer (Sec.' 503(d)(3)). . 1 - 310" 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 t tandard bracing or engineered design (Table 25V) nusual shape, size; or split level house requiring lateral design. lerestory requiring balloon framing"and/or engineering.' hree story building requiring -engineered calculations and plans. oundation plan complete enough to construct building.. loor construction details complete enough to construct building. levations and wall construction details complete enough to construct -building oof construction details complete enough to construct building. ireplace construction details and talcs if necessary. after ties or bearingridge beam. arage door or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. pecial.Inspection required. 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). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. T 36" halls and stairways. iving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). . Attic access and ventilation (Sec. 3205),. . Underfloor access and ventilation (Sec. 2516).4 Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. lashing at all exterior openings. ZI-7'-CDF responsible area requirements. © J4 74 1 ;-�.ti 1 HARO LD,,Ly, WELB OR N AID ARCHITECT (916) s»-6071 C016664 BID FOR :-rs- eq PA4 : I ; J68-1 . 4.) . tr C146 D2. . tr... �,0,6 C4 i • s• �Z�_ �r'� = 2_484-'••,—. M D6 '44 35(%z� 2 70 fi Fr N 5-71 6C4>1. it / �3 S. fv 7P- SN ryl 7= P4—�Daz �-60 :a: 21 So 0 a - 6 1-7, A -57 1,p (rl*- Y. / -9z". 230. 4-01 1-9, 2ino :2,5 Y �3 3 5--4 c--- ie- sa P-� IP/FT aFP V ( 'oc> fit - BY DATE- '`��iY/�'f;:i.tf';1� �_-SH E E T C)F-,,� W'ELB bR N' HARD LD L ARCHITECT (916P877-6071 A 0 E B D' C6)666-4-*-' F 0 R joBl� /.� . 0 H • -BeFA' yj -F<OTA L _ t 2U 81 Y 3 Z> "Z L; 8,-o' I $moo - ZJ R - f 7 P7ZS I 1, 25'.38 (�,5� -' l `, � � ' fly / o J� 14' 70; -s q, 'al ALU:444P C3 zo -P F A-4 1, sed (a 14OL; S4 1<50 Ap� A 31 -172 -� -- 21' 7"�/ Z�,3 � �l,!5" J) a {' � l ��� s 95` � t � O.IC, j`S _ l O 9 -2-L7, 7C, ras LV I.A. 11-1, (Sy 7 z boo z actio .fill! 124, 5 I- I END FT-65looms � 1113 F SHEET OFA3 BY: DATE. 1 • � HARO LD'fi L. WELBOR N =' ARCHITECTS (916)1677-6071 C01666A { FOR Fi+ CO. 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Ir le .{'.�� { • ,/reit G r{+Af�,il'kL / f r e , :�"� l .t ria �:r F• '' II, r'1 rl `� 1n 71 1 $4jj .1rYr ..r � 4 r:rr5y '� Jay i :.1;41.1.•. �:�. { VV 1� � 4 r:rr5y '� •r. � :.1;41.1.•. �:�. { 1p �• ry 1 ��+ •a` � mow.... � ..• r•-`•' �` .c Qn U) y Q y ,aof ' r rj r N T,� ` Ll:. ,(^ � . ,_. •V' 3 u""i t' � r��` � t ,o� _ •'{, s r i %U t'_ .. T-• J. S _ . x•4.1 4 t . 1••i i .. t . • "� l'• r. - t '�.. S '•'�/°� {.M �.' • ' LTi jr.. ,�.�...tL{yr - s -.. ;;+ +..q{,l''�.��' '+,. �" .`1��.A rr t-� 1:,1 ........ � __ � r.� � Hi.uaJ..w',."........-..w•w-,nM... �..... ..... .. >. L'. f-�4��.{.-.��_�� ,x,_yx..l• .. + w..........:.