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064-700-036
fop 64=70-"36- ..,,,.1,170L89B,P,E,Mi, CARVER,-,Mik . e '6196 kaltA';Way,-.Majalla. (new r� 2005-0056099 AND WHEN RECORDED MAIL TO: Recorded I REC FEE 10.00 BUTTE COUNTY BUILDING DIVISION Official Records 1 7 COUNTY CENTER DRIVE County of I COPIES 2.50 OROVILLE, CA 95965 BUtte I CANDRCt: J. 6RUBBS I County Cl&k-Recorderl 8li 011:249M 16 -Sep -2085 I Page 1 of 2 •"II'IIII'�I�I'IIII''II"�II'I'I�I AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke,rioise, and odor. Butte County has established 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: Date �P l PR ERTY ERS: State of Calif nia County of On ZeM personally appeared tA mA/ e t personally known to me (or proved to me on the basis of satisffactory idence) to be the person(s) whose names) is are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. my hand and official seal. 7T-NEES � 1 A.P. # al: ti ANGELA D. MASTELOTTOd U Commission #1381124 n U Notary Public - Califomia T Butte County -- My Comm. Exp. OCT. 22, 2006 Y 0 Order Number; 0403-2008700 Page Number: 6 LEGAL DESCRIPTION Real property in the unincorporated area of the County of Butte, State of California, described as follows: LOT 75, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 2",- WHICH MAP WAS RECORDED IN THE OFFICE OF. THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 10, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 71, 72, 73, AND 74. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS, AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES BENEATH THE SURFACE OF THE SAID UNDS WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, IT BEING AGREED AND UNDERSTOOD THAT IN ALL OF THESE OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL OPERATIONS RELATED THERETO SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED PROPERTY: APN:10-64710=036=000- Mid Valley .Title & Escrow Company 64-70-3E==. 117.0-89R p 0 + ARVER, Mike 6196 Dalton Way, Magalia .(new single family) PERM' I PERMIT EXPIRES OWNER CONTR. + ' ASSESSOR PARCEL F{� LOCATION tAor •L Temp. Power Pole Called PG&E Temp. Elec. Service. Called PG&E { Temp. Gas Service Called PG&E t , JOB FINALED (Date) Signature l)6 iIit1: t 1'et:n11.1: rlu — I; N r. It C y— C RRTIF ICAT ION LOCATION hoof' Hatertnt 1'lt ick! les h (it►che a )_ I►L•;S 31117ION OF INSIUATIUN E't'1•IIt101t WALL t•L•tterInI _ ri_berg.l.asss Title kill-, CEILING Bnt:t or fi.tnlllcet Type liber lass Thick/tene(irtches)_— 7" /G" Loose F.I tt Type_ Ffb glass tltttiuu.11n I'll Ic1mrsg(LncheR) Aren cov(irecl(ft. ) �y 1`1-0011, 11,1;VATP I) Platerint_ F!boI-LI 'I'hlck•tr.ns(Lttcites)` Q / /� r• t,uurt, S],An Hater In 1. _ 'l'hJcictlrns(inchcn) __��-� Width (I.11clteo) F'011NDATll►N WALL liaterlal _ 'I'hlclutca;l(Lnchen)_`--- !'6 No. ..-- Brnml Name_ Illetmnl Iteniatntice (11 Vnlue)_. , )fraud HanleCertain'1'eed Thr.rmnl Iteeiotnttce(11 Vnlue) /--1_. Brnud Nnme Cert_ain7�'eed 71termnl llesietance(11 Value) Ilfnud Nnme Certain1'eed Number of Ilrtt;n,� Wt6 per bng 25 'Illcrinnl .1b. Ite9ietaure(11 Vnlue),_130 Brand Nnme Certairt'l'eed Thermal Vnlue) Brnucl Nnme_ 'i'hr!rlllrll ItettLetrtllca(11 ))r. rtud Nnme 1:ilcriml IteaLetnuc:ts(Lt Vnlctct) t hc�rel,y cc rt:.l.ly that late nhovc� 1.WMla LJ.nu wnn 1,I19trtlled l.lt lath nbove bitl.ldln� Ln couCormnnce with tare Stntc uC• California tatergy Recjuiremettts. Ilawlc i. 11. , 1rt.,11.1 a L:.i_olt 379407,E_ F 11t1.1 TIAI11:/(tIJ111.R� w �---- CUII'�'ItZ3 1.ICIiNSI t1U. '. . Slt:t)A'.l'Ulili 11I' 1 N5'1/11,1 A'1'Ll.►4 At'1'l..I.I:A'.l'Ult 1 hereby cctl:tC.y tho about 1 1 r ttnti ioll alie1111'"l►ntatnht,rovedlall the rcyuired Iy the Stntc hnunnu:lnlnclmcutehnvebetu iuntttled nllfurtlin Iaterl;y Rcyul.remettta. Atl �cluJ.l,nlent, clev.tces ml<1 tnntrrinla arc of the clunlity prescribed or arcs npeclfically nl,Itrovcd t,y the Stnl.c of Cnllforuln. rLiUl NAtli:/UWNIlIt (t'Lcnne priul) STATE CoN111AC'i'U t'S Llcl..NSIs ttU; r I s�tl; ��rtilt�„�Uii:1::iii;linl. �•`°� ATE ' ' LlJttfltA(:'l'Ult UI•l1Jt;11 !All: '.