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064-580-028
ti 0 64,58L28 q -,-"q,. - 072 -.'89B, -,E M BROGDEN,. Mark:& Beth`„ MA""' 6303 Victoria galia - .6 1 - Contr �.` lee -Benn- ett fz- (new single far�il ��., yi',', ;r. 02'2912, BOB ,-WILSON, .6303,' , 94ONT�.G. ALLAG E RR! ,C AD66M LINE HVAC C/O.ik, ; ll_ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT C- ASSESSOR PARCEL NUMBER Obq 17J� _V d — O 2,3 ZONING BUILDING PERMIT OWNER 1 S-6 V13 o �b TELEPHONE SO, Fr. _ OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 0 I &brt via, CONTRACTOR'S NAME TE ON CONTRACTOR'S MAI O n �If CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDINGADDRESS 0V,6+0 _ / f J cit �� Energy Plan Checking Fee $ 5 $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other —SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 11nUlilities ❑ Installation ❑ Other ❑% Describe Work: VI �S I' e `LP VC , DPERMIT Gas piping system 1 - 5 outlets 15.00 I Building sewer 15.00 Mobile Home I S I G I W 920.00 FEE S 13. (�Q ELECTRICAL PERMIT Filing Fee 20.00 Main Service OOOV OR LESS 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fulforce and effect. �, 2c, License Class �` p Lic. No. 3 7 OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 rY P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workermpensajiipn insurance carrier and policy number are: Carrier AA ��{=� Policy Number -_ �L � _ . a+y / — Ov o (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or. less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall compensation ws of California, and agree that if I should become subject to the employ any person in any manner so as to become subject to workers':�j workers' co ensation provisions of section 3700 of the Labor Code, I shall ith c ply with those provisions. X Date _ (O ' �— — ®„Z Signa ure of A licant - ❑ Owner ❑Contractor gent An- OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main .Service 200A TO 1000A 46.00NEW CONST. DWELLINGOCCUP. SO OR ADONS. ( & ACC. BLOC. 3.5¢FT. NO" N pCSID MULTI.OUTLET @7,50 IRCUITS POWERAPPARATUS a SINGLE ounEr CIR. 20 Ex. Occup. OUTLET OR FIXTURES BAL (P 50 Ex. OCCU FIXED APPLNS. OR O.FIXED EA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating i 5� Coolingi 5,17 Hood 6.50 Ventilation PERMIT FEI: $ X5000 Mobile Home Installation Fee $ Energy Inspection Fee $ EOCCcPE TOTAL FEE$not -HD EES IMP FLOOD CDF PARCEL ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code d/or Resolutions to do work indicated o e for which ees hav been paid. By % Date , lJ PERMIT EXPIRES ON [ _ Z3 v� Dale Receipt No. S � 9 WHITE-D.D.S.-B.D. CA ARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT ia-901000Q.- Main Assessor Name Asmt # 064-580-028-000 Fee # 064-580-028-000 IWILSON R 0 B E R T A& G E RALD I N E T. Status ACTIVE Status Date Addr116303 VI CT Q R IA CT Tax 000INORMAL OWNERSHIP TRA1093-014 Addr2 IAGALIA CA 95854-9418 Situs F6303 VICTORIA CT MAGALIA Addr3 Base D k 9/28�2001 Addr4 Land 28x000 Timber Preserve S truckure 140,000 � AgPres Comments 16458002800 CONVERTED 09/08/88 E kal Fixtures 0 Creaking D oc#1 1988R 2182400 D aka N otes G rowing 0 Current D oc# 2001 R 0044981 Data19/28/2001 � 8 onds Total L&I 158,000Fix. 0 Killing Doc# Date R � � ulki S ileus 0 Flag1 MH PP Asmt Desc PARADISE PINES SuplCntF Flagg PP 0 Zoning R T 1 D well I" r 910 MH Exemptl Exempt7,000 Acres/S q Ft 0 --" N /C 054 � Asmt PP Pen Net 1 151,000 Tax PP Pen R /C# Appeal Pending T /R D t Split Pending R /C S kale PHY OWN EXP TAX H Q N ATT S I T APR I PCL lip'' Eind ' - :• 64 58-28 -- 1072-; ,P,E,M • �i � 00GDEN-2 Mark -Beth i 6303 Victoria Ct, MAgalia s ; Contr: Lee Bennett (new single family) PERI I PERMIT EXPIRES OWNER — CONTR. ASSESSOR PARCEL LOCATION s F 1 i . C Temp. Power Pole S �{�-� 62..L(-rr.