Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
064-780-034
--~ �J Tj ' }064-780-034. 94-0272B E,M - ^ TROY WAY, 'MkGALIA.'\ "ME�SENGER', ArtME E14361 Troy Way L&Vji� ` (co Ma�gala - 01.-7064-780-034 03-3412-- / MESSINGER, ART & KATHY |14361 TROY WAY, MAGALCont: JERRY JENKINS 0GAS INSERT & PIPING / . / . . | | ^ ` ` | � \ ' ' ' \ \ � ' ` � / / . ' � � , �� .,��, �. �,,-sAf''7�a.i{«•ML, owiM"'�li.r:�a-+"..,,tip Y;�$ fi, .�..r .,- ...,-y �. � wr.e, ••.A++'+r"�'W »s _ , ,,X^....�.wy;sr«« ....+s,�..yw -- -,... ,... m--•..+e.• r I1 ol 064-780-034 ' 03-3412 MESSINGER,-ARTA KATHY 14361 TROY WAY, MAGALIA f Cont: JERRY JENKINS GAS INSERT & PIPING t � u h i 6 vu -y" c 1&A"Cz' �( t j - COUNTf—OF-EIL1TTE - DEPARTMENT OF DEVELOPMENT SERVICES m BUILffIN41,'VISIOI 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03-3412 ASSESSORPARC NUMB J80� ZONING BUILDING PERMIT tt OWNER WMENGER ART & It&HY TELEPHONE -492 SQ, Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14361 TROY WAY9 KCALIA CA 95954 CONTRACTOR'S E tM AIR TERRY JF1d W _ NE 87.1448 CONTRACTORSO g ff1E RD. PARADISE CA 95%9 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace, Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. f —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ (,, BUILDING ADDRE ' X61 � WAY' .�WALIA CA 95954 IJV Energy Plan Checking Fee $ i $ PER: IT FEE $ LOT No. SUBDNIS IONS NAME PARCEL MAP I PLUMBING PERM7IT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap E 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: rAs FIREPLACE INSERT & PIPING Gas piping sy2tern 1 - 5 outlets 15.00:.. Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service2o0A 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, ( g ) and my license is in II force and effect. /L License Class Lic. NO. S�G 6 �✓y OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License 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 her y 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 workers' compensation insurance carrier and policy number are: Carrier Main Service zooA TO ,000A 46.00 NEW CONST, DWELLING OR ADDNS. ( 8 ACCOCCUP. . BIDS. SO 3.5¢FT. CONST. MULTI.OUTLET NON -REBID. @7.50 PO'WER APPARATUS a sINGLE ouTLEr CSm EX. Occup. OUTLET OR FIXTURES 0AL ® 1-00 Ex. Occup. ".."ED'Ralo.oEE. 5,00 Temporary Service 2J{00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation - gu r Irepuide • PERMIT FEE $ 35.00 Policy Number Fofhe above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I] I certify that in the pe(formance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 1 compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com�ply'with those,provisions. X % '~_,'__ Date �� 3 Signature. cif Applicant'- ❑ Owner 0 Contractor ❑ Agent An OSI4A permit,is-required for excavations over 60" deep and demolition or construction of structures. over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee 1 $ Occ CONST. TYPE TOTAL FEE $ 706 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I pp I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated/above for whit h fees have been paid. / 1 Date PERMIT EXPIRES ON Date Receip WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT — 03-3412 ASSESSOR PARCEL NUMBERZONING 064-780-034 BUILDING PERMIT OWNER ME ER ART & KATHY TELEPHONE 873-6492 SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 14361 TROY WAY, MkGALIA 4 CONTRACTOR'S NAME COMPLETE HOME REPAIR FERRY JENKINS I TELEPHONE 872-1448 CONTRACTORS 146 BILLE RD., PARADISE CA 95969 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 14361 TROY WAY MAGALIA CA 95954 Energy Plan Checking Fee S PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 1 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS FIREPLACE INSERT & PIPING. Gas piping stem 1 - 5 outlets 1 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 full force and effect.�nn License Class �� Lic. No. J t% %�6 OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License 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 I her y affirm under penalty of perjury one of the following declarations: I 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 workers' compensation insurance carrier and policy number are: Carrier Policy Number one hundred dollars ($100) or less.) /le above sections need not be completed if the permit is for work of a valuation ocertify,thethe p ormance of the work for which this permit is issued, I shall not.emplOy any per C[ anner so as to become subject to workers' compensation s California, a d agree that if I should become subject to the workers' Com on provisi sof section 3700 of the Labor Code, I shall forthwi mpl ith those visions. // Date / nAp ican - Owner Contrac o gent An S permit is quired for excavations over 60" deep and demolition or construction of tructure!,.9ydr 3 stories in heigh Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 NRA DGNS. ( 3.5¢x' MLIACco� NOµRa1. C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B20 @ 1.000 LNSI Ex. Occup. oFliri rs AES, Dew 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 Cooling Hood 6.50 Ventilation uaS fireplace PERMIT FEIE $ Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYin TOTAL FEE $ 70 _ - HAZ. D FEES IMP FLOOD CDF PARCEL' PD HD ISsuE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work in Gated bove for wh' fee have been paid. Date 4�z PERMIT EXPIRES ON a ate RecelptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL 064-78-0-034 97-1259 BPE MESSENGER, Art 14361 Troy Way,"Magala (conv patio/sunroom & remodel)SF C.ontr: Richard nixon PERMIT NO. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION t P . a. Temp. Power Pole t Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Z/ Signature V=OK 0 = Not OK •=Nott ReadApply MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Eakments 2. Soils; Special MH Support Sketch 3: Sewer Location -Test -Fall -C/O -Concrete 4:- Water, Lavation -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / JUL / /Nat or/ /°LYt./ /LPG 7. Well Clearance & Disco nett '• 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 • Date Cana B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements- Setbacks Easements Date 2. Footings; SUL-Spacing-Marriage Line Date 3. Gas; MH TesVDemand Valve -Connector 4. Electricity; MH TestCrossovers=Breakers-Clearances ' 5. Drain; MH Test -Fall -Flex Connector & Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 10. Plumb.: Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize•DepthSpacirg-ConnectomSteeI 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beamsftftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-0ecal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fang.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braked Wall.Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbadks•Easernents 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI . 5. Elec.;.Pool Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4n�. to Main in Conduit 9. Health Departrnent Approval ` 10. Plumb.: Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0= Not OK RESIDENTIAL - = Not Applicable * = Not Ready Date UN R (Plans) OK except #'s etbacks-Easments-Flood-Slope Zooftq., Main; Soils-Elec. Gmd. / /' Ftg. Depth 3.)' Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth (Single & Duplex) Date J .ECTRICAL (Permit) OK except *s 2aooFixture & Transformer Clearance -Ins. Protection 2 ec. Receptacles Spacing -Lights & Switches at Doors 2 . Size Boxes & No. of Conductors Stapled 26. P#. Eqtl*V.Gem FaetRefs Bond Sas__ ��- 29. 30. Insulated Neutral n Yes n No 3 uc rs ro 30"Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date s•9i Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insula ,On &Support 36. Vent Fan, Exha above insulation 37. Condensate D)fain & Overflow, Size & Grade 38. Fumance Ve t Access -Comb. Air-ReturnAir Vent 115 outlet 39. Attic Accev§ & Platform if Furnace in Attic Date Cfird B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ING (Plans) OK except #'s 4&."Sits _ Materials & Anchors 44463w8tads-Nailing Spacing & Braces -Plates -Sound 43.Befalls over Girders & Floor Nailing 4306raft Stop in Walls (rat proof) 44. Fi ps, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Reams -Size & Bearing Date FRA orttinued) ngers-Post Ca ors -Connectors 47. Cling. Joist -W rf'. Ties-Purlin-roll Brac: TrussShting.-Rfng. 48. i�P„ ss; we omex ro ec es or Ong Dors i 5 53•Ext 2 Exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers iding Nailing Veneer 57. Stucco-Uesht0 io Screed -Fd. VanWMffl0htr_A ,zQ Wall Panels Infiltration -Walls -Windows Date �� q' Card B-1 Date Card B-1 Date v Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s t Steps -Door & Sidelight Protection -Landings Smoke Detector ---r6E-Famace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa -68. Elec. Trim & Subpanel, Breaker Sizes & Labels ' 64"tairs & Rails �r'Fireplace or Stove, Clearance -Hearth f-74-Zec. Outlets at Wood Panel, Int. & Ext. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance ltd Elec. Outlets & Recepticales at Kit. Counter T4. Ziarage Fire Door; Swing -Landing -Closure _ A.C. Duct in Garage -Damper ��6 DGir. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. n Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location _ -TIL-Elec. Receptacles in Garage (G.F.I J-Romex Protection --15-Insulation-Foam-looked in Attic ^807"Guard rails & Deck Construction -Post Caps --4H--Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes --SZ.- flowing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No ' 83t� Brown -Finish <!t:.C. Unit Disconnect, Electrical -Plumbing "ar'Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings �- 8C"1YVnter Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground entilation Throught House . Glass Protection Co-nections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric `_L -Water & Sewer Connected -C/O to Grade -HD Approval -'93--E+tergy Compliance Certificate -Other Certificates Date Card B-1 rl� Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 5. Stemwalls, M in; SteekBlockouts-Wrapped 6. Ste , Garage; Steel-Blockouts- Wrapped 6a. d Downs and Special Anchors . 7. Slab, Steel -Wrapped 8. Piers replace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Sine Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Undergroun 13: Plenums s, Clearance-MaterialSupportans. 