=�.......}.. . � ._. aw.a. r,•y+•, •{• v..^^;�� i�+s3 _.yam _.+.-.+ 1.. •+1�• t� •��', + "� l� V l its f zsg ML L_. N .' I . , _..._�..........., to 4 < < N S. Infiltration (Air Leakage) 1. Ceiling Insulation Two -7. -4 -2 2 Three -5 3 2 2 Points 0 Number of stories 6. Glass Heat Loss Closed) t Gla= x SQ R -value One Two Three Effective R-0 -103 -119 32 U•value R49 -8 -t .2 Skylight R30 .2 .1 .1 Glass Rab 0 a 0 .50 U -value - less ' 50 -121 0.50 -176 -84 -S4 .10 0.30 -102 .49 32 37 0.10 -26 .13 -8 8 O.C8 -18 •91 -6. -19 Us -11 •5 -4 30 0.04 .4 •2 .1 -4 0.132 4 2 1 -58 0.00 11 5 3 5 2. Wall Insulation 28 -55 •18 Single- Single - •2 5 13 Family Family Multi - -17 R -value Detar-ned Attacned Famriy 13 R-0 -68 -51 34 -8 R-11 a 0 0 25 R-13 2 2 1 0 R-19.._. ....8 .__.._ .._ 6..... -- -. 4 24 - U -value -12 .5 1 --114 --: ----116 14 0.50 -91 -68 46 : 0.30 -47 36 -24 22 0.10 0 0 0 3 0.08 4 3 2 34 OXIS 9 7 5 - 0.04 14 11 7 j 0.02 19 14 10 16 0.0 24 18 12 ' - 3. Raised Floor Insulation 16 _19--26 - :. -26 Inmiation In Floor 2 -.7 : 12 Number of stories 17 -23 R -value one Two Three 12 R-0 -t 7 -8 -5 0 R-11 3 .2 .1 17 R-19 0 0 0 6 R-30 3 1 - - 1 14 U-vaiue 3 7 10 _ ---0.60. •1144 -110 .46 : '=t 0.50 -120 -Se 38 15 0.40 .95 -46 30 6 0.30 -69 34 •22 19 0.20 _L3 -21 -14 10 0.10 -17 -8 -5 10 0.08 -11 -6 -4 14 0.06 -6 -3 .2 .-1 0.134 .1 0 0 i7 0.02 4 2 1 12 0.100 10 5 3. 20 Controlled Ventilation Crawispace 15 WS3� 5 3 Number of stories 2 S. Infiltration (Air Leakage) 7..Shading (Shade Open) Specifim6on Standard Two -7. -4 -2 2 Three -5 3 2 2 Points 0 Percent Gln 6. Glass Heat Loss Closed) t Gla= x SQ Family Family (paeeat giss6 x SLS Total Effective Detached Att;iwad %Glass North U•value %Glass Percent East South :West Skylight .51 to Alto .31 t3 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 ori -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 •18 -10 •2 5 13 17 -52 -17 -9 .2 6 13 25 -49 -15 -8 .1 7 14 25 .46 -14 -7 0 7 14 24 -43 -12 .5 1 8 14 23 -40 -11 -4 2 8 15 22 37 •9 3 3 9 15 21 34 -7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 _19--26 - :. -26 -3 2 -.7 6.42. 17 15 13 11 12 16 17 -23 .1 3 8 12 17 i6 -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 it 14 17 19 9 .-1 10 13 15 i7 20 8 2 12 14 i6 18 20 7..Shading (Shade Open) One -11 -4 2 -1 Two -7. -4 -2 2 Three -5 3 2 2 -Effeeti.e Percent Gln Pis, Siam Closed) t Gla= x SQ Family Family (paeeat giss6 x SLS _.. ... •. Effective Detached Att;iwad %Glass North East %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 ._ , . 2 . 5... t .__ . na 14 4 2 5 1 na 12 3 3 5 2 na it 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 t d 19 ?8 -14 47 0.80 7.33. 