� Called PG&E - Temp. Elec. Service7 . i Called PG&E Temp, Gas Service Called PG&E JOB FINALED (Date) Signature 0 =•OK 0 = Not OK - = Not Readyable MOBILE HOMES MISCELLANEOUS -Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -61 Date Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -61 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -81 Date Card -B1 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Encl osu res -Panel boards- Ins. to Main in Conduit Card -131 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date RI = UK = Not - p i -RESIDENTIAL (Single and Duplex) =Not Applicable Not Ready UypERFLOOR (Plans) OK except #'s Zoning -Setbacks; -Easements -Flood -Slope tg., Main; Soils-Steel-Elec. Grnd.-/ /2. /" Ftg. Deptt tg., Garage; Soils-Steel-/J;�_ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth ,"Stemwalls, Main; Steel-Blockouts-Wrapped 6! Stemwalls, Garage; Steel- Bloc kouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel tf!6.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 48!F,enums & Ducts; Clearance-Material-Supprt-Ins. 14'Girders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 QG DateS-CC.f Card -131 Date Card -B1 G!_ Date_..5A6- Card -B1 Date Date PLUMBING (Permit) OK except #'s \4. Water Ht. Access -Combustion Air -Baffle Water Pipe; T " & Anchors -Nail Protection V.; Test-Fttngs & Anchors -Nail Protection hower Pan; Test, First Floor -Tub Access �26r Test Tub & Shower, 2nd Floor -Tub Access- --2+.-Gas ccess-2 - Gas Pipe; Size & Anchors Card- Date! and -81 Date I Card- 1)9'f_ Dater and -B1 Date Date ELECTRICAL (Permit) OK except #'s 1 22. Fixture & Transformer Clearance -Ins. Protection X93. Elec. Receptacles Spacing -Lights & Switches at Doors 4. Size Boxes & No. of Conductors -Stapled ",*• Romex Installed Close to Edg`9,of Studs & C.J. Ground made upw/Mech.? iance Circuts in Kitchen & , . Subfee Wire Size / / ga. Cu or AI-A.C. Wire Size /0 a. Cu or(AF:) �. Range�irc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. 327Clothes Closet Light -Shower Light -Spa Light 1,33. Smoke Detector Card- B� 27 Dm GJ and -B1 Date Card -B1 DT Card -B1 Date Date MECHANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation - 36. Condensate Drain & Overflow; Size & Grade 3 Fu ce-Vent; Access -Comb. Air -Return Air Vent -115 tlet --8s Attic Acpess & Platform if Furnace in Attic Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material s Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings-Stai Header & Beam -Size & Bearing Date FRAMING (Continued) 7 J�f1 j /��,5 as S�/1lrAs Gill B+ Hangers-Pos Caps -Anchors -Connectors 46 Cing. st-Rftr. ' s-Purlin-Ro Brac.-Tf+ass- ng. fn Fireplace Ties or Type A Flue -Fireplace Throat Clearance 8 ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits --59-Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58.Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. '140. Infiltration-Walls-Wndws Card -B1 Dat and -B1 Date Card -B Date Z 44"ard-Bl Date Date FINAL (Plans) ek e kept #'s Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector 66. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 66' G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, r e Sizes -Labels 6,4*Stairs & Rails 6&-5ireplace or Stove; Clearances -Hearth 69 -Exec. Outlets at Wood Panel; Int. & Ext. 70 R. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance IJlElec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer 737A -C -Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 78!Plb., Elec. & Mech. Equip. Listed for Location 76f-Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 74'Tnsu lation- Foam- Looked in Attic ❑ Yes Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Y22 ❑ No #J. Stucco; B n-Firti4h 2-z 5'-89- 1D-0 0- � A.C. Unit; Disconnect, Electrical, Plumbing W.7—Vents. Above Roof; Plbg.-Appliance-Firepl.-Clearance to 84--WateMell; Disconnect, Electrical, Plumbing . Exterior Elec. Trim; G.F.I. Receptacle -Underground 'ZQ6'. Ventilation throughout House Glass Protection p8. Corrections from Previous Inpections 89, Ga est -Meters Tagged; Gas -Electric qff. Water & Sewer Connected -C/O to Grade -HD Approval 01 Energy Compliance Certificate -Other Certificates Card -131 GG Date\0�(-2 t Card -61 Date Card -B1 Datela-I3.2sCard-81 Date Card -B1 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) F+vim•;-r .