`i.,•, 1'1115 Clat'1"[rl.Cn'i'I: IIIIs'1' {It: UN HH" WITH TIlr 11ULLu1NG UIs!'Alt'1'Ft1:M1' PR1OIt 10 r,lttliL I11S1'I;C'1'1JN AI'1'kUVAI.. Atli) A COPY SIIALL' BE POSTED WITHIN '171L 1JUILULNC . '. .I:ulu-Iry .19114 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC -WORKS 196 Memorial Way, Chico — Phone: 891-2751 M1 �%• 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE CI-70- 8C, 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 m ter, or need additional explanation, please contact this office immediately. t IN bQ �z�-_ SS 0 �Z0iiRG1-e-C) `�A�c�� e�Rc� FicA -r `.'fFti22w�c L NT r - V4- \N G"L(V1�P. bT t COO> ' -JA r11, P1Pks A7- w H; s- l� Mia r P Inspector /-ru= ,, Date ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS i 196 Memorial Way, Chico — Phone: 891-2751 4 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE C U-7 0- 89 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. SAS Inspector /j w—, -pro Date A— 14' Q�9 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 T 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE rN27 F) CO) q 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, eed additional explanation, please contact this office immediately. Vhp 'CSL+ ss iN G!A aiNls v_-, ha_ c r >z&, ss 6-s l N - Nn tiJV1T(L pry — 1li, TCx- SSrlz5; '�zx 'A (A L,) qN s , - 1�STf-\Lc. LIG0Ts. 1G o I iiwl) A- fzaos e c. �IfJ& c.0 'r q. - �2Co v,.✓� 6,� C 0'-j lis t' C f a� /[ �l T i2� -Jc 1z . s -T IN 1( T VI ��L 6Y 1Z C I n2 �'�C--r'rR/t, L,tZ, la T ?,A� `= To C-2o�N�, n (Z o :(Z i -j L t S , .o�f,�GP.�c�n�D c ,� Inspector Date —7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE CA\Z- rig 117 -85 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 1 matter, or need additional explanation, please •' contact this office immediately. X �SL0y\1`' V`lt Sot_IIIVG XT IrjT(-/ll,( %. 13�oCie Sak.jTc c I(- -1 14 J�1�C �My SSaRi2 Tr Sr C'j C ocer, 4 Inspector �tiael-)� Date =OK 1 -0 = Not -OK Not Readyiable '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- Beam s-Rftrs.-Conneq.- Shthg.-Rfg.-Bracing t 5. Electricity; Location-Clearances-Grnd.-/ /"Amp -Concrete 6. Gas; Location -Test -Wrap: / P' 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 -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 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 I., - 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 -B1 Date Card -B1 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 'Date Card -B1 Date 9. Health Department Approval -' 10. Plumb.; Cir..Test-Water Supply.Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 1 = VK = NotOK RESIDENTIAL (Single and Duplex) = Not Applicable = Not Reay Data UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) L -1oning-Setbacks;-Easements-Flood-Slope 45. Hangers -Post Caps -Anchors -Connectors Ftg., Main; Soils-Steel-Elec. Grnd.-/ PZ /" Ftg. Depth ng. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. <01g., Garage; Soils -Steel-/ 1L /" Ftg. Depth ' place Ties or Type A Flue -Fireplace Throat Clearance 44"Ftg., Porches & Decks; Soils -Steel-/ e /"Ftg. Depth ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ,6Atemwalls, Main; Steel-Blockouts-Wrapped drm. Windows or Exiting Doors -Sill Hgt. & Dimensions temwalls, Garage; Steel-Blockouts-Wrapped 4STGarage Fire Protection Framing 7. Slab; Steel -Wrapped 54 -Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52 St. Doors -One 3' -Check Garage -3rd story, 2 exits ,6/ .W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 59e6tei#,s; Width -Headroom -Rise -Run -Landing -Fire Protection 1`0. Gas Pipe; Size -Anchors rte. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers a Water Pipe; Test -Anchors -Regulator -Service Test ing-Nailing Veneer 4Q-fMctric; Underground o Mesh -Drip Screed -Fd. Vents-Underflr. Access 12o.�Plenums &Ducts; Clearance-Material-Supprt-Ins. 5?"0JA4ing Area -Glass Protection -Skylights -Plastic r rs- ills -Anchor Bolts-Joists-V_ent e:489—Stlear Walls; Nailing -Bolts 15. Insulation- sulation-alaffrs-Clg. -7 ( .$ .Infiltration- s-Wn s Card -B1 Date �y. Card -B1 Q Date C,-5.