8 7 6 5 1 -1 1 •1 -t 2 0 1 .2 d -2 0 4 4 3 .1 0 a .4 a -7 -5 -4 na = not allowed •9 6.0 (SE or HSPF x duct efiicieney) R -value R-0 R-5 R-11 . R-19 One -11 -4 2 -1 Two -7. -4 -2 2 Three -5 3 2 2 $, Shading EffecM (Shade Effecttre (percent Pis, Siam Closed) t Gla= x SQ Family Family 4. Slab Fdge Insulation _.. ... •. Mass Detached Att;iwad %Glass North East Stlttdt We6:1` Slry6gtlt 0.20 ` Number Of $IOfIBS�i=tl�R•}' SEER 0.40 5 4 3 &1 0.60 R -value One i Two Three 1,t8 -14 -48 -69 13 10 R-0 0 0 0 16 .12 -42 -59 55 _'' ria ' R-5 8 5 5 Z ►- - , e� w14' 12 ill .10 -8 -35 -29 -50 -L6 -t0 37 na . 1 na R-7 8 13 3 11. Heating System -7 -26 36 33 na F2 facmr 4 3 (a-twmes ducts in attic) _ 10 -6 .23 31 -29 -74 .0.903 12 .25 or -24 to -14 to d to 1 9 -5 •20 -27 -25 -65 0.60 0.70 1 �' ♦ -1 t, Z ` 2 y`` 0 '. _ 1 7 i 3 t d 19 ?8 -14 47 0.80 7.33. 8 7 6 5 4 , .2 2 g. 5 7.79 13 11 10 8 -11 -9 -15 -11 -10 .38 -30 0.50 0.40 9 9 6 6 4 4 3 .1 0 a .4 a -7 -5 -4 . 23 .16 •9 6.0 (SE or HSPF x duct efiicieney) -7 Effective -25 or -24 to -14 to -4 to +610 16 or 1 -2 -1 -9 275 -73 tot -56 -t7 -38 -30 na 3.41 -45 -39 -34 -24 ' -18 0.40 _-29 3.67 •34 30 -26 -22 •18 -14 0.50 4.58 -10 -9 -8 -7 a 2 3 4 3 0 0 0.60 5.50 5 5 4 3 3 na . not &Acwed 0.70 6.42. 17 15 13 11 9 9. Interior Thermal Mass Interior Mau ICFA 0.0 CIA 0.3 0.5 0.7 0.9 1.1 1.3 1.5 20 25 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 7.5 8.0 8.5 Slab Floor Raised Nor Stories Stories One Two Three One Two Three -8 .5 -4 •2 -1 -1 .8 -5 3 -1 0 0 -7 -4 •2 0 1 1 5 3 .1 1 1' 2 -5 -2 -1 1 2 2 -5 4 0 2 3 3 -t .1 1 3 4 4 -3 0 2 3 4 5 3 1 2 4 5 5 -1 2 4 5 6 7 0 3 5 7 7 8 1 4 6 8< 8 9 2 5 7 9 9 10 3 6 8 9 10 10 3 7 8 10 11 11 4 • 7 9 11 12 12 5 " 8 9 11 12 12 5 8 10 12 13 13 6 9 10 12 13 13 6 9 11 13 13 14 6 10 it 13 14 14 7 10 11 13 14 14 7 10 12 13 14 . 15 10. Exterior Wall Thermal Mass % Glass Exterior SEER � X Walt Family Family Multi (unmet ducts In attic) Mass Detached Att;iwad Family 0.00 0 0 0 •25 cr .-24 b P14 In 0.20 3 2 1 SEER 0.40 5 4 3 more 0.60 8 6 4 a 0.80 10 8 5 -5 1.00 13 10 7 -5. -4 -4 1.20 13 12 8 9.0 1.40 12 13 9 -1 1.60 10 13 11..., 0 1.80 10 12 12 2- 200- 10 11 - 13 I .. 11. Heating System 3 2 11.0 SE or HSPF ' 6 4 3 (a-twmes ducts in attic) . 9 7 Sum of 1-6 .13.0 tar+ 17 14 12 .25 or -24 to -14 to d to +6 to 16 0,r 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 -17 Effective SE or HSPF •9 6.0 (SE or HSPF x duct efiicieney) -7 Effective -25 or -24 to -14 to -4 to +610 16 or SE HSPF less -15 5 +5 +15 more 0.30 275 -73 tot -56 -t7 -38 -30 na 3.41 -45 -39 -34 -24 ' -18 0.40 _-29 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 t 0.90 '8.25 ,32 28 t 24 ` 20 17 13 a 1.00 9.17 370 32 ; =28 24. 19 15 2 22 24 10 8 7 6 s. .Zonal Control Adjustment 3 System Type 19 -Stories Resistanceti 10 - 9� 7 6 4 3 OOter' �+- 6 5 4 3 2 2 -2 -2 Two + 3 3 .: 2 2 2 1 Slagle•Fgmpy !>eftched ane 12. Cooling Syst•:m U-value.[GA51 % Total Glass [ 161 % Glass SIC SEER � X ? = 3 • ,3 O X (unmet ducts In attic) D Stm of 7-10 O X = •25 cr .