-� , •. sa�AJtT1•...at-mow wirr�--m^cs'rei`yC`q.''w"."o-�y;..� "'"".°.H'yira""5��3 f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 }- 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 1jRZ,0 fin/ 10?2-99 OWNER PERMIT N0. 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. Posr A �a 2rz C, , �GLNI�f;/L CJJ�I V +rc,✓T SCK91-,../S ` — ( nn\ManI iit1I-2 sRK,aK,7A ISlcfWA1rlryc LAG tiA99 2A it naSf -� 2�r-J�2GY Co n-. Pc -Avco c ry-2>r,t F'tclh r'1�-- Inspector dzal-- Date 1 y - //-S3 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 i 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWN1=R - PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. f ��o•N�1l�rt� �GZ -�g� �� IN:�U�r-!�l G�1 177 lluflz�d .l.Ir'i�V WAWA a Inspector '�"` ( Date Imo\ / C L If working less than 30 hours per week, what are your g Are you attending school? If yes, how many hours per week? APPLICANT SIGNATURE To be completed by the food stamp office. FOOD STAMP CASE NO. FOOD STAM GROUP I WHITE _ NOT HISPANIC d ALAS i BLACK _ NOT HISPANIC S.. _ ASI Al It G y G E. it" . i Y I F I I, A T -3 LOCATION I.)ESCRIPTION (.)I' 111.9111AT1014 Mat:vrbi '111telme9.9 (111clien)— rXTERIAM WALL riaterIn1. F i. be r qj. a F, :; s bnl:t or ,et I,yl, e )-''i be Loose r0ass A t L, n(I v V t E! (I 171,00R, P.All Ila l: e r Ta — - — -------- I e.rInI (blellen) 13mid The"11111 lirmid thime Brmid Prime CerlLairiTeed 1"tnflee(ft Vnhie) ___745? Prillid tinme Certait)Teed Plumber Of Vit. per bng 25 Therinnt Iteni"tatic-0(R Vnlue)_., d� Brmid flnivie CerLa.hiTeed ............... lice(it Vn . fIrmid Nnnlc T11M.-.111111. wil'"'11.11'.1utilleft'j.11 Cho ntitive I),lIjqjI.jl. WILI, tif rilarpY Relititremptit". I la xq 1c 7,11.1 a I loll 379407 S*I:A:1'1.' C0lI*11.1(.;,1*olt il-A—CU R-1 At',Olt T, J r I ry thd nIv(ivc%. bintibilJoti nml nit recillIr"d ft'Miin nm nllnwll oil L-110 mid nt:L-neItjjjc1s*t:n linvn battll inntnlleJnn by Lha SUite alergy RequirenletIL116 All. ("'n 1-111 In nt,p '(1r. Lli by '117('el-fic.-Illy nlvl)ruvc,l .. c, 1-110 quality prencribe(l or nrl!' f tirilln. flit (t'1 -cane IM THI'S rl .1014 A1'I'ItOVAI. ADD F17 ATE .1' PRIOR To -rjIIAL A COily SMALL Ill.- 1,(),,,Tr I) W11*111ij fill,* IJUILDINU _ COUNTY OF BUTTE- DER'ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville.�Californfa 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO.� ASSESSr PA EL NUMBER -DoZT ZON G I BUILDING PERMIT OWNER 1Z e C D, TE PHONE $Q. FT. OCC. BUILDING VALUATION/ Z2 J OWNER'S MAILING ;gESS, N,TLJ COR ACTOR'S A,MEE, N,V / �� E7.7 i� CON T`R/AC-+TOR'S MAILING ADDRESSa $Q, �%' S 00 Fireplace Ov CONSTRUCTION LENDER- /� ` J UNKNOWN Total Valuation $ - LENDER -5 MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OJR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 �L�2i�� �L� .4003 G/ Each Trap 2.00 C/C Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ,L PARCEL MAP - -� Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 0.00 ea TYPE OF WORK New Addition❑ Remodel❑ Utilities ❑ Installation[] Other ❑ Describe work: Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service jp0 AMP ORSLESS 10.00 Main service EA. ADD -L too AMP 2.50 CONTRACTORS LICENSE LAW I de la under penalty of perjury (check one): .tel am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. �ar �� License No. Classification Elas 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 co am;t- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason OR ADDNSCONST ACC G P d '/20sgft D NEA CONS. TI. LFT NON.RESIO BRANCH CIRC ITS 2.50 ea APPARATUS e 4 (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20050S eAL030 FIXED Ex. OCCUp. OUTLETSP(RESID )LNS.R11 EA.? 2.00 Temporary service 10.00 ej- 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. 