$ Card -131 GG Date X30, yCard-B1 GG DateC, 6'8q Card -B1 -81 CG Date'_13_BjCard-B1 (_'iz Date 72kAl Dat2Z.f8,4;g Card -B1 Date Date PLUMBING (Permit) OK except #'s _Card (Z Ht. Vent -Access -Combustion Air -Baffle Date FIN (Plans) OK except #'s 1 ater Pipe; Test & Anchors -Nail Protection Ext. Steps -Door & Sidelight Protection -Landings W.V.; Test-Fttngs & Anchors -Nail Protection 6 . moke Detector 19. Shower Pan; Test, First Floor -Tub Access . Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors a0,1&droom Exiting r Q.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date .-13_AjCard-81 Cr_(.,. Date`j_kct�cj .Stairs &Rails Card -B1 Date7i/�Q�9 Card-B1�() Dat@�•2 2. ^ gq . Fireplace or Stove; Clearances -Hearth 69:-E*m. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 7 ' . Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance Elec. Receptacles Spacing -Lights & Switches at Doors c. Outlets & Receptacles at Kit. Counter 4. Size Boxes & No. of Conductors -Stapled 7 . Garage Fire Door; Swing -Landing -Closer Romex Installed Close to Edge of Studs & C.J. 73 -A -C -Duct in Garage -Damper 6 quip roup made up w/Meth. Fastener on as & Wat Z4 Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 2 Applian a Circuts in Kitchen & Conductor Size/G.F.I. ;6.,PIb., Elec. & Mech. Equip. Listed for Location 28-Subteed,Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu,or Al 4 - , Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. ange Circ. /,/ ga. Cu or &Oven Circ. / / ga. Cu or AI. Insulated Neutral �ktWYes Insulation -Foam -Looked in Attic ❑ Yes 17f Guard Rails & Deck Construction -Post Caps 3e�Service-Riser Conductors & Ground -Main Disconnect . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 2;r -Equip. Clearances Panels-Motors-Mech. Equip. 3Clothes Closet Light -Shower Light -Spa Light 8 ollowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes 103No; Planters ❑ Yes ❑ No 33. Smoke Detector 8t.-ftem- Brown -Finish Card -131 Date _j;,6 Card -B1 Date (82 A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 GG Datq j 'tX Card -131 Dateents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84—Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 8_5 -Exterior Elec. Trim; G.F.I. Receptacle -Underground M Vent Fan; Exhaust above insulation . Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade . Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 8B. -Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic ajorGasLfTSt-MetersUaned; Gas -Electric '%ko,,,s( 04t, ,QST Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -B1 r,-6 Date 3,8 and -B1 Date 7 -( 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -131 /-_ G DateQ.7�$❑j Card -131 Date Date FRAMING (Plans) OK except #'s Card -131 1W DatefZL-*y Card -81 Date roper Material & Anchors Card -131 Date Card -131 Date Walls Studs -Nailing, Spacing in Plates -Sound Comments at Final: OT�Bearing Walls over Girders & Floor Nailing 42?Draft Stop in Walls (rat proof) 4e F' a Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ___/77, ITJNW - 141 / - ASSESSOR PARC L N MBER �, ZONING BUILDING PERMI OWNER y Ho SQ. FT. OCC. BUILDING VALU TION OWNER'S MAILI ADD ESS CONTRACTOR'S NAME TELEPHONE. CONTRACTOR'S MAILING ADDRESS Fireplace A '00 CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ Filing Fee $ 10.00 LENDER'S MAILING ADDR SS Permit Fee $1 100 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4 /j Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 , Solar or heat pump water heater 20.00 LOT NO � 43 SUBDIVISION N PARCEL MAP Water piping 5.00 1q* 00 Each qas water heater or vent 5.00 �{/ USE OF STRUCTURE SF J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 4, C Mobile Home JSFG W 0.00ea TYPE OF WORK New Rr<dition❑/�Re ode�l,(❑�� ,Utilities ❑�I�nlstallatt n❑ Other ❑ Describe work:.— G? ,��is �'1!�� �C/�ic� Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): It•-1 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 ❑ 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 th(Sece owner, am exclusively contracting with licensed contract- 7044) ❑ . I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP. , OR ADDNS. \ ACC. SLOGS. 