14. Gi ills -Anchor BoltsJoistsa/ents es 15. Access & Ventilation 0 16. Insulation Date Date _ Card B-1 Date Cana B-1 Date Card B-1 Card B-1 Date PLUMBjNG (Permit) OK except #'s 1 1 ater�jpe Test & Anchor -Nail Protection 120�.I�V.V.; Test Fittings & Anchor -Nail Protection U ss 21.E Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date77 ^A Card B-1 I A2 Date Card B-1 Dates Card B-1 ° Date Card B-1 Date J .ECTRICAL (Permit) OK except *s 2aooFixture & Transformer Clearance -Ins. Protection 2 ec. Receptacles Spacing -Lights & Switches at Doors 2 . Size Boxes & No. of Conductors Stapled 26. P#. Eqtl*V.Gem FaetRefs Bond Sas__ ��- 29. 30. Insulated Neutral n Yes n No 3 uc rs ro 30"Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date s•9i Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insula ,On &Support 36. Vent Fan, Exha above insulation 37. Condensate D)fain & Overflow, Size & Grade 38. Fumance Ve t Access -Comb. Air-ReturnAir Vent 115 outlet 39. Attic Accev§ & Platform if Furnace in Attic Date Cfird B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ING (Plans) OK except #'s 4&."Sits _ Materials & Anchors 44463w8tads-Nailing Spacing & Braces -Plates -Sound 43.Befalls over Girders & Floor Nailing 4306raft Stop in Walls (rat proof) 44. Fi ps, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Reams -Size & Bearing Date FRA orttinued) ngers-Post Ca ors -Connectors 47. Cling. Joist -W rf'. Ties-Purlin-roll Brac: TrussShting.-Rfng. 48. i�P„ ss; we omex ro ec es or Ong Dors i 5 53•Ext 2 Exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers iding Nailing Veneer 57. Stucco-Uesht0 io Screed -Fd. VanWMffl0htr_A ,zQ Wall Panels Infiltration -Walls -Windows Date �� q' Card B-1 Date Card B-1 Date v Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s t Steps -Door & Sidelight Protection -Landings Smoke Detector ---r6E-Famace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa -68. Elec. Trim & Subpanel, Breaker Sizes & Labels ' 64"tairs & Rails �r'Fireplace or Stove, Clearance -Hearth f-74-Zec. Outlets at Wood Panel, Int. & Ext. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance ltd Elec. Outlets & Recepticales at Kit. Counter T4. Ziarage Fire Door; Swing -Landing -Closure _ A.C. Duct in Garage -Damper ��6 DGir. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. n Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location _ -TIL-Elec. Receptacles in Garage (G.F.I J-Romex Protection --15-Insulation-Foam-looked in Attic ^807"Guard rails & Deck Construction -Post Caps --4H--Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes --SZ.- flowing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No ' 83t� Brown -Finish <!t:.C. Unit Disconnect, Electrical -Plumbing "ar'Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings �- 8C"1YVnter Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground entilation Throught House . Glass Protection Co-nections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric `_L -Water & Sewer Connected -C/O to Grade -HD Approval -'93--E+tergy Compliance Certificate -Other Certificates Date Card B-1 rl� Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: y COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754y, PERM T N0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-7.80-034 ZONING Pi BUILDING PERMIT OWNER ART MESSENGER TELEPHONE SO. FT. OCC. BUILDING ION OWNER'S MAILING ADDRESS 14361 TROY WAY MAGALIA CA 95954 64.8 R 3499.20 108 @ 25 2700 cG RICHARD NIXON TELE8730119 137.75 @ 12 1653 75 0 525 CONTRACTOR'S MAILING ADDRESS 6831 FOREST HAVEN LN, MAGALIA CA 95954 CONSTRUCTION LENDER NONE LENDER'S MAIUNG ADDRESS ' Fireplace Total Valuation $ 8377.20 ARCHITECT OR ENGINEER NONE LICENSE NO. Film Fee $ 20.00 Permlt F@8 $ 108.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 70.20 BUILDING ADDRESS 14361 TROY WAY, MAGALIA$ Energy Plan Checking Fee $ 23.00 PERMIT FEE $ 10101 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT 9 Filing ee 20.00 USEOFSTRUCTURE SF 91 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 2 1 7.00 14.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: CONV PATIO TO SUNROOM, ADD 108 SQ. FT SUNROOM, AND ADD TUB & LAV TO HOUSE/SF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W1 920.00 PERMIT FEE s 49.00 ELECTRICAL PERMIT I Filing Feel 20.00 Main Service z..AOR 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 inf I orce d effect. i� ? ^ License Class anLIC. NO. / 31 �j OWNER -BUILDER DECLARATION I hereby affirm un er penalty of perjury that I am exempt from the Contractors License 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLNG OCCUP. OR ADONS. ( 8 ACC. BIDS. So 3•50FT: 13.50 NEW NON-RESIID. MUCTI•c, L,, @7.50 UAPPARATUS POWGERLE OTLET CIR. 8 SIN Ex. Occup. OUTLET OR FIXTURES 20 @ 1'00 SAL @ -50 Ex. Occu OUTLEEDTs RE.SIOOE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 33.50 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. 9'11I 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 worker §' compensation insu;ance carrigr and policy number are: Carrier it �1wEn f C�Oh�!'�`t�/ i MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number Ail i �lJl/l% ` 5 (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 not employ any person in any manner so as to become subject to workers' C laws of California, and agree that if I should become subject to the wor compensation provisions of section 3700 of the Labor Code, I shall f Ith com with os o isions. X Date (�tv _ Signa ure of Applicant - ❑ ner `❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ j.7,0 Energy Inspection Fee $ occ CONST. TYPE �A F $ 3 HAZ. D. FE IMP FLOOD CD PARC PD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dae (� f 2 I(D, te Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, `California 95965 - Telephone (916) 538-7541 PER IT NO. (Rev. 12/96) APPLICATION AND PERMIT ' �,7 12- - ASSESSOR PARCEL NUMBERI /• 03 �4OWNER ZONING BUILDINGPERMIT � TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS HARING ADDRESS l/ 6 CONTRA OR'S'_NAME / Y TELEPHONE J p -�/ � , 7 l� CONj TORS MAIR� r V6 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER • LICENSE N0. —Filing Fee $ 20.00 Permit Fee $ Ole ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ , Q,t— BUILDING ADDRESS ` / / (/►' L/ /7 C�/T Energy Plan Checking Fee $ ep2) $ PERMIT FEE S "Z LIJT N0. ' SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 1311100ODuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work:F�MTi %Z '�Q ��,Ln "D / ! 6V- -/S%C_ S�iL�v%'.�Ot��1-�� VC% Gas piping system 1 - 5 outlets 15.00 —Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 71 &113 —T -u6 L%4il -r-0 40 �� ELECTRICAL PERMIT Fling Feel 20.00 'J= Main Service ". oo..'ss 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 full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License . 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. ❑ 1, 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 workers' compensation insurance carrier and policy number are: Carrier Policy Number (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, 1 shall not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. SO OR ( & ACC. S. 3.5¢Fr. � r� NEW coNs . NON -REBID. @7.50 POWER APPARATUS 8 SINGLE 0 ET C", Ex. Occup. OUTLET OR FIXTURES BAL 2';� S OR Ex., OCCU . Dflx=W(R., ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ r MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ f OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I COF pARCEL PO HDI ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON (Date) Receipt No. ni 4 .a iii A10 WHITE-D.D.S.-B.D. CA ARV-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: Aoq_ Proposed Building Us . Building Inspector: ` Date: o At time of permit a cation, I �iadv�ised e following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted ------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------ -==--------------------------------------------- 03. ---------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 0,4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 5. ngineered truss details and layout in duplicate (re'qui.red prior to plan review) No faxes! ----------------- ergy Design Compliance and supporting documentation - ------------ ` i--------------------- ----------------- ❑7, tement of Intent for Non -Heated and A/C Buildings. -----=---------------------------------------------- ❑ 8. Haz dour Material Form.------------------------------------------------------------------------------------------ ❑9. Manctured Home data and installation instructions including Tie Down Specifications.------------------ ❑ 10. Fees o $------------------------------------------------------------------------------------- ❑ 11. Impact fes as shown on the attached schedule. ------------------------------------------ 1112. California Department of Forestry plan approval/fees. -- 7------------------------- • ❑ 13. F od elevation certificate. ---------------------------- 6 Sanitation and plot plan approval C / 66Health Department. ----------=— ---------------------------- — -% ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the,City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parkiiig: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020. Pre -inspection for required Request to Building Inspector on 112 1. Contractor's license information. (Number,Name"Siyle,-Classification).--------- Workers' Compensation carrier and policy number.--------------------:=------------------------------------- '023. Owner-Builder ----------------------------------- '023.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- '024. Letter of signature authorization. -------------- ^-:------------------------------------------------- 025. -----=--------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------"=" =_-"; --------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ------------- ------------------------------------------------------------- ❑28. Existing violations and/or expired permits.--------=------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) Wharf you issue the permit, process as follows ❑Mail to owner, ❑Ma'1 to contractor. �� elephone � o and hold for pickup 'a / cc) ❑ Del* with _m or. Applicant: o ? ate: 6' ( � Copy of Haz-Mat form se dth&epartment, ❑ Fire Department, ❑ Air Pollution Date:_ By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:' 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: } Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building' Division counter, by Date: Contractor, designer, owner, was advised of theabove required data by ❑ phone, ❑ mail, ❑ Buildin Division counter, by Date: Plans reviewed by: Date'- Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. „,-�'��'r�"y�+ti3�'gY'rt 71�7'�X�'t�'7►"�:'moi"�!