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.0 Heating Cooling g Hood 3.00 p Ventilation pennl4 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way. accrue against id County in consequenc of the granting of this per it. Date 3 Signature f pplicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and mdljfipn or construct- ion of structures over 3 stories in height. / �V/ Mobile Home Installation Feet $ Energy Inspection Fee $ TOTAL PERMIT FEE euP. coN ST.Tr SCNoo PLOOD ARC PD ND S E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. -WORKS ate/�r� r-910 Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDS O - C COUNTY OF BUTTE - DEPARTMEN# OF PUBLIC WORKS - BUILDING DIVISION 1 4 4t7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET } `"- ,, I t Permit No. OWNER A. P. No. Proposed Building Use Building Inspector Date - � ' 01 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 41. Park fees paide..................................................... 2. � , 2,.. — S.ehool District fees paid ................. 1 3. Sanitation approval from �k 'e" Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) 19. Pre -Ins ection for re Ulred . , _ , Pre-Inspec. request to p q • • Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ _ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail o owner. Mail to contractor. `\\ Telephone �2r %-2'1-7 57and hold for pickup at pffice. Deliver w/inspector. Other Date 4, Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issua (Circe 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—mall o ter by date Plans checked by / Date �✓� Plans approved by Date 57-11 Sets of plans on hold in File cabinet._ AP folder r Copy -DPW 1 t I , .- lb. TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for.. Sewage Disposal Water. upply Hold final for:. Water Supply Final .clearance O.R. for: Water Supply Clearance for bedroom home. Other /1 /1- IA ✓%/ Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 44 o e4- _&I,'303 Cf owner,/ location AP # �9 - -- Driveway- permit - - - � �� % C- 'has been issued for the above property..----- si ature date d� a RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 0 %a OWNER A.P. # 44- cS Z GENERAL -r / Zoning requirements: (sideyards ��-Auation. �3/ Plans signed by designer. nergy Design and Compliance. 1.>Existing violations on property. PLOT PLAN and number of permitted living units). Complete parcel size and dimensions. -etbacks, sideyards, easements, etc. 9 Other buildings or structures. 47 Grading, fills, drainage. lood hazard. : Special conditions on creation map or compliance document. 7/85 FLOOR PLAN � Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205).- Required 205).Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). UOHuman impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). ,W***o G.F.C.I.'s in baths, garage and exterior outlets (Article -210-8). --8':' Light fixtures, switches, receptacles, and exterior receptacles for maintenance .of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas k/equipment, and plumbing.,,fixtures. . ,*equipment, firewall, door size, and closer (Sec. 503(d)(3)). %Ae - 3'0" exterior exit door (Sec. 3304(e)). Y:ireplace and wood stove location. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS f- 1 Foundation plan complete enough:to construct building. loor construction details complete enough:to construct building. t3: Elevations and wall construction details complete enough to construct building. 4--.� Roof construction details complete enough to construct building. ��S ficonstruction details and calcs if necessary. ufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT.FOR Exposure I plywood on exposed locations and overhangs. -2 ,,Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ardrail details (Sec. 1711 & 3306(j)). pick or stone veneer (Chapter 30). 5. Exterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof covering (Chapter 32). 