4sgft ' 't NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS 61 SINGLE OUTLET CIR. I EX. Occup(OUTLETS OR FIXTURES 20050S e ALS 30C EX. OCCUp. OUTLETS FIXED P(RESID.)REA.Y 2.00 Temporary service 10.00 o Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heat' g Coolin g Hood 3.00 J,is Ventilation cD Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating -to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of.Butte against all liabilities gments, costs, and expenses which may in any way accrue against s u in consequence of the ranting of this permi. X 2-U Date Signature of Applicant — Owner �b Contractor P' Agent I � An OSHA permit is over for excavations over 5 deep and demolitio or 4gp�truct- ion of structures over 3 stories in height. �,i. Mobile Home Installation Fee $ Energy Inspection Fee $ r7 6 TOTAL PERMIT FEE , OCCuP. D 3 CONST.TYPC „� ISCHOOLIFLo PARCEL PD HD U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which' DIR TOR OF P ELIC 4 By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ' / Receipt No. ! �.� '��I' UG WHITE-D.P.W., YELLOW-ASSEseOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. �^ o, OWNER �(�� �/�� � A. P. No. Proposed Building Use F_ Building Inspector12f.S Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. 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............................0.......................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ V11. Park fees paid .............................................. . U's -P—) School District fees paid ................. 3. Sanitation approval from� —, A n z 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: ......... 7. Improvements maybe required. _tl1 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 ............ –/�- 4. etter of signature authorization ..................................... A25 � 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. 4 TelephoneRgZ ^ ,F� � and hold for pickup at /) office. Deliver w/inspector. Other ApplDate—*,, Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, waVadtsed of above required data by_phone_mall_counter by date xy—,�,5 Plans checked by �"Date S X89 Flans approved by L�� Date 2 Sets of plans on hold in File cabinet �' MAP folder Copy—DPW vt TO Buildinv,Department FROM: Environmental Health SUBJECT: Sanitation Clearance PAw -v Owner Location AP# Plan Approved for: �-'' Sewage Disposal Wat r. Supply y; Hold final for.:. Water Supply Final clearance O.K. for: Wates Supply Clearance for ' bedroom gym' home . Other NOTE -A 064b -- Sa, �arian _ Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # __� S'__Z. �_.-Lr. -----Driveway-permit --g�1= has si ature been --issued- for the above--proper ty.-..___..- %, / 9C99�-- date �r,"f ^--._. .... ;,,.,,,,fe.. .,., .-x."�+s'r-...rn--ter.-.-.."s..F�,..,q••.w •ti �. �....v+t+� - n r -v- �'.r......x ,1.�...,�"'^^r..:r'"•r--Yom'-,+.v's.r+.,,..,,...-.,f„ r ..:-. •...��(,.,,...,;.� .:..:- yea `.,,,,, 4h BUTTE.COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM `. (One, Form per Building) A.P.-NumberL{ ,'�Lo�I�Building Department No. School District_ x7u S 70 City Q County ©Jurisdiction Property Owner �A�,L�(/`Pj(✓ Project Location/Address / G a&ff)c- 'Subdivision ,, 4Lot Numb r Residential Development:'© /�n Sq. Footage 1-1-6o # of Living MHI Addition (Group R) Units Commercial/Industrial: Bu a New epartment Representative Sq. Footage Addition (Including Exterior Roofed Areas) Date ******************************************************************* r E,District I No. Oe School �District-certifies that leg, K/ (.Applicant Name) (Phone Number) (Stree Address) (City) (State) r Zip Code has complied with the requirements of Resolution No. 0L., representing square feet. Sch of District Representative Date PAID BY CHECK NO. BANK NO REMARKS:* PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) t ti AGRICULTURAL STATEMENT OF ACKNOWLEDGEM AT FUR RESIDENTIAL DEVELOPMENT . Section 26-8.1 of the Butte County Code requires this acknowledgement: be recorded prior to .issuance of a building permit. The properly described herein is adjacent Lo. land or included within an area coned 89-018274 I Rec Fee 5.00 for agricultural purposes, and residents Total 5.00 of Lhi.s property may be subject to incon- Recorded veniences or discomfort arising from the Official Records use of agri:cu.ltural cheinicalsi including, County of but noL limited to herbicides, pesticides, Butte I !