-24 b P14 In -4 lo +6 to 16 or SEER .less' -15 1 5 +5 +15 more 8.0 -111 •12 -10 a a -4 - 8.5 .9 -7 -6 -5 .4 3 8.9 -5. -4 -4 3 -2 -2 9.0 -1 ( 3 3 -2 -2 -1 9.5 0., 0 0 0 0 0 10.0 4' 3 3 2- 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 .13.0 tar+ 17 14 12 9 .6 30% j: F-lfedre SEER 40% 45% SOX (SEER xdud efncielcy) 60% SA r %it at 7--10 7S% 80% 8S<b Effective -25 or, . -24 b •14 b .4 lo . +6 to 16 or SEER les.'; -15 5 +5 +15 more 0.8 1.1 $ 1.3 13 1.7 1.9 5.0 30' •25 21 -17 -13 •9 6.0 -12 +: -11 A -7 -6 4 6.6 .5 -t -4 3 _2 .2 . 7.0 0 0 0 0 0 0: 0.6 1 1.2 1.4 1.5 9.0 i6 14 12 9 7 5 . 10.0 22 19 i6 13 10 7 11.0 25 • 13 19 15 12 8 120 30 " 26 22 18 14 9 13.0 M 24 s, 20 15 10 1.5 t� Z;inal Control Adjustment 2 22 24 10 8 7 6 4 3 15 No CooGw, System Installed 19 -Stories 4.3 4.5 4.8 5 One -5 -i .4 3 -2 -2 Two + 3 3 .: 2 2 2 1 Slagle•Fgmpy !>eftched ane Attached 22 C nit Size (s" 1.U 26 Water x139 i260 1700 2200 2700 Heater Credit or . b to to : or Type Type" .less 16M 2199 2699 more SG None 0` r 0 0. 0 0 or Sciar" <12 'i 8 6 5 4 HP HWRf, ' 8 5 4 3 3 15 WS3� 5 3 3 2 2 4.7 POU, ; 8 5. 4 3 3 SE None. `37 -24 -18 -15 -12 i.3 Solar, -1 •1 -1 0 0 2.3 HWR1 -18 -12 •9 .7 -6 14 WS8 •25 -is -12 -to a 4.4 POU i . •18 _42 -9 -7 -6 C None. '•5 .3 .2 .2 .2 0.9 Solar' 7': 5 1. 4 3 2 2. POU 3 2 1 1 1 IE Nona l -28 -19 --14 -11 -9 4.1 Solari, .9 5 4 3 3 5.1 POUs , •.0 a .5 -4 Muitl-Fasall7 (individual units) .3 S.e , Unit Size (sq 62 Water [99 700 1200 1700 2200 Heater creditx b to to or Type Type 46 1199 1699 2199 more SG Nana :G 0 0 0. 0 'or sola} 14 7 5 4 3 HP' HWt; 9 5 3 2 2 1.5 Wc3 4 4' 3 2 2 26 POU- 19 5 3 2 2 SE Nona '�5 -23 -15 11 •9 4.7 Soiir 2 1 1 0 a 5.7 HW.4 -23 -12 -8 a '.5 1.2 Wsa- ":5 113 8 1.8 5 22 _ PCU _23 _12-9 27 3 -5 ICi . Ncne .3 .4 -3 -2 -2 4.3 Sonar 6 3 2 1 1 5.4 Peer 1 0 0 0 0 IE None 3 _0 15 10 a -6 1.2 Soar 18 9 6 4 4 3 POU a -t i .3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD Measures - 1. Ceiling Insulation RID 1_04 or R-vaiue (381 U -value 10.0301 2. Wall Insulation tit or -vain uet(111 U-vaiue (oA981 3. Raised Floor Insulation _R 11_ or R-value(191 U -value (0.0371 4.Slab Edge Insulation S. Infiltration 6. Glass Heat Loss Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c.- South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Blass 11. Heating System Zonal Control? ( Y / N ) 12 -Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value (01 F2 factm [0,771 Standard Point Scores. __- 0- n31 x Type (doublel U-value.[GA51 % Total Glass [ 161 % Glass SIC Eff. % Glass � X ? = 3 • ,3 O X = D Interior MasslCFA O X = Des 0_ X --- _ GL% . r"It r w,as Eff. 010 Glass X �41T= 9-7 Q X _- 1 - < X ` TYPE 1 MASS AREA InttriorNuarCFA � 9 COND. FLOOR AREA , TYPE 2 MASS AREA _ it•P.°�K<'•1� te.rw<w a_.� COND. e'L OR .AREA P 3 t 7;- X. 4 TYPE 1 PASS (ULC b 4-2. Its *.Dosed .lab! _ 10.7216.61 `k , X ) -)- _ SEEM DuctEfficiency (0.741 Effective SEER [7.031 011 S% 10% tS% M%. 