4// Rafter ties or bearing ridge beam. 4' RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Wood stoves, clearances, alcoves & 1 -hour shafts. Combustion air for fuel burning appliances. jler Noise requirements on duplexes. loff'o' Adobe soils - special foundation design. 7r� Retaining walls requiring design. 19""'Unusual shape, size or split level house requiring lateral design. W�Mfizwll MMI._� �.:, r 'UL. 7/85 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form per Building) A.P. Number (07 9_6V_5 Building Department No. School District _ City E County f,71 Jurisdiction J Property Owner Project Location/Address,OKt,1�.,t^q_ r Subdivision ► Lot Number Residential Development: " � Sq. Footage of Living MHI Addition ( Group R) Units Commercial/Industrial: Sq. Footage. ,� New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that (Applicant Name) (Phone,Number) L_4 14 4.kA (Street Address) (City) (State) (Zip Code) has complied with the rr7equireements^of Resolution/No. / by the payment of $ 1'701, q667' representing / Ili�l�j square feet. U `School District `Representative / Date .' n PAID BY CHECK NO. �� REMARKS: BANK NO X_ 1 PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Return t.o DPW. AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENTn - FOR 89- � ,,,13910 RESIDENTIAL DEVELOPMENT 3 9 1 0 Section 26-8.1 of the Butte County Code r.equi.res this acknowledgement be recorded prior to .-issuance of a building permit. The property described herein is adjacent, - �t f,_Rec Fee, 5.00 to land or. included within an area zoned ,89-013910 5.:00 r .for agricultural purposes, and residents ..,..:.'Check of this property may be subject to incon- ,'aRecorded• r ,. A , veniences or di-scomfort arising from the "' Of -f icial" •Records ' use of agricultural chemicals, including, .,Countyl of �• r! n but not limited to herbicides, pesticides, -' Butted�"-- Candace -J..% Grubbs; 1- a and fertilizers; and from the pursuit of agricultural operations including, Recorder �- =1• •. i • - BGi-�-1:J but not limited to cultivation, plowing, ..' 8:05am 18 -Apr -89..x. spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has establ.ish'ed a�ricul- 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 _inconvcn i rnc'e or disconform from normal, necessary farm operations. All. that real property situate"in- the County of Butte, State - of California, .descr..i be(l ,;is --- -follows: Lot 35, as shown on that certain neap entitled, "PARADISE PINES LAQIT•11", recorded in the office of the Recorder of the County of Butte, State of California, on December 17, 1979 in Book 38, pages 17, 18 and. 19... ! EXCEPTING THEREFRCM, all minerals, oil;"gas,'asphaltum and other hydrocarbon 4r substances, with provision that any and all mining operations shall be done from -�-orif ices -outs ide- the -surface --a rea -of-the -1 and --described -herein -and - tba t -,no - damage j; shall be done to the surface of said land. Date:-- April 17, 1989 PROPERTY OWNERS: - State of California) On this the 17thiay of April , 1.989_, before: inc, SS.- the undersigned Notary Public, personally appeared County of Butte ) Mark T. Brogden and Beth L. Broaden ®o.q®���®aeras■®■®aoaaaas■ ® ] Personally known to me. 0 Proved to me on the basis ® KATHY DANCE ® of satisfactory eviidence. t4 NOTARY PUBLIC -CALIFORNIA Up be the person (s) whose name (s) are Counti MyCommissiionrExpiresDec.6,1989,Wbscribed to the within instrument and acknowledged that they ®®®®oetlrs®oe®®oee®malaaaa®. ecuted the same for the purposes therein contained. .IN WI'.I'NI;;SS EREOF, I hereunto set my hand and official seal.. Present A.P. No. (,,,V -6-1 dC:7� N tary Public Y END OF DOCUMENT Yp Y co C) to U ^ LL Z 7 ,✓ ZLL �O �- Q Ot Q W 0 Yp Y 1. Ceiling Insulation 0 Number of stories Number of stories Number of stories One R -value One Two Three R-0 -103 -49 -02 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 4 0.60 -144 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 0 0.02 4 Single- Single - 0.00 10 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 - R-13 2 2 1 R-19 8 6 4 U -value -4 2 8 0.80 -153 -114 -76 . 