•' Gos5 Co and ferL.ilizers; and from the pursuit Candace J. Grubbs l ��'� ` Recorder of agricu.1tural operations including, 1 2:40pm 18 -May -89 I RB i but not limited to culti-vation; plowing, spraying, pruning, and harvesting which � occasionally generate dust, smoke, noise, and odor. Butte County has esLab.l.islied ;rgr i c•n I Lural. zones which have as a priority use for productive agricultural. purposes, and retiidrnly within said zones and on adjacent property should be prepared to accept such inconvc nirlirc• or disconform from normal, necessary farm operations. All that real property situate in -the County follows: of Butte, State of California, dc•;crihc,d ;Is Lot 143, as shown on that certain map entitled,;",Paradise Pines Unit No. 2", which map was recorded in the office of the recorder of the County of Butte, State of California, on June 10, 1970, in Book 35 of Maps,,at page(s) 71, 72, 73, and 74. Date: PROPERTY OWNERS: Slate of: /� ) On this the %� day of �Q� , SS. the undersigned Notary Public, pe onall a ` Iy{'`f—' Irel"rc IIIc , County of �) y ppeared ' Personally known to me. Q Proved l:o me on the baviti 1661'ZZ 'HVW '03 'WWO� AW AtNno� 3ii.na of satisfactory eVidencr�, VINtl091'lYO-3Il9,IdAHV10N z to be Che persiiir� whose name(,g'); !�' 3-4OHWI V OlHNOa 1V3S 1VIOIddO "�jn subscribed to the w.i.Lhin.instrument and acknowledged Lhat executed the some for the purposes therein contained, IN WITN .ESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 64-70-36 NoLa.y Public RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D). V.SCGarage door or porch header sizes. Adequate bracing. 1; Living area over garage complete 1 -hour separation required on garage side / including supporting walls and posts, etc. lll� Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 1� Attic access and ventilation (Sec. 3205). 1� Underfloor access and ventilation (Sec. 2516). 1� Wood stoves, clearances, alcoves & 1 -hour shafts. 1;#*'Oo,Combustion air for fuel burning appliances. 1E*/ sNoise requirements on duplexes. 1� Adobe soil- special foundation design.. 1 Retaining walls requiring design. 1 Unusual shape, size or split level house requiring lateral design. A �s 8E Fs 0 V � nwt 7/85 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) ��-►► Bldg. Permit # OWNER ftKE KE CAR A.P. # rot. -in — GENERAL Zoning requirements: (sideyards Valuation. 3✓ Plans signed by designer. Energy Design and Compliance. Existing violations on property. and number of permitted living units). PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. V� Flood hazard. Special conditions on creation map or compliance document. FLOOR PLAN �!! Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for mechanical equipment. 7/85 maintenance of Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 1- / Garage firewall, door size, and closer (Sec. 503(d)(3)). 14E' 1 - 3'0" exterior exit door (Sec. 3304(e)). 1Fireplace and wood stove location. 16. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Y000��/ Foundation plan complete enough -:to construct building. ;loor construction details complete enough:to construct building. 9! Elevations and wall construction details complete enough to construct building. 'OooRoof construction details complete enough to construct building. ' Fireplace construction details and calcs if necessary. VSufficient 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. 