�`�3He ."��sVl�+4`i.�r_Yi�ia�i''�l:..i{�,r"�%v��i�.�"•'J”q'f:+"p''.3:'imiry(r�eF"'c`("�b'kM7'=•tt'{Vk*(�"'�IY.'37+4()m+i�.:��.�:7Rw'.,i�'}{Z �,M'`�i:�,r�'t w,.��-. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 53877541 OWNER H-/C�t ,� - C7-6 t_ PROPOSED BUILDING USE ,,, a,t j2,V A A. P. #_09&4 74q g DATE tp fj REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due .......... -- Additional Fees Due ........... -- Revised Plan Checking Fee ....... $ \ $ $ VI'12. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) . 6. THERMALITO DRAINAGE DISTRICT FEES $4""0 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of building p APPLICANT Original -Owner Copy -Building Div. �z�z�q 6 ✓6�'�/�-Q I to be paid prior to issuance of the process. DATE — I (Rev. 12/96) �'1r .r'�,r..k 1�'`.tti,M�. ,r) t+frr«tGt�"� ., .+„"r�YC^••-+ � .. '�.�,y::�tfi ,..„+�"'"w^`Y`�'.c'4`�''.�'i4r"'y'�'.1w`��.+•�,+.�{.7�'"}�r�.t+'�'p'+.., `, �. BUTTE COUNTY SCHOOLS IMPACT,FEE CE13TIFICATION FORM (One form per Building) School District . �24 ' ` Building Department No. A.P. Number ©((/�''��i" Q' .Jurisdiction: City E�ICounty Property Owner 4,0 T Property Location/Address 3�� / Gle.(ti7 4L, n''1-/ —� Subdivision Lot No. �? Sq. � y� Residential Development � � Footage No of Li I Mobile Home Addition (Group R) Units ,. , Installation Commercial/Industrial E=4 t ._ = Sq. Footage New—Addition (Including Exterior w `a` ...Roofed Areas) Building Department Rep entative Date (rioor runs reviewea Dy acnooi uistnct rersonneii District Identification No. School District certifies that �. _. (Applica#t (Street Address) Number) has complied with*the„requirements of Resolution No. by payment of $ representing 1p square feet School Paid by Check M Remarks: B 2926 , $ ,ULL MITIGATION $ r Date Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 660201x), within 90 days from the date fees are paid. Failure.to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project maybe subject to additional school fees to fully mitigate its impact on the school d stirict's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm A 5 4. , RESIDENTIAL _ 064-780-034 94-0272B,P,E,M GAGNE, TOM 14361 TROY WAY, MAGALIA NEW SINGLE FAMILY F OFFICE COPY Address 1 GAS — Dates Meter By Date Meter By — i t OFFICE COPY I Address O 1 GAS Meter By Date ELECTRIC _ Meter By % :.,i —h Date j. JOB FINALE Signature V=OK ' O = Not OK Not Ready le MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Net. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rolls 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Truases 9. Siding; Nall ing-Veneer-Stucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test J V = dIK r O =rWdt OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UN RFLOOR Plans OK except #'s oni ng -Setbacks -Ease menta -Flood -Slope tg., Main; Soils-Elec. Gr -4 !f' Ftg. Depth . Ftg., Garage; Sol ls-Steel-Elec_GR1tl.-4Z/" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 7�— OStemwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel „9�8ctlIlG.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test er Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ina. irders-Sills-Anchor Bolt -Joists-Vents-Cripples ass & Ventilation 16. Insulation Date/Initials PL BIND Permit OK except #'s Water Htr.; Vent -Access -Combustion Air -Baffle V�Jater Pipe; Test & Anchor -Nail Protection . D.W.V.; Teat -Fittings & Anchor -Nasi Protection Shower, n; T First Floor -Tub Access "AlU I ub & S ower, Second Floor -Tub Access Gas Pipe; Size & Anchors 5 �1� Z = Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors . Siz Boxes & No. of Conductors-Stspled omex Installed Close to Edge of Studs & C.J. Ze Equip. Ground made up w/Meth. Fastners�n-d as W r Of._2 Appliance Circuts in Kitchen & Conductor Size/GF1 . Suhteed Wire Size / / ga. Cu or AI-A.C. Wire Size /0 ga. or Al 49r -Range Circ. /'a/ ga. or AI -Oven Circ. / / ga. Cu or Al. emulated Neutral mYes 'El No 3 . Service -Riser Conductors & Ground -Main Disconnect ZY'Equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date/initials MECHANICAL (Permit) OK except #'s 34. Ducts Insulation & Support nL Vent Fen Austabo nsulatED 6. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plana) OK except #'s 33, -SII Proper Material & Anchors 49^alls Studs-Neilina. SDacIna & Bracina-Plates-Sound 40!Qaaring Wells over Girders & Floor Neilina In Wells (rat proof) &erred fling -Stairs-Chases-Tub Date/Initials FRAM( ntinued) Hangers Poa ps- nchore- ec Cing. Joist-Rftr. ties-Purlin=roof Bmc-Truss-Shthng: Rfng. 4P.011'replace Ties or Type A Flue -Fireplace Throat clearance 48.'Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bd . Windows or Exiting Doors -Sill Hgt. & Dimensions 22.�:Gge Fire Protection Framing Property Line Firewall & Openings ji Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53-Statrs; Width -Headroom -Rise -Run -Landing -Fire Protection SA!pl ood on Roof Overhang -Attic Vents -Rafter Outriggers AS Al 7 WSiding-Nalling Veneer 56 --Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 Glazing Area -Glass Protection -Skylights -Plastic Shear Wells; N g -B a Date/Initials FI Plana OK except #'s . pct. Steps -Door & Sidelight Protection -Landings M.'t5moke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection edroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & shale S ire & Rails 69'Firenlarn or St e; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance Ve"Elec. Outlets & Receptacles at Kit. Counter 7 .rage Fire Door, Swing -Landing -Closer a'9"fr= Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 7"b., b., Elec. & Mach. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.1.)-Romex Protection 17'!p4lation-Foam-Looked in Attic O Yes erd Rails & Deck Construction -Post Caps 7 . Fdn. Vents & Crawl Hole Door -Drainage YeWood-Earth _Pere ence Looked under Flo 0 OT Following instld.; Drive ClIlles 13 No; Walks 0 Yea 5rN,. Planters C3 Yes 7No cco; Brown -Finish A.C. Unit; Disconnect, Electrical, Plumbing 83encs Above Roof; Ibg: Applianc -Fire lace: learance to Openings meter Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground entilation Throughout House .lass Protection 8d Correction from Previous Inspections i - 89. Gas TV -Meters Tagged; Gas -Electric -� . Water & Sewer Connected -C/O to Grade-HDApproval t Energy compliance Certifica - r Iflcatea Comments at nal: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE lT 77KlC ?—� OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be;corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ., - 11%1ST 1• C r. A -r i vN C.F-i2 r I c oc re _ Date 5 - � (, G t( Inspector f j` REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE - Asti y- z OWNER PERMIT NO. s 1 A routine inspection indicates that the following violations of Butte County Ordinances exist at - the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleasecontactthis office immediately. k4;: AX 9 fl A T' F204 �:AJ 2 Y l� E3/ r C-� I f'A!^ -5:T �+�'n/ Date j P?,.. 9 V Inspector REV 11/91 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751. 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date e ; % — Inspector REV 10/92 lIVJ �-T d/u owner _ _ _ 'Permit No. _ E NERGY CRRTIF i C A•T ION e 14361 Troy Way "Maaalia, Ca. -- LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF • H•rand Name 'fhicknees(lnchee) Thermal Resistance (R value)M_` EXTFRIOR WALL material FIBERGLASS BATTS Brand Name MANVILLE-SCHLLLE:R_ 'fhickne88(lnchee) 64"_,,.,,., Tihermal Reeietance(R CEILING Butt or 01anket Type FIBE:RGL_ASS BATTS Brand Neuse MANVILLE-SCHlalue R38 'thickness(inches) 12" Thernu►1 Resistance(R Value), FIBERGLASS —� Brand Neuse CE.RTAINTE:E:D [.Dose Fid. Type —' Min". m ThicknesiOpches) 151," Number of Bags 38 Wt.' per bag � _-lb• Area covered(ft. ) 1440 _ Thermal Resistance(R Value),_ R38 FLOOR, ELEVATED material FIBERGLASS BATTS Thickness(inches) 610".' FLOOR, S I.AB Material '1'hickness(inches) Width(inches) FOUNDATION WALL Material I'hickness(inches) Brand Name MANVILLE-SHLILLER _ - Thermal Resistance(R Value). R19 _ Brand Name --- Thermal Resistance(R Value).¢____ Brand Name Thermal Resistance(R Value)_,,,,_ i. hereby certify that the above insulation was installed in the above building in conformance with the State of Californ16 Nnarsy Requirements. _ L 01. RKE INSULATION CO., INC. FIRM NAME/OWNER SI NATURE OF IN LLA.TION APPLICATOR 499150 _ STATE CONTRACTOR'S LICENSE NO. August 8, 1994 DATE I liereby certify the above insulation and all required items as shown on the 11ui.lding Department approved plans and attachinents have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. o FIRM V* lease print) 6TrATH CONTRACTOR'S I.ICENSE,NO. � SIGNATURE OF RAL CO RACTOR OWNER DATE TIIIS CERTIFICATE MAST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL. AND A COPY SL &LL BE POSTED WITHIN THE BUILDING . January 1984 it Installation Certificate: Residential CF -6R BUILDING OWNER: %7fJ-y1 BUILDING PERMIT BUILDING LOCATION: /y,3 An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. - HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Certified Actual Distribution Duct or Heating Load Heating Type (furnace, Manuf. Make & EffIclency Type and Piping Before Over- Equipment heat pump,/��etc.) Model Number (AFUE, etc.) Location R -Value Sizing (Btuh) Capacity (Btuh) Vl.��nT VL- ,'/7` VN P o eJ AT -co F*x -T`7 �0� ooe3 -DAq P-Nt641 SS -7 6 N Z 04100 AAAA CEC Certified Cooling Equip. Compressor Unit* Actual Distribution Duct or Type (air cond., Manuf. Make & Efflclency Type and Plping heat pump, etc.) Model Number (SEER) Location R -Value The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Ener Effi ' cy tandards, and are two of the criteria usad for equipment sizing and selection. 