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation in Floor Controlled Ventilation Crawispace 0 Number of stories Number of stories R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 ' 3 1 1 U -value 4. Slab Edge Insulation. -10 4 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 .-14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace 0 Slab Floor Number of stories -4 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 2 -2 4. Slab Edge Insulation. -10 4 40 Number of Stories -37 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0 Slab Floor 0.90 -4 -0 1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total 0 Slab Floor Effective Percent Class Mass U -value (percent glass x SC) Percent Effective Stories .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 . 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15. 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) 0 Slab Floor Effective Percent Class Mass Effective Percent Glass (percent glass x SC) 2 Effective Stories (percent glass x SC) /CFA Effective Two %Glass North East %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 '2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0_ 1 0 3 1 -1 -1 -1 .. -1 2 0 -1 -2 -4 -2 0 na = not allowed -1 -9 1 1 l3. Shading (Shade Closed) 0 Slab Floor Effective Percent Class Mass 0.20 (percent glass x SC) 2 Effective Stories 0.40 /CFA One Two %Glass North East South West Sltybght 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na ' 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10., -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not allowed 3 7 8 10 9. Interior Thermal Mass Interior 0 Slab Floor Raised Floor Mass 0.20 Stories 2 1 Stories 0.40 /CFA One Two Three One Two Three 0.0 -8 -5 -4- -2 -1 -1 0.1 -8 1-5 -0 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 _ 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 =4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 Measures 0.20 3 2 1 +6 to 16 or 0.40 5 4 3 -5 0.60 8 6 4 6.60 0.80 10 8 5 0 1.00 13 10 7 3 1.20 13 12 8 0.80 1.40 12 13 9 5 1.60 10 13 11 13 1.80 10 12 12 5 2.00 10 11 13 i 11. Heating System SE or RSPF (assumes ducts in attic) Zonal Control Adjustment System Type . Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assumes ducts In attic) SCORE CARD AREA = � Sum of 1-6 Measures a One -5 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 . 8 11.0 10 Effective SE or HSPF 4 3 (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 to .4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type . Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assumes ducts In attic) Zonal Control Adjustment 10 .8 7 6 4 3 No Cooling System Installed Stories SCORE CARD AREA = � Measures a One -5 Sim of 7.10 -4 -3 -2 -2 -25 or -24 to -14 to -410 +6 to 160r, SEER less -15 -5 +5 +•15 more: 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 - 2 2 1. ; 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 . 13.0 20 17 14 12 9 6 SE None Effective SEER -24 -18 -15 (SEER xduet eMcfency) Solar -1 Sum of 7-10 -1 0 Effective -25 or -24 to -14 to •4 to 46 b 16 or SEER lass • -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 ' .22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 .8 7 6 4 3 No Cooling System Installed Stories SCORE CARD AREA = � Measures 1. Ceiling Insulation One -5 4 -4 -3 -2 -2 Two +. 3 3 2 2 2 . 1 Single -Family Detached and Attached Unit Size (sQ Water 1199 1200 1700 2200 2700 Heater Credit or to to to or Type Type less ^ _1699 2199 2699 more SG None 0 0 0. 