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). P-' Proper roof pitch for roof covering (Chapter 32). V�/ Rafter ties or bearing ridge beam. Y ti 1p -mss PF71-036s-A-K' 3 �-o w 3 p- ( T- �'035 Co � � 3 • Q ib Aae-V-L. P 1. Ceiling Insulation 0.50 -176 Number of stories -54 R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -2 -1 .1 R-38 0 0 0 U -value 4 2 1 0.50 -176 -84 -54 0.30 -102 -49 -32 0.10 -26 -13 -8 0.08 -18 _1.9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -4 -3 .1 0.80 Single- Single - 0.70 2 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 -90 37 -26 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 6 13 26 -49 3. Raised Floor Insulation -8 -1 Insulation In Floor 25 -46 Number of stories -7 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 3 9 15 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 Crawlspace 10 Number of stories 17 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 11 -6 ' Number of Stories 13 R -value One Two Three R -o 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 .1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss 1 4 1 Total 16 4 2 5 1 U -value 14 4 Percent 5 1 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50' -121 -53 -39 .24 .10 4 40 -90 37 -26 .14 -3 8 35 -75 -29 -19 -9 1 10 30 -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) Effective Percent Class (Percent Mast x SC) Effective %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 -2 -1 /-9 1 t3. Shading (Shade Closed) Effective Per colt Glass (percent Stas x SC) Effective %Glass Nwih UA- South West. Sltyfght 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 f -4 0 2 3 4 3/ 0 na ■ not allowed 6 4 0.80 10 8 9. Interior Thermal Mass Eff. % Glass _ 3,36 6+7j Interior Slab Floor Raised Floor Mass Stories Water Stories /CFA One Two Three One Two Three 0.0 -8 -5 -4 .2 .1 -1 0.1 -8 -5 -3 .1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 '=4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 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 - 15 Wall Family Family Mutt Mass Detached Attached Famly 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 2.00 10 11 13 6.0 -12 -11 -9 11. Heating System . 4 SE or KSPF 4 -4 (assumes ducts In attic) -2 Sum of 1-6 7.0 -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 Efrective SE or HSPF (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 lo -4 to +6 to 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 4 3, 3 2 0.70 6,42 17 15 13 11 9 7 0.807.33 25 - 22 19 16 13 10 0.90. 8.25 32 28 24 20 17 13 1.1 37 32 28 24 19 15 Zonal Control Adjustment System Type 4.9 WS8 Resistance 10 9 ' 7 6 4 3 Other 6' 5 4 3 2 2 12. Cooling System Eff. % Glass _ 3,36 6+7j 1 x II Unit Size (sQ _ , 970- Water SEER '1199 1200 1700 2200 2700 (assumes ducts In attic) , or to to Stm of 7-10 or Type Type less -25 or -24 to -14 to -4 In +6 to 16 or 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 3 120 15 13 11 9 7 5 . .13.0 20 17 14 12 9 6 _ -12 -9 Effective SEER -6 n None (SEER x dud eMclency) -3 .2 .2 Sum'of 7-10 2.5 Solar Effective -25 or •24 to -14 to 410 +610 16 or SEER less -15 5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 4 6:6 -5 4 -4 3 -2 2 7.0 0 0 07 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 0 Zonal Control Adjustment 0 0 or 10 8 7 6 4 3 3 No Cooling System Installed 9 Stories 3 2 2 4.9 WS8 One •5 -4 -4 -3 -2 -2 Two + 3 3. 2 2 2 1 Single-Famlly Detached and Attached roint system summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation �"Tdo 30 or R-value[381 U -value [0.030) 2. Wall Insulation R - 1-S or R -value [11] U -value [0.098] 3. Raised Floor Insulation P',-) • or R-value[191 U -value [0.037] 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. 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 Mass or R -value [0] F2 factor [0.771 Standard ML Type [double] U -value [0.65] % Total Glass [ 161 % Glass Sc 44 x t17 Eff. % Glass _ 3,36 6+7j 1 x II Unit Size (sQ _ , 970- Water 1.2 X �.. '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 I.-P.t.d •=.bl 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 3W. HWR -18 '-12 -9 -7 -6 66t WSB -25 -16 -12 -10 -8 t00% 105% llo% 115% 120% 125.1 POU -18 _ -12 -9 -7 -6 n None =5 -3 .2 .2 -2 2.5 Solar 7 5 4 3. 