83-17 Signature Date HVAC Subontractor (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS Water Heating System Type (storage gas, etc.) CEC Certff led Rated' Manuf. Make & Input (kW Model Number or Btuh) Tank Capacity (gallons) Energy Factor or Recovery Standby' Efficiency Loss (%) External Tank Insulation R -Value 1C kA¢ iM f L 2,t ura p--�Pr 1. For small gas storage (rated input:5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. For Instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directo ertrfied Fau is and Showerheads, purs 1 Part 6, Subchapter 2, Section 111. Signature Date Plumbing Subcon'actor (Co. Nam r Ge eral C tractor or Owner THIS CERTIFICATE' MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL A10j A COPY SHALL BE POSTED WITHIN` THE BUILDING. —I.. : j q JANUARY 1993 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION JF_ 7 County Center Drive - Oroville, ,California 95965 - Telephone 1916) 538-7541 PERIT NO. APPLICATION AND PERMIT D 'Z7�M ASSESSOR PARCEL NUMBER 64-78-34 ZONING BUILDING PERMIT11 OWNER TOM GAGNE T1g7JNE0332 / SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 15301 CR TAS MTN RD 1960 R 10 840.0 558 M 44.0 CONTRACTOR'S NAME TOM GAGNE TELEPHONE 274 C 3,562.00 lZiNNNION 150 1 050-00 CONTRACTOR'S MAILING ADDRESS 15301 C RYSTAL MTN RD Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 121 _906.00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 716-50 ARCHITECT OR ENGINEER TOM GAGNE LICENSE NO. Plan Checking Fee $ 469-70 Energy Plan Checking Fee $ 2-3.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS 15301 CRYSTAL MTN. RD Penalty $ BUILDING ADDRESS PERMIT FEE $ TROY WAY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 MAGALIA, CA Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. 34 SUBDIVISION'S NAME TROY ESTATES PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF M Duplex El Mobilehome Cl Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New (A Addition ❑ Remodel ❑ Utilities ❑ Installation CI Other Other ❑ Describe Work: 3 BEDROOM FEE $ Contractor136 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 11101 LESS 200A OR LESS ) 23.0023. 00 Main Service ( 200A TO 1000A ) 46.00 OCCUP.s, NEW OR ADDNS.T. ( D 8,, ACCELLINGBLDS. ) 3.5C 8. 10 CONTRACTORS LICENSE LAW I decla nder penalty of perjury (check one) am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my/license is in full force and effect. License No. 5��-�{ % (p Classification O I, as the owner, or my employees with wages�eir sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. 1 BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL.20 @ 1.50 Ex. Occup. FIXED APPLNS. OR P ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare und1rpenalty of perjury (check one): ❑ T ' ermit is for $ 100.00 (valuation) or less. laorhave placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 131.10 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling 15.00 Hood s.50 6.50 Ventilation 6.50 PERMIT FEE $ 63.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County' uence of the granting of this permit. w Date r- �(� Signature of Applicant - ❑ OKny ❑ eontractor ❑ Agent An OSHA permit is require for excavations over 5"0" deep a demolition or construction of structures over 3 stories in 'ght. i' s"Gy`4 ,I Mobile Home Installation Fee$ Energy Inspection Fee $ 46.00 � > coN, rPE TOTAL FEE $ 1601.30 I HAL. I D. FEES IMP FI_OVCDtPARCEL ISSUE permit is hereby This P y issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been /%ADIRECTOR OF LIC WORKS'? By �ly�^CAY/ 28/95 PERMIT EXPIRES ON /Date! provisions to do work paid. Date G. / 153825 --J�' - ` J� � �i � ' l(� 37. / Receipt No.("2/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -if ECTOR GOLDENROD -APPLICANT n�COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1\- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53£3-754 1 PERMIT NO. ' APPLICATION AND PERMIT ----- ` " �- ASSESSOR PARCEL NUMBER.. ,, 69 y- 3- -3 ZONING - BUILDING PERMIT NERTELEMIONE ToM G�GN E 3 z 3 " :a SQ. FT. OCC. BUILDING VALUATION �- — - Ion N4o — qLf OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ?Owl TELEPHONE CONTRACTOR'S MAILING ADDRESS 5�ot cecfS7-4Z_If N- P' P- _ Fireplace I A — CONSTRUCTION N6ER AIC UNKNOWN Total Valuation $_--- -c �17,1 q9(0 LENDER'S MAILING ADDRESS - Filing Fee Permit Fee $ 20.00 S �j ARCIIITEC OR ENGINEER%. om `� `�&�� LICENSE N0. Plan Checking Fee t(•jo $ (JLC -PST Energy Plan Checking Fee—`, , 0 ��J ARCIIn ECT OR ENGINEER'S MAILING ADDRr.SS `� , Z - C X L15 TSL /� �7y H� --------- Penalty -- S 20 BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 % / / R o (7 W LI-yy � Each Trap Q 7.00 / Solar or heat pump water heater 23.00 Water piping 15.00 j j- ') � TOT N SU13DIVISION'S N E U PARCEL MAP !ZZ -- ? Each gas water heater or vent 15.00 _15.,)o USE OF STRUCTURE Duplex ❑ Mobilehome ❑ Other SF SPECIFY Gas piping system 1 - 5 outlets 15.00 'k S a-) Building sewer 15.00 15-0 o Mobile Home I S G W @20.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: ,3� t�2oJ.r PERMIT FEE $ y� Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 2001 OR LESS 23.00 P 3, 7� Main Service ( 200A To IOOOA ) _ 46.00 NEW CONST. ( DWELLING OCCU-n OR ADONIS. & ACC. BLDS.Iw' 3.5C s0' T. -^ CONTRACTORS LICENSE LAW I declare underenalty perjury of per•(check one) P y ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) 'Cl I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason__ NEW CONST. MULTI -OUTLET NON•nESID. ( BRANCH CIRCUITS ) @7.50 E r ( MWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES ( ) 20 1.00 @ BAL. .50 Ex. Occup. ( OUXEis1 LNS.00 ) 5.00 Temporary Service 23.00 Mobile Home Facilities — 20.00 Misc. Wiring 23.00 — WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor 3) r MECHANICAL PERMIT Filing Fee 20.00 Heating ;. 0 ) Cooling �. 11X) Hood 6.50 Ventilation PERMIT FEE $ Contractor certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date nature of Applicant ❑Owner O Contractor O Agent tn, OSHA permit is required for excavations over 5"0" deep and demolition orindicated struction of structures over 38iep in hei ht. -//� Mobile Home Installation Fee $ Energy Inspection Fee6oj'�3O $ ceNsr TY TOTAL FEE IIAZ. D. FEES IMP x1000 C� PARCEL —� ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which tees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON IOerel Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER TO M /} CT i i- A. P. No. t - 78-3 Y Proposed Building Use 5 _ F - 6 W F LL , ^1 c Building Inspector G{ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED EA, terns have been submitted. ... .................... . 2. lot plans, 3/4 sets si e. b T .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. ees of $ k9-eL� /03.7... I Z ................... ........... . 1. pact fees as shown on attached schedule. . . California Department of Forestry plan approval es 3 � . .... 13. Flood elevation letter (100 year flood) by California ngine k,— 14. Sanitation and plot plan approval PARAbt5FE Health Department . ............ .15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. is 20. Pre -inspection for required. .. o s4°,d g neper (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... i 23. Owner -Builder Verification (Given to owner , Mail to owner ........... 1: 24. Recorded copy of Agricultural Acknowledgement Statement . ..................� 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... ... t29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 3 . )sting violations/expired permits . ...................................... Iancheck list . ..................................................... 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 873-0 32 and hold for pickup at 09-6 J i (A -F office. Deliver with inspector. Other Parcel Creation Acreage Applicant u- Date Copy of Haz-Mat form sent Health Dept. I Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted Oqgrto pgq4lt is 1. Index permit for above items No. 2. Additional items required: If not checked above). Contractor, design , o J was advised of above required data by !/panne _ mail Counter byK�ate Contractor, designer, wri , was advised of above required data by �ne _ mail Counter b Date S Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance r 7- . alk f, �G/ oy /-CJ2/V/0.2 owner locatiT on !T AP # Driveway permit'I y -y l % 0 has si ature been issued for the above property. date li.n. I Is 1: ON 1.), Plait 1'1;111 nuwtlted �S ¢ r Wr VInue flan Attnchid��la�S_ se.nt to 14.1). TO: BUildinb Department FROM: Environmental Health SUBJECT: Sanitation Clearance i Owner / Location AP# Plan approved for: Sewage Disposal ✓ Fater Supply: Public Private Well Clearance for bedroom iii *)home. Othcr Hold .final for: Final clearance O.K. for: NOTE: L-nvironmenta ealth Specialist 8/92 //�-y Date COUNTY OF BUTTE - DEPARTI"IF.NT OF DEVEL k, OPMENT SERVICES - BUILDING DIVISION .*�-rye t.- _ 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER 10 m (T 4 �! f- A. P. # Co y - 7,6 -3 C/ PROPOSED BUILDING USE S- F. W F G DATE_ REC. # DA_ SCHOOL DISTRICT FEES A f -A S S E (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential ..... x =$ unit amt. Commercial (sqft) x _$ 3. URBAN AREA FEES sq.ft. amt. (paid at Building Department) Residential (per unit) x =$ # u amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00 .... , , (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. Com`` APPLICANT DATE r '-� Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Adding Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. ',� 28 The property described herein is adjacent to land or included 19 within an area zoned for agricultural purposes, and residents of this property may be subject .to .inconveniences or discomfort arising from the use of agricultural chemicals, ! 9g,0O903p`_' 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, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: 2-28-94 SEE ATTACHED LEGAL DESCRIPTION Y 0 M�T 0 THOMAS GAG State of California ) County. of BUTTE ) On 2-28-94 before me; VICKI GROSSE personally appeared THOMAS GAGNE----- personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) 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 �g",,2{'S(S),00rFtheWKJA�ie�nt�ty„uponM11111111�behalfsof which the Whkperson(s) acted executed the instrument. s"� WITNESS m hand and official seal. t rJ�}'99M11 AL EHL y `� VOrKi GROSSE � A44'3'e.�:Y 6slD8LIC - CiAL7FORk1t1A. (dq r� ^, � .• • • C061NTY OF RiUTT'E (� Fl.'y�enmiSalun�aplreP.Aentne27,3°3!