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSB -25 -16 -12 -10 -8 POU All -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 Solar 7 5 4 3 2 POU 3 2 1 1 1 IE None -28 -19 -14 -11 .9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 -3 Multi -Family (Individual units) Unit Size (sQ Water 699 700 1200 1700 2200 Heater Credit or b to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 Solar 2 1 1 0 0 HWR -23 -12 -8 -6 --5 WSB -25 -13 -8 -6 -5 _ PQU _23 -12 -8 -6 -5 n None -8 -4 _ 3 -2 Solar 6 3 2 1 1 POU 1 0 0 0 0 IE None -00 15 -10 -8 -6 Solar 18 ' 9 6 4 4 POU -8 4 -3 -2 -2 Interior Mass/CFA . rrve 7 tu55 n.�•ut�c•..It te.epet.a a•bt t TYPE 1 MASS (VIMC • 4.2, le: exposed slab) OY. 5% 109/6 15% 20% 25% 30% 35% 40% 45% 50% 55X W%'• 65x .70%. 75X BOX 857'. 110% 95% 100% 105% 1101/ 115% 120% 125• 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 25 2.7 2.9 3.2 3.4 3.6 3.8 y 4 4.2 4.4 4.6 4.8 5 5.3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.8 1.9 2.1 2:3 2.5 2.7 "2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 •2 •2.2 24 •'27 29 3.1 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2' 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7. 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 '3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5:7 5.9 507'. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.8 9.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% .1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4A ' 4.6 4.8 ' 5 5.2 5.4 -5.6 5.9 6.1 6.3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 '3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 70% 0.2 1.4 1.6 1.6 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4'8 5 5.2 5.4 5.6 58 6 62 64 75%� ' + 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 . 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 a 8W. '- 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 5.6 5.8 •6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3:3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 90T. 1.5 1.7 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% ,1.7 1.9 21 2.3 2.5 Z8, 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 22.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.6 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4. 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD AREA = � Measures 1. Ceiling Insulation p 340 or R -value [38] U -value [0.030] 2. Wall Insulation / 9r or � Zonal Control? ( Y / N )'°'1 TSE or; HSPF" Duct Efficiency [0.78] '"� R -value [ I t ] U -value [0.098] 3. Raised Floor Insulation / / or Zonal Control? ( Y / N, ' iS � I9.51s . Duct Efficiency [0.74] 13. Water Heating��f %W 11 -value [ 19] U -value [0.037] 4. Slab Edge Insulation S. Iftfiltration 6. Glass Heat Loss 7. Shading (Shade Open) or R -value [0] F2 factor [0.77] Standard '1, L ) Type [double] U -value [0.65] % Total Glass [ 16] Point Scores -a .00.3- 0 ,3 0 Sum 1-6 % Glass SC y Eff. % Glass a. North S(. 5 x '77 _ •55 ' -�- b. East a. 3 x ' /. 77 C. SouthA. / x d. West x = Q e. Skylight 0 x _ 8. Shading (Shade Closed) a. North b. East - c. South d. West e. Skylight 9. Interior Thermal Mass % Glass SC Eff. % Glass g• 3 x = I ••.S �l X = 'Ado .2./ x = 3 9 © x 7% = D TYPE 1 MASS AREA B InteriorA/ass/CFA COND. +FLOOR AREA 10. Exterior Wall Mass, TYPE 2 MASS AREA = � !Exterior Wall Mass - 11. Heating System,71_1t' ► r x . IP3No tq* � Zonal Control? ( Y / N )'°'1 TSE or; HSPF" Duct Efficiency [0.78] '"� Effective SE or HSPF 10.5615. 151 12. Cooling System'M�. Zonal Control? ( Y / N, ' iS � I9.51s . Duct Efficiency [0.74] 13. Water Heating��f %W Effective SEER [7.03] Type (SG] - Cmdit [none] • -3 Sum 7-10 Paint Tnfnt• l Certificate of Compliance: Residential Climate Zone 11 Project Title _ A a _ ^ a Project Address u 4 3o 3 !%, Documentation Author BUILDING DATA Conditi Area LZ& Number of Stories Slab 'sed ROMP Number of .Units `I Sing a Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition BUILDING SHELL INSULATION Component Insulation Location/Comments Tvne R -Value (attic. to Parses. tunical. GLAZING Shading Devices /D?2•f?_ Building Permit # of, S q-- .? 