2 4 POU 3_ 2 1 1 1 IE None -28 19 .14 .11 .9 1.4 Solar 8 5 4 3 3. 2.9 POU -10 -6 -5 .4 .3 4.4 Multi -Family (Individual 5 units) 5.4 20% 0.3 0.6 nit Size (s 1.2 1.4 Water 1.8 699 700 1200 1700 2200 Heater Credit or to to to' or TYPO 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 4.9 WS8 9 4 3 2 2 0.9 POU 9 5 3 2 2 SE None •45 -23 -15 -11 -9 3.8 Solar 2 1 1 0 0 5.3 HWR -23 -12 -8 -6 -5 1.3 WSB -25 -13 -8 -6 .5 27 E U _23 -12 -8 -6 -5 IG None -8 - -4 -3 .2 j -2 5.7 Solar 6 3 2 1 1 1.6 POU 1 •_0 2.2 0 0 0 IE None -30 .-15 -10 -8 16 4.5 Solar 18 9 6 4 4 6 POU -8 ' -4 .3 -2 -2 roint system summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation �"Tdo 30 or R-value[381 U -value [0.030) 2. Wall Insulation R - 1-S or R -value [11] U -value [0.098] 3. Raised Floor Insulation P',-) • or R-value[191 U -value [0.037] 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. 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 Mass or R -value [0] F2 factor [0.771 Standard ML Type [double] U -value [0.65] % Total Glass [ 161 % Glass Sc 44 x t17 Eff. % Glass _ 3,36 6+7j 1 x II /% _ , 970- X 1.2 X �.. r 6 A x- 1 ` _ 4,46 • Interior = g Mass/CFA .-�• TYPE 1 MASS AREA ..a..8 InteCrioorrNass/CFA COND. FLOOR AREA t . "PE I ewss OAC O r � ` Exterioi Wall Mass EUN-D-77 L OR AREA .72 x SE or HSPF Duct Efficiency [0.78) Effective SE or HSPF [0.56/5.15) I ; I.-P.t.d •=.bl =.- fo SEER [9.5] Duct Efficiency [0.74] . Effective SEER [7.03] t TYPE 1 MASS (UIMC h 4.2. Se: exposed slab) • 09'. S% 10% 15% 20y. 25% 3W. 35% 40% 45% 50% 55% Wy. 66t 70% 75% 80% 85% 90Y 95% t00% 105% llo% 115% 120% 125.1 OY. 0 - 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 55.3 toy. 0.2 0.4 '0.6 0.8 , 1 1.2 1.4 1.6 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 3.7 3.9 4.1 4.3 4.5 4.8 -5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 .2.4 2.6 .2.8 3 3.2 9.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5 8 40y. 0.7 0.9 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 5.5 5:7 5.9 509/. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.8 3.8. 4 4.2 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 609E 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 4.4 4.6 4.8 ' 5 5.2 5.4 .,5.6 5.9 6.1 6.3 65% 1.1 13 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 53 55 115.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 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 52 5.4 5.6 58 6 6.2 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 6.5 809: .1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6t 6.2 64 66 BST. 1.4 . 1.7 1.9 2.1 2.3 2.5 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 67 901: 1.5 1.7 2 2.2 2.4 26 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 22 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.6 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 28 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 5.6 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 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 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 2115% 10% 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 4.8 5 5.2 5.4 5.6 S8 6 6.2 6.5 6.7 6.9 '7.1 7.3 125% 2.1 2.3 2.5 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 roint system summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation �"Tdo 30 or R-value[381 U -value [0.030) 2. Wall Insulation R - 1-S or R -value [11] U -value [0.098] 3. Raised Floor Insulation P',-) • or R-value[191 U -value [0.037] 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. 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 Mass or R -value [0] F2 factor [0.771 Standard ML Type [double] U -value [0.65] % Total Glass [ 161 % Glass Sc 44 x t17 Eff. % Glass _ 3,36 6+7j 1 x II /% _ , 970- X 1.2 X �.. r 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Glass S/C Eff. % Glass /% F, X 6 A x- 1 ` _ 4,46 • X 1 = g .-�• TYPE 1 MASS AREA ..a..8 InteCrioorrNass/CFA COND. FLOOR AREA TYPE -2 MASS AREA = r.- 8 Exterioi Wall Mass EUN-D-77 L OR AREA .72 x SE or HSPF Duct Efficiency [0.78) Effective SE or [0.72/6.6] HSPF [0.56/5.15) 9.3 X .