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HomeMy WebLinkAbout065-190-04565-19-45 DAVE BIGBEE ' 6525 Vine. -St, Magalia , 3� . ` ContR: Wentland Const: • permit#3835-88B,P,E(new 2 •storygarage) „- 5 -19-45 A • w y �< Permit# ,5 90B, P,,`E, M i' (new ' r s . • :�xi.. �;� �31i r,.� 3. �`Yr+ � .� } •'+- 0 �e.. �� r � �"tYii ...�, ' "Perm t#2277. -90B i(oPen deck/garage) � �•�,-., t ,Ain7 i r�.a?r �„ i �a �Y' �,, ��1' ���R2„y i� f' � - � 't � '�j':':_.G�s� 'v.s ��TZ.sr et '� +'Sf i! ”` fh SI ''� tR }�V- - 6 r•� a ;�_ . s `4 "i i • y a 1 , U AS Meter By. RESIDENTIAL _ ELECTRIC . Meter By 65-19-45 2277-90B BIGBEE, David JOB FINALED (Date) 6525 Vine,St, Magalia Signature J (open deck/garage) /_ 3 - cl C' VrJ'A- u +S u U2,tie. y I �r i� M, ti /Y V U AS Meter By. Date - Date ELECTRIC . Meter By v�� Date,� �' , / JOB FINALED (Date) Signature J J=OK O=Not OK Not = Not Aeadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 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 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 9: Zo mg Requirements -Setbacks -Easements 2: ootings; Soils -Size -Depth -Spacing -Connectors -Steel J, -decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing U -Ext.; Steps -Doors -Landings Date FJ. W Card B-1 Y6. 211,'J7 Date Card B-1 Date a -5,J Card B-1 / •_ L .9� Date Card B-1 Date 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-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) " 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.I 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped '49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a.'Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Plenums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrica', Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date ' Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 2oounty Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 2277-90 APPLICATION AND PERMIT A A ASSES R PARCEL NUMBER `r OIN _ - �i. I� BUILDING PERM T OWNER . TELEPHONE SO. FT. OCC. BUILDING VALUATION 64 open 320 OWNER' AILING ADDRESS P.O. B D95994 CONTRACTORWAI'M Young TELEPHONE CONT WXCCT7S MAILING ADDR SS b Y Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6999 Vinp- St-- Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GarageBuilding SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Homes I G I W 10.00e TYPE OF WORK New ❑ Addition}® Remodel E]Utilities E:1Installation.[]Other ❑ Describe work: _ A 12 -P_ h � t� e—c— (� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS jp0 AMP 1 OR ORS�ESS 10.00 Main service EA. AOD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an my license is in fu1 force and effect. F2AL@30 License No. Classification 5 F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. t 2/2Qsgft NEW CONSTR ULTI.OUTLET NO..RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. I EX. OCcU OUTLETS OR FIXTURES P 9AL®3o FIXED APLNS. EX. OCCup. OUTLETS P(RESIO.)REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also ee to ave, indemnify and keep harmless the County of Butte against all bilities, j ments, co and expenses which may,in any way accrue amarinst said daWn, in n uen a of the granting of this permit. Date r] Signatur o�pp ant Owner Contractor Agent ❑ An OS I prequired For excavations over Yll- deep and demolition or construct- trutr 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ .0 HAz I CUA I PARK sc FVJ PV I P ;KE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees D ORO . UBLIC l BY _ PERMIT EXPIRES Date 2� the applicable provi- resolutions to do have been paid. WORKS ate 6 3 Receipt No. &638 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541. �`7 APPLICATION AND PERMIT ASSESSOR PA CEL NUMBER ZONING RI -11" 1/4 BUILDING PERMIT OWN -R ` TELEPHONE OS/ SQ. FT. OCC. BUILDING VALUATION ._7 OWNER'S AILING ADDRESS t + ONTRA TOR'S NAM ff ® W. TELEPHONE CONTRACTOR' AILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2 O LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ v $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS -/ Permit fee $ 5 6W PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 u Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Otherata C-9— SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition 4M- Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: `Ltn_cle- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 LESS Main service 10OV OR00 AMP 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 OI the BUSIneS$ and Professions Code and my license Is In full force and effect. License No. Classification 1, as the Owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or ollered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADO'L 100 AMP 2.50 oa ADDNST DWEACCLLIN GOCCUP.ed\ 2Y:¢sgft NEW-CONSTR. MULTI.OVTLET NON-RESID BRANCH CIRCUITS) 2.50ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 2AL0030 e O 30 FIXED APPLNS. OR Ex. OCCU p' OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. [.have placed on file with the County of Butte Building Department ❑ a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Count of Y Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE _ �— TOTAL FEE $ 3 HAZ CUA PARK sCHL D I PAR PD HD ISSUE permit is hereby Issued under sions or the Butte County Code and/or work Indicated above for which fees DIRECTOR OF PUBLIC BY PF-RP4IT FXPIRFS 17ntP the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. bA G2bor wnnr-n.P.w.. TPLLOW- RCRRnn, Pine- —rrrnn, am n..,�....-.n^ •..,,r COUNTY OF BUTTE - DEPARTMENT ,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, OF 95985 - TELEPHONE: 918/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �A. P. No. /Proposed Building Use •moia j,9 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior�to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid .............. Sanitation approval from 6j,aCrQ Health Department f' %40 Z City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature a thoriza on 6. �� �����r..................................- 27. Whorl you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by ✓phone_-stall_counter by Contractor, designer, owner, was advised of above required data by_phone_manter by Plans checked by Date Plags approved by Sets of plans on hold in File cabinet _SAP folder Copy—DPW ..date date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS V 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE danuarT3, 1993 Youngblood Construction 508 Nunnely Road RE: Permit application #2277-90 for Paradise, CA 9.5969 A ope nkdeck for Dave Bigbee-6525 Vine St P 65-19-4.5 Magalia With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information.Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER LXA We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. XXXSanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville XXXX Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. Should you have any questions concerning the above, please contact DAVF. WARNRY of this office. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector cc: Dave Bigbee, P 0 Box 1744, Magalia 95954 [ tt�•�• rtt'J 'I•V �4 ���': :!:. '`I •V, �, r 1 , f..j , .$'�4`'�fi,,'.':, . '� ,. -.7 , 7= t r - r s . - . 1 tet 6 Z+� + 1 t 1 '.� Y L.c t. eI.4 F 1.. J,.irri I. d4X4f'�f9 , r r , I 1J r I r �t� ` ,. i, , �: r 1 'I1 t. ';' I rC r ' , -T • M , rr^� S ii t I `� J t:. [ 1 fr p t r r 5 +- Fri{s �.} t, A t J r1 [� NN,[,�' S,'9t S. �. I t' s r , F I •�'�t 1 71 W�.rr /�� .�}y,ra ;t� -s ,� . Ii �TQI't[t iM L 1 it JIt t •,.. ' �f8 i h• f 1ll;i}tC �'t� r ►Ps1 sef s n s IfI atk qs AA STl & I ,,ii�1 } i * I. tI ' 1 .I z It i r acct. ii 1 jS.ta F,•1 ] 11' r, -, C:e :%'bn 1#_ py, * �a 5. ffsls ur Iawf F �cY r��1' 1r f �t r dls U jr�•, i%1 [I. 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T....: )., 1 I, i. -.1 , 7 a - ` I i* ,- I "ht 7 we }r f 1.i fj 1 J 4 i I- l=-Ia.�oT: I,' Z,�r . . tt { 1 f t a� sl , c ,S �Y: , r• ! .+` �1. 'S i , , %, N. It LI E.,,I r,s' 4LL.ryl , r +e f � {}i f t T ,r y LII. �.; (f t > lt. } kt� 1s}2tl pll t }C"�5 :� pr hill A.r,99,1��1 •t'ya[::[i w� { '., ,•.. •-C iEv yt'1i Orr i 1'V tr:['rP a Y n + . . ..