�a Signature L+ G Seal: mvs„rsurneera A.P. # 0C� 1 PARCEL I: LOT 31, AS SHOWN ON THAT CERTAIN.MAP ENTITLED, "TROY ESTATES UNIT NO. 2111 WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 7, 1991, IN BOOK 122 OF MAPS, AT PAGE(S) 80, 81 AND 82. CERTIFICATE OF CORRECTION RECORDED DECEMBER 22, 1992, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 92-58510. PARCEL II• FLOWAGE RIGHTS FOR DRAINAGE OF STORM WATER ACROSS LOT 20 FROM FLOWAGE RIGHTS LINE TO MIDDLE BUTTE CREEK, AS.SHOWN ON THAT CERTAIN MAP ENTITLED, "TROY ESTATES UNIT NO. 211, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 7, 1991, IN BOOK 122 OF MAPS, AT PAGE(S) 80, 81 AND 82. PARCEL III: AN EASEMENT FOR CREEK BETWEEN THE HIGHWATER LINES, AS SHOWN ON LOT_ 20 OF THAT CERTAIN MAP ENTITLED, "TROY ESTATES UNIT NO. 211, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 7, 1991, IN BOOK 122 OF MAPS, AT PAGE(S) 80, 81 AND 82. Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this . acknowledgement be recorded prior to issuance of a building permit. - - -119' -- � �J The property described herein is adjacent to land or included ,44-0090 30 within an area zoned for agricultural purposes, and residents - - -- _ of this property. may be subject to inconveniences or discomfort arising 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, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date: 2-28-94 P TY O r THOMAS GAG State of California ) County. of BUTTE ) On 2-28-94 before me, VICKI GROSSE personally appeared THOMAS GAGNE-=--- personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) 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, thepr the,entityllupon behalf of which the person(s) acted, executed the instrument.- �`.�'.r/PFS�^IHL BF_Ai_ rJp WITNESS my hand and official seal. "' ` `"' � D �.; 1. NAIe' .6 GROSSE 0 a,.. .. ,( "r0'1 i,Y PL BUB- - CALIFORNIA (. < •' COUNTY OF "ZUTTE (,S Fly C�ornrsnlsslun Rxrplrep-June 27,1007 - Signature Seal: R1AA.AlAAAL!!AlRIAAF.R A.P. // PARCEL I: LOT 31, AS SHOWN ON THAT CERTAIN.MAP ENTITLED, "TROY ESTATES UNIT NO. 211, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 7, 1991, IN BOOK 122 OF MAPS, AT PAGE(S) 80, 81 AND 82: CERTIFICATE OF CORRECTION RECORDED DECEMBER 22, 1992, UNDER BUT COUNTY RECORDER'S SERIAL NO. 92-58510. PARCEL II: FLOWAGE RIGHTS FOR DRAINAGE OF STORM WATER ACROSS LOT 20 FROM FLOWAGE RIGHTS LINE TO MIDDLE BUTTE CREEK, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TROY ESTATES UNIT NO. 211, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 7, 1991, IN BOOK 122 OF MAPS, AT PAGES) 80, 81 AND 82. PARCEL III• AN EASEMENT FOR CREEK BETWEEN THE HIGHWATER LINES, AS SHOWN ON LOT_ 20 OF THAT CERTAIN MAP ENTITLED, "TROY ESTATES UNIT NO. 211, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 7, 1991, IN BOOK 122 OF MAPS, AT PAGE(S) 80, 81 AND 82. ^ wfrrL��'.�,�eeirl��Yi�ra ��'1'7"re"Va;,H.y.rstr�='S:`,'. �jf�rFSrS�'i*?irti"f�•'Y.ta''�`�`�.�.."'Ji�e•'w'S�`tP�v,'-•firstrr`�}i�'`1b^P�P{'".�.,.-.n'"7vt"r%l�n.,�;���.;Na�P`Kdc��a^'.r)hY�3?'�1yJ�, :;;;:; �.�,..a%� BUTTE COUNTY SCHOOLS IMPACT FEE -CERTIFICATION FORM (One Form Per Building) School District PA 2 A L I S F Building Department No. A.P. Number e; q- 78 -3 y Jurisdiction = City. ®• County Property Owner TO n'1 G A G N £ Property Location/Address T r2 o y WA Y Subdivison Residential DevelopmentT No. of Living MHI Units Lot No. d. Sq. Footage`3S Addition (GroupR)f Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior ` Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District)Identification No. C% " o`7' J LAL School District certifies that (Applic t) (Street: Address) has complied with the requirements of Resolution No. _ by payment of $ ✓ I q(52 75 representing 1 q3.e square feet. School District/Representative Paid by Check Number Bank Number Paid by Cash , Remarks: Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) RESIDENTIAL•PLAN CHECKING GUIDE (S.F., DUPLEX-.& MISC. ONLY) OWNER SNE GENERAL ��oning requirements: (sideyards and number 1! Valuation. 3e' Plans signed by designer. 44-'Ir—oper description of work on application. Ming violations on property. 8/91 Bldg. Permit # 7Z A.P. # 64 -7& -34 - Plan Checker p -y-- of permitted living units). tems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). e orded notice of violation. PLOT PLAN IComplete parcel size and dimensions. wetbacks, sideyards, easements, etc. ,%r --Mer buildings or structures. 4--`G ading, fills, drainage. 5! Flood hazard. *'---Special conditions on creation map, ustible, and foundations). ;---M & FAS road setback. Y (noise, CDF, fire sprinklers, non—comb— . 8e--$uilding or utilities across lot lines (Record form). FLOOR AN „ 1•. complete to scale plan wi th dimensions. y quired windows for light and ventilation (Sec. 1205). -31 Required windows for second exit (Sec. 1204). 1►�Sk gh (Chapter 34, &'Se'c. ' 5207) : �/ man impact glass (Sec. 5406).- r' Required room sizes, ceiling heights ,(Sec. 1207). -7— FES s in baths, garage, kitchen, and exterior outlets (Article 210-8). fight fixtures, switches, receptacles; and,exterior recep'tac'les for ,main— enance of mechanical equipment. ocations of water heater; heating and. copling.equipment, other electrical or gas equipment. ra firewall` door size, and closer.(Sec. 503(d)(3)). 11 1 3'0" exterior exit door"(sec. 3304 (f. Virep ace and wood stove location, alcoves, and clearance. e detectors (Sec. 1210). lumbing fixtures, water closet --clearanc,%q And shower size. STRUCTURAL DETAILS r�2-zv- 9 1. Standard bracing or ineere esi ble 25V) 3�iu tial shape, size, or split level house requiring lateral design. �iee story requiring balloon framing and/or engineering. ee story building requiring engineered calculations and plans. �undation plan complete enough to construct building. 6. Floor construction details complete enough to construct building. vations and wall construction details complete enough to construct Roof construction details complete enough to construct building. �-- Fi.-i e construction details and Talcs if -necessary. l�a ties or bearing ridge beam. 14'Garage door or porch header sizes. 17-"'S-tud heights. 1 Tobe soils — special foundation.design. 14--Rtstaini.ng walls requiring design. 1cial Inspection required. building RESIDENTIAL PLAN CHECKING - GUIDE MISCELLANEOUS'ITEMS TO'LOOK OUT FOR 0 8/91 kltairway"`details: landings, rise and run, head clearance, handrails' (Sec. 3306). 2. Guardrail details (Sec. 1711 & 3306(j). brick or stone veneer (Chapter 30). erior plaster — weep screeds (Sec. 4706). • _,�oper roof pitch for roof convering (Chapter 32). 6F'Roof covering type — (fire hazard). oam insulation —protection. tS! 36" halls and stairways. wig area over garage — complete 1—hour separation required on garage side including supporting walls and posts, etc. 1 exits on three—story dwellings (sec. 3303 & see Mezannines — 1716). 1 ArKc access and ventilation (Sec. 3205). 1 . nderfloor access and ventilation (Sec. 2516): 1 Combustion air for fuel burning appliances — L.P.G. requirements. e requirements on duplexes. 1nergy design. ..fjashing at all exterior openings. 1F responsible area requirements. S_47_�Y J P4714 eP&ET 2� C •C �4 L t► V�P -4.0-V ( N 3 O K 114 cAt.C,6� OwtiJEFS/ I -FE w<<.t, P-Y- J ✓ � Yom., � (� � v J � a� �-- . � v C3� 1 ► ° - ^ Pf G•R-S # /OV CHKD. BY ...................... DATE ........................ ._............................................ ......... I........................... COUNTY OF BUTTE BWLOING DEPT FEB 2 2 1994 SUBJECT.`.,�f�i�/7L �I�JLGS........ SHE ET NO._../........OF ...... .. sf� :;ZO Z/ _..................._. ............._........_ ........ JOB MO. ..._........_._...._... _...._..... ._7' � ,vim f T, .y....G�,¢y)......t- 4'�t�....._ 4, P-# 64 70 -3V o �,e��E- covs�vcr�ov . L � nUV��U\.1LsLS"I.Iuvl� CIVIL ® STRUCTURAL (916) 672-0254 X790 CLAPK ROAD. PARADISE, CAUPORNA 95969 G G = 40 f:'F L5'P B //• &- &OAr Zs 72 c- 401- sulto N'APTJ�o L vtfaE,c — Zx f' ¢x M&7i,$,65es -'p.F 0�i - /Z v -v mss/ Fxc��r mac¢ gives - xT 4,e., /j� = d'd0 /rr/, 4,z V, oz �i O,OaCT Sri, PS /- QP3 -lei = 06W PS'/ /,J 2cP Ys al,!! x Z -ads t, 2117x r GcJ3 d . O/Prx V%D t, 011 7,< 7-x 'Ie. r%Z t. 0/Ox �¢o• d` -x �x `f /d? d�x Z x t Z3x r 05't,z- 12:� _ '-1, 4d -?),r Z1 - Z ?,P'` .C7-,l23e so vE CGS' , //,f"n W = , D -�ZZX Z -L , O/D,c F - , /3, z BY. ................... ......_.DATE ... ........_.......... SUBJECT ....................................._............ ....... .......... ................... SHEET NO....:.OF ............... ,I CHKO.BY...................... DATE ............ .......... -........ _._........ _.._..................................................................................................... JOB NO........4OZ/.... ........... al,!! x Z -ads t, 2117x r GcJ3 d . O/Prx V%D t, 011 7,< 7-x 'Ie. r%Z t. 0/Ox �¢o• d` -x �x `f /d? d�x Z x t Z3x r 05't,z- 12:� _ '-1, 4d -?),r Z1 - Z ?,P'` .C7-,l23e so vE CGS' , //,f"n W = , D -�ZZX Z -L , O/D,c F - , /3, 917 47- W10 ,43 — /ted x s = 3x e ,¢ - Z� r2Ir Z 3.d al,!! x Z -ads t, 2117x r GcJ3 d . O/Prx V%D t, 011 7,< 7-x 'Ie. r%Z t. 0/Ox �¢o• d` -x �x `f /d? d�x Z x t Z3x r 05't,z- 12:� _ '-1, 4d -?),r Z1 - Z ?,P'` .C7-,l23e so vE CGS' , //,f"n W = , D -�ZZX Z -L , O/D,c F - , /3, 3It,e 71, %r-1 9. r �?C,r et,44G s �or a , Zzv, F, r" p ` y, 6qp �� lye%i (PIZ X/6'IZ t . D/D,r /3)x 'L- �Elr'G& 7 l/SE /Z r�GY, G1>X ODP ��-�Tf//•{JJl' ttJ�q�� C7/Z- Feavlo 'IE:7&-;f /,v - G/,MJF 4�/ i Aa klle- OP A? s— .s6J�/o T 1�< 6 s 0A.) gx /Z f TV /0/'s.-�IIY�s'O,cJ �ivs'T7iG LIf 2x IZ ",o,. G, �L GJ �OGTS � ¢O �a • �.� //jam � S��c-r w TGZ.36 110-2 �dr�T/vv ,8 y lcs� !cJ� . BY....... ......... CIAYE ....... L....... ..... .. SUBJECT -74ii`. ... .:C.S...._.........-..-----. SHEET NO...._.3......OF.... ...........-. CHKD. BY.......................DATE........................ ............................................................. _....................... ----........-................ ...... JOB NO. ..... _.............. �OZI 3It,e 71, %r-1 9. r �?C,r et,44G s �or a , Zzv, F, r" p ` y, 6qp �� lye%i (PIZ X/6'IZ t . D/D,r /3)x 'L- �Elr'G& 7 l/SE /Z r�GY, G1>X ODP ��-�Tf//•{JJl' ttJ�q�� C7/Z- Feavlo 'IE:7&-;f /,v - G/,MJF 4�/ i Aa klle- OP A? s— .s6J�/o T 1�< 6 s 0A.) gx /Z f TV /0/'s.-�IIY�s'O,cJ �ivs'T7iG LIf 2x IZ ",o,. G, �L GJ �OGTS � ¢O �a • �.� //jam � S��c-r w TGZ.36 110-2 �dr�T/vv ,8 y lcs� !cJ� <,'i> s.•, _.c.�rw+*'s,.x,;r�" .ir Cdr"�" . .Br• e't � rH,°�. •,�d' •4w -r. .. ,.•✓..i,•a'py:"a�;wv��°drv.. , er-».e.ri.e.w..�. r" CERTIFICATE OF COMPLIANCE: RESIDENTIAL• Page 1 CF -1R Project Title.......... The Tom Gagne Res. Base Date........ 05/23/94 Project A•3dress........ Troy Way Paradise Documentation Author... Marty Runnells Company ............... Energy Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zbne........... 11 9 cf- Z7 7i BuilLling Permit %-/4 Plan Check Date F—leld Check/ Date MI.CROPAS4 v4.02 File -94042B Wth-CTZ11S92 Program-FORM..CF-1R User#-MP1333 User -Energy Calculation Svcs. Run -1935 S.F. Res. Base GENERAL INFORMATION Conditioned Floor Area..... 1935 sf Building Type .............. Single Family Construction Type ......... New Building Front Orientation. Front Facing Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Raised Floor BUILDING SHELL INSULATION Component Insulation Assembly a U -Value 407 0.081 Door R-0 0.330 Roof R-3-0 0.031 Floor R-19 0.037 Detached 90 deg (E) (Package E). Location/Comments PLAN FRONT, FRONT -RIGHT, FRONT -LEFT KNEE WALL, TO GARAGE, LEFT, BACK, RIGHT TO GARAGE, LEFT TO ATTIC, VAULTED RAISED FLOOR FENESTRATION BUM COUNTY BUILDING DEPAR7MEN1 APPROVED" a # of Interior Over - EA er U- Pan- Shading/ Exterior hang/(Framing Orient` to -t ion (sf) Value es Description Shading Fins `ilype�f Window Front .(E) 38.0 0.510 2 Drapes.Std None Yes Vinyl Window Front (E) 10.0 0.490 2 .Drapes.Std None Yes Vinyl Window Right (NE) 12.5 0.510 2 Drapes.Std None Yes Vinyl Window Front (SE) 12.5 0.510 2 Drapes.Std None Yes Vinyl Window Left (S). 45.5 0.510 2 Drapes.Std None Yes Vinyl Window Left (S) 40.0 0.520 2 Drapes.Std None Yes Vinyl Window Back (W) 53.4 0.520 2 Drapes.Std None Yes Vinyl Window Back (W) 3.0 0.490 2 Drapes.Std None None Vinyl Window Back (W) 38.0 0.510 2 Drapes.Std None None Vinyl (N) 52.5 0.510 -677b.750 2 Drapes.Std None Yes Vinyl Skk "ylight H__y L87. 2 Drapes.Std None .None Metal BUM COUNTY BUILDING DEPAR7MEN1 APPROVED" :•...ww„r,ta.M"ti,.irY'^a�`'�i �i .ir: .. ,.m'...�... r: �+^^"'s. LMMs. .. draw:y,., _.. ..... 44 CERTIFICATE OF COMPLIANCE: RESIDENTIAL. Page 2 CF -1R Project Title........... The Tom Gagne Res. Base Date ........ ns/?.'i/aa MICROPAS4 v4.02 File -94042B Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs.. Run -1935 S.F. Res. Base Type Exposed InteriorHorz Yes THERMAL MASS Area Thickness' (sf) (in) Location/Comments 14 1.0 HEATH HVAC.SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value Type Gas U Craw-rspace� R-4.2 Setback AirCond CT '0-0—SEE RT Crawls a- - R-4 2 S +- I- k Tank Type Storage P e ac WATER HEATING SYSTEMS Number in nergy, Tank Size External Insulation Heater Type Distribution Type System Factor -(gal) R -value Gas Standard 1 x:60 E 50 R-12 SPECIAL FEATURES/REMARKS .,.,.w+,p..a, w,ii/M.+.xsua� ., Nn::wd���Yr' .. ��. �:�rr,•�.. rv+,"'< ;:v`"y.wo-. ..., ...: n,r-;�°"'a"n .c.� .�t: :inn-, CERTIFICATE OF COMPLIANCE: RESIDENTIAL. Page 3 CF -1R Project Title.......... The.Tom Gagne Res. Base Date— _---- nc;/,)-4/cad MICROPAS4 v4.02 File -94042B Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1935 S.F. Res. Base COMPLIANCE STATEMENT This certificate of compliance lists the building features:arid performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall 'design responsibility. When this certificate of `compliance is' submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the .Special Features/ Remarks section. Title... Agency.. Phone... Signed.. ate DESIGNER or OWNER DOCUMENTATION -AUTHOR Name.... Tom Gagne Name.... Marty Runnells Company. P Y• Address. Company. Energy Calculation Svcs. Address. 1907 Mangrove Ave. Ste D Phone... Phone... Chico, California 95926 (916) 894-8466/ 246-9522 916 873-0332 License. Signed.. Signed.. ate at ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. ate �.ar 1.e'f N�,w.'A.t. r ✓•� H.IM''��,•.w�a. ay...a,vY:!'�.' . ..f •., '� �rwµn.. �(" W .w•.,wc, .KYR .. MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... The.Tom Gagne Res. Base Date........ 05/23/94 Project Address........ Troy Way Paradise Documentation Author... Marty Runnells Building Permit Company ................ Energy Calculation Svcs. Telephone.............. (916) 894-8466 / 246-9522 Plan Check Date Compliance Method...... MICROPAS4 by Enercomp,.Inc. Climate Zone........... 11 Field Check/ Date MICROPAS4 v4.02 File -94042B Wth-CTZ11S92 Program-FORM.MF-1R User#-MP1333 User -Energy Calculation Svcs. Run -1935 S.F. Res. Base Lowrise residential buildings subject to the Standards musC` contain these measures regardless of the compliance 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 measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- *150(a): Minimum R-19 ceiling insulation. er ment 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). --. *150(d.): Minimum R-13 raised floor insulation in framed floors;:. minimum R-8 in concrete raised floors. ✓ 150(i): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. ✓ 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150o(g):.Vapor barriers mandatory in Climate Zones 14 and 16 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. 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. V/ y:. �: •w.l. .A`+wt:ww>V.. h,.a wu . _�yy ...... _.... n.aq�e�:+• 1,A :_,:/�"'w?"a'h�'.+ ���,r, - . . °'�` reaww�.. ,,1r•ee�w""�l,It.:� ,N((iA'i:M wf,M-•<im.M%' �q:..r:�vlWrw ��•/c+ MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project 'Title.......... The.Tom Gagne Res. Base Date ........ 05/9,i/Aa MICROPAS4 v4.02 File -94042B Wth-CTZ11S92 Program -FORM MF -1R Use.r##-MP1333 User -Energy Calculation Svcs. Run -1935 S.F. Res. Base SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM -MEASURES • Design- Enforce - 110 -13: HVAC equipment, water heaters, showerheads and faucets. er ment certified by the CEC. 150(i): Setback thermostat on all applicable heating systems. 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non-'- recirculating systems, insulated (R-4'or greater). 3. All buried or exposed piping insulated in recirculating': 4. sections of hot water system. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. �- *150(m): Ducts and Fans 1. Duets constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum ... installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers.. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pcol system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance / with pilot < 150 Btu/hr.). r� LIGHTING MEASURES 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. Design- Enforce- er ment { A.M COMPUTER METHOD SUMMARY Page,1 C -2R Project Title.......... The Tom Gagne Res. Base Date........ 05/23/94 Project Address........ Troy Way Paradise Documentation Author... Marty Runnells Building Permit Company ................ Energy Calculation Svcs. Telephone! .............. (916) 894-8466 / 246-9522 Plan C ec Date Compliance.Method...... MICROPAS4 by Enercomp,.Inc. Field Check/ Date Climate Zbne........... 11 MICROPAS4 v4.02 File -94042B Wth-CTZ11S92 Program-FORM,C-2R User#-MP1333 User -Energy Calculation Svcs. Run -1935 S.F.:Res. Base MICROPAS4 ENERGY USE SUMMARY Energy Use (kBtu/sf-yr) Space Heating.......... Space Cooling.......... Water Heating.......... Total Standard Design 13.90 14.55 12.09 40.54 Proposed Design 14.27 13.60 10.52 38.39 Compliance Margin -0.37 .0.95 1.57 *2. 15 *** Building complies with Computer Performance:*** GENERAL INFORMATION Conditioned Floor Area..... 1935 sf Building Type .............. Single Family Detached. Construction Type ......... New Building Front Orientation. Front Facing 90 deg (E) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... ReducedYear Floor Construction Type.... Raised Floor (Package E) Number of Building Zones... 1 Conditioned Volume......... 17581 cf Footprint Area ............. 1935 sf Ground Floor Area.......... 1935 sf Slab -On -Grade Area......... 0 sf Glazing Percentage......... 16.2 % of FA Average Ceiling Height..... 9.1 ft Floor Area Zone Type (sf) HOUSE Residence 1935 BUILDING ZONE INFORMATION Volume (cf) # of Dwell Cond- Thermostat Units itioned Type 17581 1.00 Yes Setback Vent Special Height Vent Area (ft) (sf) 2.0 n/a ' �, / �..-<' ... tw. ` ,.•... .. .. ,�.,. ..« .. .I� .A«a:. ,. yn+.,... }�«IM.�L. ,:,.^ •• .w...rw.. nr�..... Adv-. COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... The Tom Gagne Res. Base Date ........ 0c;/9-4/aa MICROPAS4 v4.02 File -94042B Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -1935 S.F. Res. -Base Surface HOUSE 1 Wall 2 Wall 3 Wall 4 Wall 5 Wall 6 Door 7 Wall 8 Wall 9 Wall 10 Door 11 Wall 12 Wall 13 Wall 14 Wall 15 Wall 16 Door 17 Roof 18 Roof 19 Roof 20 Floor Surface Area (sf) # of Vent Pan- Frame Open es Type Type SC U- Act Glass value Azm Tlt Only SC Interior Int Shading/ Shade Description HOUSE OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ (sf) value R-val Azm Tilt Gains Reference Comments 160 0.081 R-15 90 90 Yes None PLAN FRONT 16 0.081 R-15 45 90 Yes None FRONT -RIGHT 16 0.081 R-15 135 90 Yes None FRONT -LEFT 133 0.081 R-15 90 90 Yes None KNEE WALL 116 0.081 R-15 90 90 No None TO GARAGE 20 0.330 R-0 90 90 No None TO"'GARAGE 367 0.081 R-15 180 90 Yes None LEFT 72 0.081 R-15 180 90 Yes None KNEE WALL 16 0.081 R-15 180 90 No None TO GARAGE 18 0.330 R-0 180 90 Yes None LEFT 400 0.081 R-15 270 90 Yes None BACK 32 0.081 R-15 270 90 No None KNEE WALL 312 0.081 R-15 0 90 Yes None RIGHT 67 0.081 R-15 0 90 No None TO GARAGE 140 0.081 R-15 0 90 Yes None KNEE WALL 17 0.330 R-0 0 90 No None TO GARAGE 1371 0.031 R-30 0 0 Yes None TO ATTIC 236 0.031 R-30 90 22 Yes None VAULTED 366 0.031 R-30 90 22 Yes None VAULTED 1935 0.037 R-19 0 0 No None RAISED FLOOR 6.0 2.01, FENESTRATION SURFACES Vinyl Area (sf) # of Vent Pan- Frame Open es Type Type SC U- Act Glass value Azm Tlt Only SC Interior Int Shading/ Shade Description HOUSE 1 Window 9.0 2d Vinyl Slider 0.510 90 90 0.88 0.78 Drapes.Std 2 Window 10.0 2/ Vinyl Fixed 0.490 90 90 0.88 0.78 Drapes.Std 3 Window 12.5 2V Vinyl Slider 0.510 45 90 0.88 0.78 Drapes.Std 4 Window 20.0 2 V Vinyl Slider 0.510 90 90 0.88 0.78 Drapes.Std 5 Window 12.5 2v**" Vinyl Slider 0.510 135 90 0.88 0.78 Drapes.Std 6 Window 9.0 2 Vinyl Slider 0.510 90 90 0.88 0.78 Drapes.Std 7 8 Window Window 12.5 2 00 Vinyl Slider 0.510 180 90 0.88 0.78 Drapes.Std 9.0 21/ Vinyl Slider 0.510 180 90 0.88 0.78 Drapes.Std 9 Window 40.0 2,s ✓ Vinyl Slider 0.520 180 90 0.88 0.78 Drapes.Std 10 Window 12.0 2 Vinyl Slider 0.510 180 90 0.88 0.78 Drapes.Std 11 Window 12.0 2'� Vinyl Slider 0.510 180 90 0.88 0.78 Drapes.Std 12 Window 53.4 2 Vinyl Slider 0.520 270 90 0.88 0.78 Drapes.Std 13 Window 3.0 2#**' Vinyl Fixed 0.490-270 90 0.88 0.78 Drapes.Std 14 Window 6.0 2.01, Vinyl Slider 0.510 270 90 0.88 0.78 Drapes.Std 15 Window 16.0 2 Vinyl Slider 0.510 270 90 0.88 0.78 Drapes.Std 16 Window 16.0 2 t*o* Vinyl Slider 0.510 270 90 0.88 0.78 Drapes.Std 17 Window 20.0 210' Vinyl Slider 0.510 0 90 0.88 0.78 Drapes.Std 18 Window 20.0 2/ Vinyl Slider 0.510 0. 