2S% 30% 35% 40% 45% SOX 55% 60% SA 70X - 7S% 80% 8S<b - 9t7X 95% 1001'. 105% 1107. 115X 120 125' 07: 0' 02 0.4 -0.6 0.8 1.1 $ 1.3 13 1.7 1.9 t 1 23 2S Z0, 19.3.2 14 16 .3.8 A 4.2 4.4 ..4.6 4.8 5 S3 10 7: 0.2 0.4 0.6 0.6 1 1.2 1.4 1.5 1.9 21 23 25 27 29 11 13 SS 17 4 '4,2 4.4 4.6 7.8- S 5 2 5.4 20% 0.3 46 0.8 1 1.2 1.4 1.5 1.8 2 22 24 27 29 11 13 15 17 19 4.1 4.3 4.5 4.8 5 52 5.4 56 3011. 0.5 V 0.9 1.1 1"4 1.6 1.8 2 22 24 26 28 3 32 15 17 39 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5 6 5 8 407'. 0.7 09 1.1 1.3 1.5 1.7 1.9 22 24 26 26 3 3.2 34 15 S/ 4 4.3 4.S 4.7 4.9 5.1 5.3 5.5 5.1 59 50% 0.9 1.1 i.3 U. 1.7 1.9 21 2.3 73 27 3 32 14 U l8 4 42 4.4 4.6 4.8 S1 5.3 5.5 5.1 5.9 6.1 SS% 0.9 1.1 1.4 1.6 1.8 2. 22 24 2.6 26 3 32 15 17 19 4.1 42 4.5 4.7 4.9 5.1 53 58 S.e 6 62 60% 1 12 1.4 1.7 1.9 11 23 25 21 29 11 13 3.S 18 4 42 4.4 4.6 4.8 ' S 5.2 5.4 5.6 5.9 61 63 65% 1.1 L3 1.5 1.7 1.9 22 24 26 28 3 3.2 14 39 18 4 4.3 4.S 4.7 4.9 5.1 53 55 5.7 5.9 61 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 29 11 13 15 17 11 4.1 4.3 4.6 4.8 5 S 2 5.4 5.6 Se 6 5 2 5 4 75% 1.3 13 1.7 1.2 21 21 ZS , 27 3 12 14 15 16 4 l2 4.4 4.6 l6 5.1 5.3 SS 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.1 1.9 2 22 24 26 28 3 13 1S 17 19 4.1 4.3 4.5 4.1 ' 4.9 5.1 54' 56 5.8 6 62 64 66 as% 1.4 1.7 1.9 2.1 23 25 2.7 29 11 3.3 3.5 18 4 4.2 4.4 4.6 4.8 S 52 S4 56 59 6.1 63 65 67 907:' 1.5 1.7 2 22 24 26 28 3 32 14 3.6 18 li 43 4.S 4.7 4.9 Sl 53 . SS 17 S.9 6.2 64 66 68 95% 1.6 .1J 2 22 25 27 29 11 33 15 17 19 4.1 4.3 4.6 4.8 S 12 5.4 5.5 5.8 6 6.2 6.4 6.7 6.9 100T 1.7 U 21 22 25 28 3 32 14 16 18 4 42 a 4.6 4.9 St 5.3 SS 5.7 S9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 24 26 28 3 13 1.S 3.1 19 4.1 /.3 43 4.7 4.9 St 5.4 56 5.8 6 6.2 6.4 66 go 7 110X 1.9 V 23 2S 27 29 11 13 3.6 3.8 4 4.2 4.4 4.6 4.8 S 52 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 22 24 2628 3 3.2 14 3.6 3.8 4.1 4.3 4.S 4"7 4.9 Si 13 5.5 5.7 5.9 6.2 6.4 6.5 6.8 7 7.2 i 120% 2 23 2S 27 29 3.1 13 15 17 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6.5, 6.7 6.9 7.1 7.3 125% 21 2.3 2.5 28 3 12 14 -16 16 '4 4.2 4.4 4.6 42 St 13 15 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 `,7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures - 1. Ceiling Insulation RID 1_04 or R-vaiue (381 U -value 10.0301 2. Wall Insulation tit or -vain uet(111 U-vaiue (oA981 3. Raised Floor Insulation _R 11_ or R-value(191 U -value (0.0371 4.Slab Edge Insulation S. Infiltration 6. Glass Heat Loss Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c.- South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Blass 11. Heating System Zonal Control? ( Y / N ) 12 -Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value (01 F2 factm [0,771 Standard Point Scores. __- 0- n31 x Type (doublel U-value.