�-. `}♦,?r. C,1 J .R.'. . . - t1,I. nl 1.tlili'__.,.-.,,',,;,I,,,. iv," T2 C Pl Y1.fP1M ^f P YT (Y TY? 4"x (o" —�`p FRMhI G. ZZ- CLIFF- ZCLIP= _ 7 r r'.1 -r, V 1 1 1 (- 2"X4 0 - MOBILE HOME OR VF -(-V -1 MTL. FRMI,' CLIP (ER. I Ga) 4•x V -� 4')44' PO ST - 2'x iV =2(DF — P, m1w.f GIWDER 4'X 4" POST - J= U,4- TE D;AG0NAL ✓RACI Nu. A..x�i••V. 1, N. F0'_TIr. AIR STR i GE.R..'r8'c.c.. Mr^'X. ?DP VIEW H AUNAIL NOT SHDW1 FDK CLARITY. 3/g° BOLT y! 9'MII jt \ y ' X cO Z oR �, srDY'JDOD ?,moi i s L _ 9-25-87 - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville. California 95965 ieleohone: 53P -7;L1 7-� '%d IJ,scc.sccd Pte- .'i tj/ /3Ki(d�,. �'-�-90 4're A,tea moi 11ec�c P�� - f • 3935-88 /3835-88B,P,E ., PERMIT NO. PERMIT EXPIRES is OWNER DAVE ,BIGBEE CONTR. Wentland Const ASSESSOR PARCEL 65-19-45 -LOCATION 6525 VinfLSt, Magalia 1 � 1 i isD AAS odd�_Q�� OFFICE COPY, !1y � `Address �L�S Jlnli� T EM Po � . GAS' — Meter By Date I ELECTRIC • t Meter By a7�L. Date Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) ' G Signature I r'•yw b � � � j" Wentland Construction 1913 Dean Road Paradise, CA 95969 LAND Of NATURAL . WEALTH AND BEAUTY DEPARTMENT OF, PUBLIC WORKS 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-1511 WILLIAM (Bill) CHEFF . Director October 30, 1989 RE: Building Permit No.3 p3S" p8 Expires 17. —1- (A. P . 1-(A.P. No Dear Mr. Wentland: With reference to the above subject, our records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from -the original expiration date. _Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new buildibg permit is issued. If your construction is completed or should you have any question concerning this matter, please contact the Oroville office. For your convenience, we are enclosing a renewal application form and an owner- builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of�the application form. Thank you for your prompt attention concerning this matter. Yours very truly, William Cheff Director oz Public Works F. Glander JFG:ajhief Building Inspector Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: ..Building Inspector - Chico - 196 Memorial Way/891-2751 Paradise - 747'Elliott Rd/872-2961, Ext. 57 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 _1 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER 6 E'G�� I PERI A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. I jP P r- -'4 S e. .-t. R" a ➢ro r 6'�t 0 2. ^` Date Inspector i - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way,,Chico - Phone: 891-2751 _ 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE �irf�l ti" 383S -C38 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have'any question pertaining to this matter, or need additional explanation, please contact this office immediately. \- n n,crNl,j ern it coR nPg,,j h te- A-/, PrP l l2c . P, lAc��l�2ai� Si 2(rjG 9 fL Crrk'9 oAL 5P�_ L11 AI Inspector_ Date S^ ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS >• t 196 Memorial Way, Chico — Phone: 891-2751 I 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, por need additional explanation, please contact this office immedii�ately. A ' (�rJC1�O�ln)� �l/�Itl�l^/G IQCcLt-.Ia1i7,- S1KC�z NNC\No(L r6oLrS N?fq.A2 ra liAVIt Pxir�/ &.(Lt1r-)Cpr7\oltl MV� Sltc_ IS \ �� SVS���tL 1 R�'i'1 I 1YW ���NU� 1 °✓ V fZA C s VI� PN S E C 'MtAc, ¢ i pI-;1?A; T1h -!� W 3 A ILWC� ova J SL To i t ` . \(W-- \ 9-o<' e<io'✓, QLNT�LS 'Ctaa1'L TO T- { %"iL_ WhIL Qy W-(!, LA 4 CO i',l;N r L 63 a - • R ' l ono TL -L--/\- p i„/G. c IL 1rf S P11 CTK) = Inspector ✓ Date :rN ��,,.�a,�-•.,y,,,:y�,.,,•�., :�.,.. _,r, �- _,,,.�, ..• w ..i—r*;�s7'`w?r�`"'y'cif;'{`�'`7""'�;.>s,sa^o^_-.y=� COUNTY OF BUTTE { DEPARTMENT OF PUBLIC WORKS . 