�Z =.- fo SEER [9.5] Duct Efficiency [0.74] . Effective SEER [7.03] Type [SG] Credit [none] Point Scores -�- 2- --r 0- -0 Sum 1-6 A i4 t Z o Sum 7-10 int Total:. Certificate of Compliance: Residential Climate Zone 11 M t K E C.A►-Q Vt� � Project Title Q t `7QR g 65 hA LT'O"'1 (".4y Build' Permit# — Tai 7 ,T- - I - e Project Address Duct HVAC. SYSTEMS Checked By / Date Documentation Author Telephone Efficiency Enforcer, ent Agency Use Only BUILDING DATA North Glass %Glass , (attic, etc.) Conditioned Floor Area /1560 Number of Stories4— East ,72 Slab 1s4omoor Number of .Units South 106. &J& Single Family Detached (SFD) [ ] Addition Alone West 2 / • S' [ ] Single Family Attached (SFA) [ ] Existing Building Skylight I_ (] Multi -Family (MF) [ ] Existing -Plus -Addition Tom 233,16 •O BUELDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garag0. typical, etc.) wau.............. A -i s WaU .............. Roof .............OL S PER tN VAuLTE76 Amor, -3o r � TAREI�S Roof ............. -- Floor ............. iZ Floor ............. Slab Edge ..... �. GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type North M (e6.5 _ FTX North ( ) �•••• East ( V5 173 East ( ) — South (✓f ter,. S _ South ( ) -- West (✓� 2,� 3q West ( ) Skylight....... 14&_ THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (SO (inches) LOcation/DCScri2tion (kitchenu bath, etc.) k Duct HVAC. SYSTEMS Minimum Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) _ EAT vPt, ,72 5.7 2 --—_ 9i 35,321- 7 - Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(sy Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the comOiance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measurer whether they arc shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT 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 -I 1 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation- water absorption rate no greater than 0396, water vapor transmission rate no greater than 2.0 pmnluxh. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(n: vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to Emit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sokd. §2-5352(e): Special infdtration barrier installed tocomply with §2.5351 moeuCECquality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fueplaces have a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and contra 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: 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-fucd space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment, wafer heaters, showerheads and faucets certified by the CEC. ea §2-5352(1): Water hter insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating i 1. System has: a. Orloff switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. i 3. Pool cover. j 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.53526): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers. freezers and nuorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lieu the building feast m and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2. StWmpter4. Article I of the Califomia 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: TUWFum Address: Telephone: Lic. 0: (signature) (date) Documentation Author Building Owner Name: Tv ddress A Telephone: (signature) (date) Enforcement Agency Name: Name: SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) t;tic/Fum.: Agency: Address: Tekowne: -: -- -- -- - _ _- ` - - _ _ t ,. _. -_ � �z ��, ,v...,� r•• •.:;R. CrA7El� 'I � S�IIBJECI', t !, I, Q t I:4CY Q1'. .e. ,n„ Cy�.IX£e .4r„ti,.F. ir, 7•�n" ..�,. ,t .:7""r."„� •.�..r.o�...a.....-� e��Rr'� I I h i25 T�LTS. Dwr,- PPERARED: FEW COWMEA !NPIJT JLOADS, t, DIME UR -CRORD ZXE5. FIR---:LAPCH- Z - - EXCEPT AS 'SHOW TC )C -4 -OC, L ---Ft, - - -�a- -2�91 7—,15 !�j TCP G,- 2X4 -F-IR-LARCH I wFt-M, :))t.6 --. PTP—r 4p i4 CZTANtnjkl: v 'o,- -77 sq -ECT CONN* PEGur -_ T AILL P TOP -SEE: -0 it t I law 01 ED fir, i- Y '41 IJ N W % V I P li ;, �, , l�" , : , ". _ , � 1 01, IV "ITs. 11 1,11 " I if s lo" �;j" 1�r. !�i, i::�� i 1 � { t.1,'