[GA51 % Total Glass [ 161 % Glass SIC Eff. % Glass � X ? = 3 • ,3 O X = D O X = Des 0_ X --- _ GL% SC Eff. 010 Glass X �41T= 9-7 Q X _- 1 - X ` TYPE 1 MASS AREA InttriorNuarCFA � 9 COND. FLOOR AREA , TYPE 2 MASS AREA _ Exterior Wail Maas COND. e'L OR .AREA P 3 t 7;- X. =• Sy s SE orHSPF Duca Efficiency [0.78] Effective SE or 10.7216.61 HSPF (0-56/5.15] X ) -)- _ SEEM DuctEfficiency (0.741 Effective SEER [7.031 5 (;L, I ---_ Type (SGl Credit Camel 0 Sum las Point Total. t H Leruncace or t-�olnPLIaIIce: itcesigenuai Ciimate Lone 11 Documentation Author Tdephon a Enforcement Agency Use BL91DING DATA Condition oorArea Slab s Floc Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Multi -Family (NM Number of Stories G Area % G North East Insulation Number of Units 1_ South. t R -Value [ ] Addition Alone west A O [ ] Existing Building w'Skylight 0 , 6 [ ] Existing -Plus -Addition 'Total 114-S. /D• S •r •� BUMDING SHELL INSULATION Component Insulation Acafion/Comrsents Tyre R -Value (artier, :o garage, r pi_r�, etc.) Wall .............. East Wall .............. Soutrh ( ) Roof ............. •r •� South ( ) Roos' ............. West Floor ............. West ( ) Floor ............. Skyli ght....... Slab Edge..... a •t THERMAL MASS GLARING Type/Covering Shading Devices Glaring Area Glass Type Interior Exterior Overhang Framing Type Orientation (St) (sincle, double) (Tolier blind, etc.) (shatlesaam etc.) (veslno) (metaltwood) _ North ( ) zoa-6 4a Nor-u`t ( ) East East Soutrh ( ) •r •� South ( ) West West ( ) Skyli ght....... a •t THERMAL MASS Type/Covering Area Thickness (slab/exvosed, tile, etc.) (Sf) (inches) Location/Description (kitchen. bath, etc.) HVAC SYSTEMS Type (furnace, air conditioner• heat pu1T1D) Minimum Duct Efficiency Location Duct Output E. SEER,HSPF) (attic, etc.) R -Value (Btuh) Manufacturer / Model # (or approved equal) 101 Maximum Fumace Heating Output: Btuh v V ..-N(j v HOT WATER SYSTEMS ©X1 0 O v Tank Manufacturer/Model # WI System Type (storage gm. etc.) Caoacit ora oroved equal) Scecial m(s) SPECIAL FEATURES/RE-. ARKS (Add extra sheets if necessary) FA n Mandatory Measures Checklist: Residential . MF -1R NOTE. L owrise resi4ettial buildings subjst to the Startduds mus contain these mrssnes m9arfarss of the complisroe apptnoch used Items maned vnnn an asrcnsk (•) may be superseded by sort sotngerrt compiianx n 4uuanme fistd on ate Cwficate of Comdiance. When this cATtiju is incorporated into the permit documents, the (oasts nowdsl id be consndered by all parrs as binding maunum component parfortnarrt spoeGeatras for Ube mandatory measures whether they at shown dserherc to tete documents or on this check -lis only. oEscurnom DFSIGnit FNFORcDONT Building Envelope Measures • 52.5352(a): Minimum coling insulation R.19 weighted avenge. §2.5352fbt Loose rill insulation manufacturer's labeled R -Value. • 12.5352(et Minimum wall insulation in framed walla R-11 weighted average (does not apply tit eatereor mass walls). 