4, Checked By / Date Enforcement ARencv Use only Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (roller blind. etc.) (shadescreen, etc.) (yesMo) (metallwood) North ( ) /.S/ 11. ablf North ( ) East East South ( ) South ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) Location/Description (kitchen, bath, etc.) IV HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) i G 5 U4,dUl 0295,2 1 Maximum Fumace Heating Output: HOT WATER SYSTEMS SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance mqutremants listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all panics as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIMON I DESIGNER I ENFORCEMENT I Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-1 I weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/inch. 12-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate 7.ones 14 and 16 only. §2.5317: Inf ltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and staled. §2-5352(e): Special infiltration barrier installed tocomply with §2.5351 mats CEC quality standards. §2-5352(d): Installation of Fireplaces I. Masonry and factory -built RMiaces have: a. Tight fitting. closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2.5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. §2.5316(b): Exhaust systems have damper controls. . §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. 62-5314; HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or grater); fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Excep6on p: Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater. C' Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet Lighting and Appliance Measures §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the 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 certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Name: Address. W-im"M14 �--- / - Documentation Author Name: Title/Fum: Address: Building Owner Name: TitWFurr Address: Tckphone: (signature) Enforcement Agency Narne: Agency: Tekphone: (date) Glass Area % Glass North /S/ P• S East South 7-9 West 3 5 •'t . Skylight O Total O Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (roller blind. etc.) (shadescreen, etc.) (yesMo) (metallwood) North ( ) /.S/ 11. ablf North ( ) East East South ( ) South ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) Location/Description (kitchen, bath, etc.) IV HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) i G 5 U4,dUl 0295,2 1 Maximum Fumace Heating Output: HOT WATER SYSTEMS SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance mqutremants listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all panics as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIMON I DESIGNER I ENFORCEMENT I Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-1 I weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/inch. 12-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate 7.ones 14 and 16 only. §2.5317: Inf ltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and staled. §2-5352(e): Special infiltration barrier installed tocomply with §2.5351 mats CEC quality standards. §2-5352(d): Installation of Fireplaces I. Masonry and factory -built RMiaces have: a. Tight fitting. closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2.5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. §2.5316(b): Exhaust systems have damper controls. . §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. 62-5314; HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or grater); fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Excep6on p: Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater. C' Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet Lighting and Appliance Measures §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the 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 certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Name: Address. W-im"M14 �--- / - Documentation Author Name: Title/Fum: Address: Building Owner Name: TitWFurr Address: Tckphone: (signature) Enforcement Agency Narne: Agency: Tekphone: (date)