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE } 183 5 83 OWNER PERMIT NO. <`z A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office F when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �L.fXriS IT ru Inspector ..n Date egX23 -U 2 ,cCOUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS _ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovil le — Phone: 538-7541 747 Elliott Road,.Paradise- Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. A Inspector COUNTY OF BUTTE s �!DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico —Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 " 747 Elliott Road, Paradise — Phone: 872-6307 +^; CORRECTION NOTICE ..T OWNER PERMIT NO.. , r r A routine inspection indicates that the following violations of County. Ordinance *' exist at the above address and should be corrected. Please notify this office when correction of work is. completed. If you have any question pertaining to this., . r matter, or need additional explanation, please contact this office immediately. r, C, i2o ?.o F f0,%9 'Re 6A1(r�c t m M k s i - \tJc-,cAi r TSZtP T1 f r-, of?- P4 %I _ P,,2II4k9/7 QIATt.4, x InspectorDate _ OK' 0 = Not OK Not '.= Not Readiyable MOBdILE HOMES �r Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -131 Date Card -B1 Date Card -B1 Date Card -61 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 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 Card -131 Date Card -811 Date Card -131 Date Card -B1 Date MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK ex;eept #'s Zoning Requirements -Setbacks -Easements 91,"Footi5pe—S—oiTs-Size-Depth-Spacing-Connectors-SteeI s; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. C rports; Windows -Doors E Frmg' Sills or Studs-Rftrs-Trusses 9 -Siding; Nailing -Veneer -Stucco -Mesh 1 Shthg-Roofing xt.; Steps -Doors -Landings Card -B1 DateCard-61 Date .Z -94 Card -B1 Date 2, Card -B1 Date I i Date OOLS (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-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -131 Date ICard-B1 Date Card -131 Date = OK • = Not OK = RESIDENTIAL (Single and Duplex) I�o ot'Applit'8ble f Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property -Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground . 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 67. Stairs &Rails Card -81 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Lancing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Meeh. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive -❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 83. Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date 92• Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -61 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -131 Date Card -61 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS P 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 V APPLICATION, AkD PERMIT JJJ 0 ASSESSOR PARCEL6UrR L q� O JJ`` s!f ZO• % G BUILDING PERMIT Ov TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD SS CONTRA CTOR• NAME t ITELEPHONE 02106 C OV4T I ING ADDRESS GLJr ►�,((I�J�/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10 .00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS — Permit fee $ r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT -N7O. SUBDIVISION NAME l PARCEL MAP (� nJ Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SFlRe Duplex❑ Mobilehome❑ Other SP CI FY Gas piping system 1 - 5 outlets 5.00 Building sewer I 5.00 _ Mobile Home S G W 0.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Insta lation❑ Other ❑ Describe work: Z17AV,4 Igor I t I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service R L 100 AMP ORSLESS 10.00 a' Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):NEWC y�� I l� am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. )r LZAP D 6 Classification ❑ as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. // DWELLING OCCUP.01 OR AODNS. l ACC. BLOGS. A0sgfta ONSTR U TI.OUTLET + NO ESID .BRA C CIRCUITS2.50 ea (POWER APPARATUS e1 SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES z0®SOC SAL030 FIXED Ex. Occup. OUT ETS P(RESID.)REA.1 2.00 Temporary service 10.00 �. Mobile Home Facilities 15.00 Misc. IYirin 15.00 9 - Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 201 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.001, Heating ! Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against a liabilities, save, costs, and expenses which may in any way accrue ai st said C nt i co uence of the granting of this per it. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occur. co Pc SCHOOL F PAR L PD D 3uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE T01 PUBLIC By PERMIT EX IBES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �aJ %/ WHITE-D.P.W.. YELLOW-ASSE330K, PINK -INSPECTOR, GOLDENROD -APPLICANT r. .. .. .� •e i.•.?%� 'w w 7G.s.-.�: a {; r.,.+..* 1. !�.:,w1.fi�+� •-. -n _. �.- •.,i - ,�,M r- COUNTY; OF BUTTE - DEPARTMENT.OF PUBLIC WORKS =BUILDING DIVISION 7 COUNTY CENTER DRIVE.-AROVILLE41__$*SNIA 95965 - TELEPHONE: 916/538-7541 i Y i PERMIT:APPLICATION DATA SHEET f Permit No, t OWNER A. P. No. l _y_ Proposed Building Use 011ZAi1i_4,c - Building Inspector Date 744 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation .... r..... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. 1 School District fees paid ................. 3. Sanitation approval fromd? t 6 Health Department ... 14. City of Chico plumbing. permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvementsmay be required. 18. Driveway permit (construction approval required prior to occupancy).. . . 19. Pre -Inspection for required ...... Pre-Inspec. request to Building Inspector !- _(Date_) 20. Contractor's license information (No., Name Style, Classification) ....... 1. \\ 21. Certificate of Workmans Compensation Insurance .................... r 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement .:.......... 24. Letter of signature authorization ..................................... 25. 26. Whe you issue the per it, process as follows: Mai o�w�ner, ail to contractor. Telephone nd hold for pickup at Jmpkoff ice. Deliver w/inspector. Other Appl icant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ; Contract , designer,'owner, was advised of above required data b�A_phone___nall_counter bate Contractor, designer, owner, was advised of above required data by—phone —mal l—count er date Plans checked by Date Plans approved by Date T Sets of plans on hold in File cabinet AP folder Copy—DPW . TQ-- -Building,Department. FROM: Environmental Health .SUBJECT: SANITATION CLEARANCE Ai A 2 AMA OWNER Plans approved for:" Hold final for: Final Clearance O.K. for: Clearance for bedroom Clearance for addition of LOCATION AP # Sewage Disposal 'Water Supply Water Supply Water Supply DATE _3835- 8� RESIDENTIAL F65-19-45 .. iP ''1515'90B p,E,M BIGBEE, David 6525 Vine St � Magalia Contr: Youngblood Construction l (new single family) o F j e j l Y � f L �s 1 JOB FINALED (Date) Signature Permit No. (honer (DUPLICATE ). 6525 Vine Street; LOCATION ROOF Material Thickness(inches)_ ENERGY CERT IF I C.A T ION A. P. No. DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value)r____._,,,,. EXTERIOR WALL Brand Nam Material Fiberglass battS - _ e_ Owens-Corning Tit icknesa(inchee) 61" _ Thermal Resistance(R Value) RR199 CEILING Batt or Blanket Type Fiberglass Batts Brand Name Owens-Corning Thickness( inches) 12" Thermal Resistance(R Value) R38 Loose Fill Type Fiberglass Brand Name Owens-Corning .}Minimum Thicknes6(Inches) 16" Number of Bags 20 Wt. per bag 35 lb. Area covered(ft. ) 1000 Thermal Resietance(R Value) RR38�_' FLOOR, ELEVATED Material Fiberglass Batts Thickneee(inches) 61" .FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Owens-Corning Thermal Resistance(R Value) ^R19 Brand Name Thermal Resistance(R Value)- Brand alue) Brand Name Thermal Resistance(R Value)-„�,.. I hereby certify t1►at the above insulation WAG installed in the above building In conformance With the State of California Energy Requirements, LOERKE INSULATION CO., INC. 499150 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO, May 22 1991 4SIGTtJRE OF INSTAL ION APPLICATOR DATE I hereby certify the above insulation and all required items as ehoWn on the Building Department