90 0.88 0.78 Drapes.Std 19 Window 12.5 2 Vinyl Slider 0.510 0 90 0.88 0.78 Drapes.Std 20 Skylight 8.0 2 /Metal Fixed 0.750 90 0 0.88 0.78 Drapes.Std w.. W1, M v � �r�w.+. gw�ywhM+✓.. .,r.+F' ,W 'N•. � +pr...aw.. �rF .,...,�.�...•.rr �.. �� r.�.. r.�. 1 t..wvic..�.nw�.. _., ... ...._. COMPUTER METHOD SUMMARY Page 3 C -2R Proiect Tit1P_ _ _ _ _ _ _ _ _ Tho, Tnm nmrrnc Dom, 'D--- _ . _ MICROPAS4 v4.02 File -94042B Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -1935 S.F. Res. Base Surface HOUSE 1 Window 2 Window 3 Window 4 Window 5 Window 6 Window 7 Window 8 Window 9 Window 10 Window 11 Window 12 Window 17 Window 18 Window 19 Window Mass Type HOUSE 1 InteriorHorz Area Thick Heat Conduct- Surface (sf) (in) Cap ivity R -value Location/Comments 14 1.0 - 24.0 0.67 R-0.0 HEATH HVAC SYSTEMS System Type HOUSE Gas AirCond Tank Type Heater Type 1 Storage Gas Minimum Duct Efficiency Location Duct Duct R -value Efficiency 0.785 AFUE Crawlspace R-4.2 10.00 SEER Crawlspace R-4.2 WATER HEATING SYSTEMS Number in Energy Distribution Type System Factor Standard 1 .60 SPECIAL FEATURES/REMARKS Tank External Size OVERHANGS AND SIDE FINS (gal) R -value 50 R-12 Window— Overhang Left Fin Right Fin— Area Left Rght (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght. 9.0 3 n/a 6 0 n/a n/a n/a n/a n/a'-n/a n/a n/a 10.0 5 n/a 6 0 n/a n/a n/a n/a n/a n/a n/a n/a- 12.5 5 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 20.0 5 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 12.5 5 n/a 2 0 n/a n/a n/a n/a n/a. n/a n/a n/a 9.0 3 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 12.5 5 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a. n/a 9.0 3 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 40.0 6.67 n/a 4 .24 n/a n/a n/a n/a n/a n/a n/a n/a 12.0 4 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 12.0 4 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 53.4 6.67 n/a 10 1 n/a n/a n/a n/a n/a n/a n/a n/a 20.0 4 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 20.0 4 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 12.5 5 n/a 4 0 n/a n/a n/a n/a n/a n/a n/a n/a THERMAL MASS HOUSE 1 InteriorHorz Area Thick Heat Conduct- Surface (sf) (in) Cap ivity R -value Location/Comments 14 1.0 - 24.0 0.67 R-0.0 HEATH HVAC SYSTEMS System Type HOUSE Gas AirCond Tank Type Heater Type 1 Storage Gas Minimum Duct Efficiency Location Duct Duct R -value Efficiency 0.785 AFUE Crawlspace R-4.2 10.00 SEER Crawlspace R-4.2 WATER HEATING SYSTEMS Number in Energy Distribution Type System Factor Standard 1 .60 SPECIAL FEATURES/REMARKS Tank External Size Insulation (gal) R -value 50 R-12 HVAC SIZING Page 1 HVAC Project Title.......... The Tom Gagne Res. Base Date........ 05/23/94 Project dress........ Troy Way Paradise Documentation Author... Marty Runnells Building Permit Company ................ Energy Calculation Svcs. Telephone.............. (916) 894-8466 / 246-9522 Plan Check Date Compliance .Method ...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check/ Date MICROPAS4 v4.02 File -94042B Wth-CTZ11S92 Program -HVAC: SIZING User##-MP1333 User -Energy Calculation Svcs. Run -1935 S.F. Res. Base GENERAL INFORMATION FloorArea ................. Volume.. ..... *. ** **. * Front Orientation.......... Sizing Location............ Latitude... ........ Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range........ ..... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 1935 sf 17581 cf Front Facing 90 deg CHICO EXP STA 39.7 degrees 27 F 70 F 102 F 78 F 37 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Heating (Btuh) Opaque Conduction and Solar...... 12914 Glazing Conduction ............... 6984 Glazing Solar .................... n/a Infiltration ..................... 11117 internal Gain .................... n/a Ducts ............................ 3102 Sensible Load .................... 34117 Latent Load ...................... n/a Cooling (Btuh) 6151 3898 5927 3653 2100 1086 22816 4563 Minimum Total Load 34117 27380 (E) Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 94 -09.030 B$rli=Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this' acknowledgement be recorded prior to issuance of a building permit. r- — -- - - -I- — I ---------- Rec Fee The property described herein is adjacent to land or included - I 9. 00 Che Check 9. 00 within an area zoned for agricultural purposes, and residents Recorded I of this property may be subject to inconveniences or Official Records -I discomfort arising from the use of agricultural chemicals, County of I including, but not limited to herbicides, pesticides, and Butte - - I fertilizers; and from the pursuit of agricultural operations Candace J. Grubbs I including, but not limited to cultivation, plowing, spraying, Recorder I pruning, and harvesting which occasionally generate 12 : 46 p m 28 -Feb -94 I PU BL XX 2 dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive - agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date: 2-28-94 P TY 0 S: THOMAS GAG State of California ) County Of BUTTE ) On 2-28-94 before me, VICKI GROSSE personally appeared THOMAS GAGNE----- personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) 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, thep g�rI(s YYI),Itlllllllllllllllllllllllllllllt1fi11i1t/111i11t111t111or the entity upon behalf of which the i I 1 I� person(s) acted, executed the instrument. v OFFICIAL SEAL e WITNESS m hand and official seal. 998811 D y `� VICKI GROSSE NOTARYPU®LIC -CALIFORNIAN COUNTY OF BuT-rta Si F1�y�InrnieslonExpires June 27,9997 gnature Seal: �,g„rylY,Ir11Y111 - A.P. # OffV, 7V -O3 Y ENC OF DOCUMENT OWNER'S NAME: k _ To mG, f C,�) C _ RECEIV EI) PERMIT NUMBER: Z 7 2 A . P . : o6 Y- 78 a -(-m � DATE _ -5-26 _ 9 cf EJ;R"ESIDENTIAL ❑ NON RESIDEPITIAL RECEIVED BY �' a B ��. _• TIME 8= 0,3 IP — — — — — — — — — REQUIRED PRIOR TO PERMIT ISSUANCE Q FROM DATA -SHEET ❑ REQUESTED BY PLAN CHEER OTHER --------------------------------------- REQUESTED BY CORRECTION NOTICE YES ❑ NO ITEM:g-vc LOCATION IN BUILDING WHERE CHANGE OCCURS: SKY rGd 1— A --------------------------------- WHEN APPROVED, PROCESS AS FOLLOWS: Mail_to�o_wner I �3v / C RYS r4C, M a tiAA i,� (Address);- Mail to contractor (Name and. Address) and -hold for pickup at ' office. Deliver with nest inspection. REVISED PLAN. CHECX FEES PAID: 4.$2. $46.00 �� Additional Fees Not Required CL��U F1-0 Wu6-c E -m.G_E S7 r + 6 � e. er � e. s Mandatory Measures Checklist: Residential MF -1R NOTE: Lownse residential buildings subject to the Standards must contain -these m -measures regardless of the compliance 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 measures whether they are shown elsewhere in the documents or on this cheddist only. DESCRIPTION I DESIGNER l ENFORCEMENT l Building Envelope Measures • §150(a): Minimum R-19 ceiling insulation. §150(b): loose fill insulation manutaaurer's labeled R -Value. • §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(p: Slab edoe insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 oemvmch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors and InfiltrationlExfiltration Controls a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped: all joins and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in CI'lrnam Zones 14 and 16 only. §150(0: Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and tactory-built fireplaces have: a Closeable metal or glass door b. Outside air intake with damper and control c. Rue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §1500): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined intenogextenor insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank non -recirculating systems. insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55'F insulated. 5. Piping insulated between heating source and indirect hot water tank. §150(ml: Ducts and Fans 1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: duan insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems nave backdrah or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible. manually operated dampers.. §114: Pool and Spa Heating Systems and Equipment 1. System is oertifieo with 78% thermal efficiency, on-off switch, weatherproof operating instructions. no electric resistance heating and no pilot light 2. System is installeo with: a. At least 36' plbe between filter and heater for future solar heating. b. Cover for outdoor Dools or outdoor spa. 3. Pool system has cirectionat inlets and a circulation pump time switch. §115: Gas-fired central turnace. pool neater, spa neater or household cooking appliance have no continuously During phot fight. (Exception: Non-eiectrtral cooking appliance with pilot < 150 Bturhr.) Lighting Measures §150(kl: 40 lumenswar or ereater for eeneral lighting in kitchens and rooms wnh water posers: and recessed celiino textures jC (insulation coven approved. COMPUANCE STATEMENT This certificate of compliance lists the budding features and performance specifications needed to eompywith Tide 24, Parts 1 and 6, or the California Code of Regulations, and the administrative regulations to implement diem. This certificate has been sighed by the incliviclual with overall design responsibility. When this certificate of compliance is submitted for a single building pan to be built in multiple ofiertations, any shading teattfre that is varied is indicated in the Special Feadres(Remarks section. Designer or Owner 1p..uairn ea a Prohealons Co") Documentation Author. name: Adareaa: �1 � 4T �y. Ate: Telephone: lie. s: , (date) Enforcement Agency Name: Tide: Agency: Telephone: (signaturerstamp) (date) Telephone: (signature) (dare) Certificate of.Compliance: Residential Clitinate Zone I1 GAG iiia Project Title c? 0 -7 -?r Building Permit N Project Address _ a 0- __ Z Checked B y / Date Documentation Author Telephone Enfor denuat Agency Ute Only Fenestration BUDDING DATA Area % Conditioned Ploor Area 9&0 Number of StoriesNorth r Slab/Raised Floor SF -D Number of .Units East It Single Flintily Detached (SFD) (] Addition Alone South (] West Single Family Attached (SFA) [ ] Existing Building i ,• . . g (] Multi -Family (MF) r [ ] Existing -Plus -Addition Skylight Y, Total A Co B UU.DING SHELL INSULATION Component Insulation LocationlComme.-rts Type R -Value • (aalie, to swags, typiarL etc.), Roof ........»». 