12.5352fkk Slab edge insulation - .rate absorption rate no Vita= than 03%. water vapor tnnsmtssson n¢ no greater than 2.0 per Winch. §2.5311: Insulation specified or installed meets California Energy Commission (CFC) qualify st-...t. rds Indicate type and form. 12-5352M Vapor barriers mandatory in Climate 2dno 14 and 16 only. 12.5317: InftltrationvEariloauon Contests a Doors and windows between conditioned and unconditioned spaces designed to limit au lokagc. b. Doors and windows certified. e Doors and windows wcather%ripped; all joints and penetrations caulked and soled §2-5352(e): Special infiltration barrier installed to comply with 62.5351 moon CEC quality standards. §2.5352(d): Instillation of Fi tplaces 1. Maaomy and factory-buih fireplaces have L Tight fitong, closeable metal or glass door b. Outside air intake with damper and coned e Flue damper and contra( 2. So continuous burning get pilots allowed. HVAC and Plumbing System Measures §2-S352W and 24303: Space conditioning equipment sizing: auacb calculations. §2.5352@) and 2.5315: Setback thermos as on all applicable heating systems. • 12.5316(aY- Duces earsuuctcd. installed and insulated per Chapter ►4 1976 UMC. 12-5316(b): Eshaua systems have damper c0000(s. 12-5314(c): Gas -turd space heating equipment has intermittent igmitiom derica. 12-5314: HVAC equipment• ware heaters, showahads and faucets cen ifted by the CEC §2.5352(1: Water ho=c insulation blanket (R-12 or greater) or combined interioricste for insulation (R-16 or greater): fust 5 Icct of pipes closcm to tank insulated (R-3 or greaser). §2.5312(Eaception A: Pipe insulation on steam and steam condens-=e return do recirculating piping. §2-531g(dk Swimming Pool Heating 1. System has: a. OnMff switch on heater. b. Weatherproof instruction plate oto heater. e Plumbed to al:o- for sonar. 2. 75 percent thermal cfrecicncy. 3. Pool cover. 4. Time clock. 5. Directional rate inlet (.ithtint and Appliance Measures §2.5352(fx [_fighting - 25 lumenstwatt or greater for general fighting in kitchen: and bathrooms. §2-5314(c): Gas rued appliances equipped with intermittent ignition devices. 12.5314(x): Refrigerators, refrigerator-frcCZM. Imcxcn and fhrora[att (amp ballasts certified by the CEC Indicate make and model number. COMPLIANCE STATEAUNT This of dficate of compliance lists ter building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article 1 of the California Administrative code. This mrdf tate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the cYrdfcare m any subsequent purerterser of the building. I}esigner .. Building Own ` Name i_C9, L Name JCaC7r/ T'; T•stkfFum AddAddress: S/✓e �./ Tek¢wne —&0 -7j Tckpiwnc Tic. I: itgnaaue) (date) (signatt=m) (date) Documentation Author Name: Tit1uFtrrn: Enforcement Agency Name: Agerx)r.