0-r 3210 Roof........».» wall ...........::... I wall............I ~ Floor.......... – Floor ............. Slab Edge...., + - y w. . . . FENESTRATION ming Devices -Eenestration AreaType ;�teiior E) to or Overhang Framing Type Nor.h North ( ) East East ( ) South South ( ) West ( ) West ( ) Skylight....... t7— – 7–THERMAL THERMALMASS Type/Covering Area Thickness (slabiexoosed: tits etc. i s inches L ocatio G o, kitzhen. bath. etc.) tm NIY "I tiii.-imum Duct %Ea HVAC SYSTEMS Type (furnace, air Efficiency Location Dur A t Pum conditioner, hentyumy) (AFue,SEERMSPF) (attic. etc.) R -Value C-. t =c=pal- ��C - ea P Thermostat Tyne (sR11t or p 1, S'00—FMA �.V_ IIOT WATER SYSTEMS Tank R Value Svstcm Type (storage gas. etc.) Capacity Number Energy Factor Ext- Tank Tns _ Di ct-ri heti �n S r C-, Sly �_ �.3 0 r SPECIAL FEATURES/REMARKS Point System Summary: Climate Zone 11 1. Ceiling Insulation so or R-valuel U -value [0.028[ 2. Wall Insulation r or R-value191 U -value [0.0651 3. Raised Floor Insulation tq or R -value [ f9i U -value [0.0371 4. 6. 7. Point Scores � f � 0 O Slab Edge Insulation or R -value [01 F2 factor 10.751 Infiltration Any Ducts in Unconditioned pace? (Y / N) [Y] Fenestration Heat Loss 1 k, ., 5,t Type U -value 10.651 Total % Fenes. [161 Fenestration Heat Gain VNyY0.--1- % Fenestration SCshada i E.#t. % Fenes. Shade Etf. Ratti ✓ North fit x 4'"Sw = r ( PO.� East -S."7 x = r $ .S South 4. 04 - X o AO West �,_� x Skylight e!!> x = Q Overhangs? (Y / N ) 8. Interior Thermal Mass or I X Exp. Slab 1201 Int MasslCFA 9. Exterior Wail Mass 10. Heating System 7T.9 X t $� _ �• J 7/ One AFUE or HSPF Duct Effie. 11 story: Effective AFUE 11. Cooling System [78% Or .81 � 0.83; 2+ story: 0.881 x&Tvq or HSPF ?__1 -5 SEER 110.01 Duct Effie I 1 story: Effective SEER -1 -1 0.81; 2+ story: 0.871 R-38 12. Water Heating 0 0 2. Wall Insulation System 1 ��� "V -P ?j (?� R -Value Neater Type Energy Factor Ext Ins. R -value Auloiiary Input (SG501 [0.531 1121 1Nonel Zonal Control Adjustment 101 Zonal.EZ n_ Adjutdrrnent 101 Distribution ISTDI System 2 Heater Type (None] Energy Factor Ext. Ina. R -value Auxuiary Input Distribution 1. Ceiling Insulation R-0 Numner of stones -43 R -value One TWO Three` R-0 -74 48 -27 R-19 -5 -4 -2 R-30 -1 -1 0 R-38 0 0 0 2. Wall Insulation .71 r i R -Value Single- Singw R-0 -14 -9 Family Family Mulai- R-0 -72 -57 -43 R-11 -7 -0 -4 R-13 -5 -4 -3 R-15 -4 -3 -2 R-19 0 0 0 R-21 1 1 1 3. Raised Floor Insullation 1.01 .91 Insttlatiam in Floor .76 .71 Numoer of stones .61 R -Value One Two Thref R-0 -14 -9 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 2 1 to 4. Slab Edge Insulation Numoer of Stones R-0 0 0 R-5 6 4 R-7 7 4 6. Fenestration Heat Loss Sum 7-9 0 Point Total: v Three 0 5. Infiltration (Duct Air Leakage) 2 Ducts to Uncondirtoned Space 0 2 No Ducts in Uncoriotitoned Space 3 i - Houses With Ducts (R-4-2) Exterior Single- Method A (;ilalson-grade Construction Only) Poem Family U-ratue Family Two Three Exposed Ston 0.00 Stones Total 1.31 1,21 1.11 1.01 .91 .81 .76 .71 .66 .61 .56 .51 .46 .41 .36 .35 Percent or to to to to to to to to to to 10 to to to or Fenestration more 130 1.20 1.10 1.00 .90 .80 .75 70 65 .60 55 .50 45 40 less 5011. -100 -76 -69 -02 -55 -48 -41 -38 -34 •31 -27 -24 -20 -17 -13 t0 40% -77 -58 -52 -47 -41 -36 -30 -27 -25 -22 -19 -16 -13 -11 -8 -5 35% -06 -49 -44 -39 -34 -29 -25 -22 •20 -17 -15 -12 -10 -7 -5 -3 301. -54 -10 .36 -31 -27 -23 -19 -17 -15 -13 -11 -8 -6 -4 •2 0 28Y. -50 -36 -32 -28 -25 -21 •17 -15 .13 -11 -9 -7 -5 -3 -1 1 26% -45 -33 -29 -25 -22 -18 -14 -13 -11 -9 -7 -5 -4 -2 0 2 24% -41 -29 -26 -22 -19 -16 -12 -11 -9 -7 -0 1 -s -2 -1 1 3 M. -36 -25 -22 -19 -16 -13 -10 -0 -7 .5 -t 4 -1 1 2 4 20% -31 -22 -19 -16 -13 -11 -0 -6 -5 .4 -2 -11 1 2 3 5 18% -27 -18 -16 -13 -11 -8 -0 -t -3 -2 -1 1 2 3 4 6 16% .22 -14 -12 --10 .8 -6 -3 -2 -1 0 1 ^2. 3 4 6 7 14% -18 -11 -9 -7 -5 -3 -1 0 1 2 3 4 5 6 7 8 12% -13 -7 -6 -t -2 -1 1 2 3 4 4 5 6 7 8 9 101. -8 -t .2 .1 1 2 3 4 5 5 6 7` 8 8 9 10 8% -t 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 7. Fenestration Heat Gain (baseo on Shoe Effectiveness Ratio) Elf North Esw , South ^ West skyught .87 .67 .52 .51 .87 .67 .52 .51 .87 .67 S2 .51 .87 .67 .52 .51 .67 .66 Fen- or to to or or 10 to or or to to or or to to or or or estra- niore .86 .66 lass more .86 .66 less more .86 .66 less more .86 .66 less more less Iron 181. •5 -4 •3 -2 -21 -20 -15 -12 -26 -23 •16 •12 -36 •32 -23 -16 -75 •50 1611. -4 -4 -2 -1 -18 -16 -13 -10 -21 -19 -13 -9 -31 -27 -19 -14 -65 -4d 141. -4 -3 -2 -1 -14 -13 -11 -8 -16 -14 -10 -7 -26 -23 -16 -11 .55 -38 12% -3 -2 -1 -1 -11 -10 -8 -0 -12 -10 -7 -4 -21 -18 -13 -8 -06 -31 11% -2 -2 -1 0 -10 -9 -7 -6 -10 -8 -5 -3 -19 -16 -11 -7 •41 -28 101. -2 -2 •1 0 -8 -8 -6 .5 -8 -7 -4 .2 -16 -14 -9 -6 -37 -25 9% =2 -1 -1 0 -7 -7 -5 -4 -6 -5 -3 -1 -14 -12 -8 -5 .32 -22 8% -1 -1 -1 0 -6 -5 -4 -4 -4 -4 •2 0 -11 -10 -0 -4 -28 -19 77. -1 -1 0 0 -5 -4 -0 •3 -3 -3 -1 0 -10 -8 -5 -3 -24 -17 6% -1 -1 0 0 -4 -4 -3 -2 -2 -2 -1 0 -8 -7 -4 -2 -20 -14 5% -1 0 0 0 -3 J-2 2 -2 -2 -1 0 0 -6 -5 -3 -1 -16 -12 4% 0 0 0 0 -2 1 •1 •1 -1 0 1 -4 -4 •2 0 -12 -10 3% 0 0 00 -1 1 0 0 0 1 -2 --. 0 1 -9 -7 2% 0 1 0 0 0 0 0 1 1 0 0 1 2 -6 -5 1% 1 1 11 1 1 1 0 0 0 0 1 1 2 2 -3 -2 0% 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3 0 0 8. Interior' Thermal Mass Houses With Ducts (R-4-2) Exterior Single- Method A (;ilalson-grade Construction Only) Poem Family one Family Two Three Exposed Ston 0.00 Stones Stories 0 0.20 -3 3 -2 0.40 -1 5 10 0.60 •2 8 -1 0.80 -1 10 20 1.00 0 12 0 1.20 0 13 30 1.40 1 14 1 1.60 1 . 40 1.80 3 is 2 2.00 1 19 50 1 4 1. 3 0 2 7.4 60 5 5 3 3 2 2 9o% 70 7.6 6 7 4 4 2 1 80 8.3 8 11 5 7 3 4 90 100% 9 8.5 6 ,11 3 7 100 2 10 AC 6 -15 4 +5 (AFUE or HSPF s duo efficiency) more Method B 10 8 -1 Int 7 Slah Fkxv Gas Raised Floor Pkg Mass •24 Stories -4 +6 Stones AFUE HP /CFA One Two Three -One Two Three 0.0 •11 -8 -0 •1 •1 +5 0 0.1 -10 -7 -0 0 0 8.1 0 0.3 -9 -0 -5 1 1 -34 1 OS -8 -5 -4 2 2 -28 2 1.0 -6 -3 •1 4 4 -16 5 1.5 -4 .1 1 6 6 -4 6 2.0 -2 2 4 8 8 5.4 8 2.5 1 3 5 9 9 6.1 9 3.0 3 "6 • 5 11 10 80% 10 4.0 4 6 7 13 13 3 13 5.0 4 6 8 14 14 8 14 6.0 5 7 9 15 15 13 15 7.0 7 8 10 16 16 -11 16 8.0 8 9 11 18 17 -37 17 9. Exterior Wall Thermal Mass Houses With Ducts (R-4-2) Exterior Single- Single- Multi Wall Family Family Family Mass Defacned Artaxred -24 to 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 is 14 2.00 24 19 14 10. Heating System Houses With Ducts (R-4-2) 1000 Water!mm g SEER to . Houses With Ducts (R42) 1499 JO Soln Pckg -25 or -24 to -14 to Sum of 1-6 16 or AC Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or 3 HSPF wSPF less -15 -5 +5 +15 more 787. 6.8 6.6 0 0 0 0 0 0 807. 7.0 6.8 1 1 1 1. 0 0 85% 7.4 7.2 5 4 3 2 2 1 9o% 7.8 7.6 8 7 5 4 3 1 95% 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 ,11 9 7 4 2 AC AC Effective AFUE or HSPF -15 -5 +5 (AFUE or HSPF s duo efficiency) more Effective 10 8 -1 Sum at 1.6 7 5.0 Gas Slit Pkg -25 •24 -14 -4 +6 16 AFUE HP HP or to to to to or -0 HSPF i{SPF less -15 -5 - +5 +15 more One Story House 0 0 0 0 8.1 7.9 33% 2.9 2.8 -62- -53 -44 -34 -25 -16 40% 3.5 3.4 -40 -34 -28 -22 -16 -10 507. 4.4 4.2 -19 -16 -13 -10 -7 -5 60% 5.2 5.1 -4 -4 -3 -2 -2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 6 5 4 3 2 1 80% 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 1007. 8.7 8.5 24 20 17 13 10 6 Two or Three Story House 0 7.0 8.8 -11 -9 33% 2.9 2.8 -09 -58 .48 -37 -26 -15 400/. 3.5 3.4 -46 -39 -32 -24 -17 •10 50% 4.4 4.2 -24 -20 -16 -13 -9 -5 60% 5.2 5.1 -9 -8 -6 -5 -3 -2 69% 6.0 5.8 0 0 0 0 0 0 707. 6.1 5.9 1 1 1 1 0 0 80% 7.0 6.8 9 8 6. 5 3 2 906. 7.8 7.6 15 13 10 8 6 3 x00% 8.7 8.5 20 17 14 11 8 4 Zonal Control Adjustment System Type Resistance 6 4 3 2 1 0 Other 3 3 2 1 1 0 11. Cooling System Adjustment for NoTanit lass"On Ntsnoer of WaK Maatare Water Neater Tyce One TWO SGSO -2 -5 SG75 .3 -6 SE •5 -0 HP •2 .4 All House Stte Adjustment Mase site (ft2) sutmxal Houses With Ducts (R-4-2) 1000 Water!mm g SEER to . Sum of 7-9 1499 JO Soln Pckg -25 or -24 to -14 to -410 +6 to 16 or AC AC less -15 -5 +5 .15 more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 12.0 11.6 8 6 5 3 1 0 13.0 12.6 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 -4 0 Effective SEER 0.73 8 (SEER z duct eMcienc7) 9 0 Eft SEER 8 SG75 AN Sum of 7.9 .2 1 Spirt PcKg -25 or -24 to -14 to -4 to +610 16 or AC AC less -15 -5 +5 .15 more One Story House 10 8 -1 3 7 5.0 4.9 -29 -23 -17 -11 .4 0 6.0 5.8 -16 -13 -9 -0 -2 0 7.0 6.8 -7 -0 -4 -3 -1 0 8.0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 4 2 1 0 10.0 9.7 9 7 am 3 1 0 11.0 10.7 12 10 4 2 0 12.0 11.6 15 12 6 2 0 13.0 12.6 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House 6 9 7 1 5.0 4.9 -35 -27 -20 -13 -5 0 6.0 5.8 -21 -17 -12 -8 -3 0 7.0 8.8 -11 -9 -7 -4 -2 0 8.0 7.8 -4 -3 -2 -1 -1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 1Z.0 11.6 13 10 7 5 2 0 13.0 12.6 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 Adjustment for NoTanit lass"On Ntsnoer of WaK Maatare Water Neater Tyce One TWO SGSO -2 -5 SG75 .3 -6 SE •5 -0 HP •2 .4 All House Stte Adjustment Mase site (ft2) sutmxal lets 1000 Water!mm g elan to Point Score 1000 1499 JO -17 •5 -25 -14 -4 -20 -11 -3 j -15 -9 -3 -10 -6 -2 . •5 a •1 0 0 0 5 3 1 10 6 2 15 9 3 20 11 3 25 14 4 House sire Adjustment House Size (ft 1 subtotal 15M 20M Water Heamng to or Pant Some 1999 more -30 0 3 -25 0 2 -20 0 2 -15 0 t -10 0 t 5 0 0 0 0 0 5 0 0 10 0 t 15 0 -1 20 0 •2 25 0 -2 Zonal Control Adjustment 6 5 4 2 1 0 12. Water Heating One water Heater - No AazBary Credits Dwrtmat systertt2 PA= Sbstems Water cumsa ErwV SM HWR Pipe No Tuner Dated Heater Tvoel Zones Favor POU Insil tan SG50 Aa 0.53 0 3 1 -0 -5 0 0.63 5 8 6 -4 0 5 0.73 8 11 9 0 4 8 SG75 AN 0.48 .2 1 -1 -12 7 -2 038 3 6 5 -5 -1 4 am 7 10 8 -1 3 7 SE Al 0.87 -20 -12 -17 -41 32 -19 as3 -17 -0 -13 38 -28 -16 IG` M am 2 5 3 IE M 0.93 -21 -12 HP 6.11,13.15 1.80 4 7 5 -5 -1 4 Two WNW Heaters - No Anz0er7 Cradbb SG50 M am -7 .4 -6 -17 •12 .7 0.63 1 5 3 -0 .4 1 0.73 6 10 8 -2 2 7 SG75 M 0.48 -12 -0 -11 -22 -17 -12 0.56 -1 3 0 -11 •6 -1 0.68 6 9 7 1 1 6 SE M 027 -22 -14 -19 -46 -35 -22 0.93 -16 -7 -12 -39 -28 -15 xG M 0.80 .4 -1 -3 IE Al 0.93 -21 -12 HP 6.11.13.15 1.80 -1 3 1 -10 4 0 f �12 0: FROM: SUBJECT: E.H. USE ONLY Mat Man Attache Floor Man Attache Sant to B.D. < • /Y / Building Department Environmental Health Sanitation Clearance �' _ 6 -3y Own r oc• tion i Ap# Plan Approved for: Sewage Dis osal Water Supply: Public Private Well Clearance for dwelling. Other ,��, �� a �j 4,A c% *-S Hold final for: Final clearance O.K. for: g Environ I He Ith Specialist Date 8/96 11