approved plana and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. �� G�L�� FjL� R (Please print) STATE CONTRACTORS LICENSE No. SIGNATURE OF QF.NERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL. INSPECTION APPROVAL AND A COPY S11ALL BE POSTED WITHIN THE BUILDING, January 1984 ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307. CORRECTION NOTICE 19 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �J Ct/ Date —7 J Inspector / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 f T 7 County Center Drive, Oroville — Phone: 538-7541- 747 38-7541747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 0 ER. PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please: contact this ,office immediately. y_. f Date /� Inspecto COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date �� Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE INE PERMIT NO. A routine ins lection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify;.this office when corre ion of work is completed. If you have any question pertaining.to this_ matter, or eed additional explanation, please contact this office immediately. a Date 21 / r Inspector V=OK O = Not OK - = Not Applicable =Not Ready MOBILE HOMES ' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /'L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s-*. 1. Zoning Requirements -Setbacks Easements " 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES Plans OK exce t #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg -Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1, Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI S. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval , 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK = Not Applicable Not ReaRESIDENTIAL (Single & Duplex) ' =oy \ Date UNDERFLOOR Plans OK except #'s oning-Setbacks-Easements-Flood-Slope 2 t , Main; Soils-Elec. Grnd.- " Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/W Ftg. Depth 4. FA., Porches & Decks; Soils -Steel-/ /Ftg. Depth Stemwalls, Main; Steel -Bloc kouts-Wrapped Jr temwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and SDecial Anchors 7. Slab; Steel -Wrapped 8. Piers& ace Ftg.- eel V.; Fa ' g- est -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors Z. ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 43 frenums & Ducts; Clearance -Material -Support -Ins. K4-'-Girders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B- Date and B Date and Efl Date Card B-1 Date U NG Permit K except #'s ter Htr.; Vent -Access -Combustion Air -Baffle 1 er Pipe; Test & Anchor -Nail Protection V.; Test -Fittings & Anchor -Nail Protection hower Pan; Test, First Floor -Tub Access ebb & Shower, Second Floor -Tub Access 2 . as Pipe; Size & Anchors Date ,?.6and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Ej,5TRICAL (Permit) OK except #'s '22._,Ftxture & Transformer Clearance -Ins. Protection 3. E ec. Receptacles Spacing -Lights & Switches at Doors §ize Boxes & No. of Conductors -Stapled Rqmex Installed Close to Edge of Studs & C.J. 26'EGround made up w/Mech. Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes • ❑ No 3P,8ervice-Riser Conductors & Ground -Main Disconnect 31 uip. Clearances Panels-Motors-Mech. Equip. 32. CI hes Closet Light -Shower Light -Spa Light W"Ismoke Detector odi Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date EC NICAL Permit OK except #'s A. . Ducts Insulation & Support *-Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic DateCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 30/TiIs roper Material & Anchors Studs -Nailing, Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing 91�raft Stop in Walls (rat proof) 43. fir ops; Furred Ceilings -Stairs -Ch a -T eaders & Beam -Size & Bearinq Date FjiAMING (Continued) 4111-�ng. Joist-Rftr. ti 5s -P —roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ti or We A ue- place Throat clearance ttjG Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4j"drm. Windows or Exitinq Doors -Sill Hgt. & Dimensions ire Protection Framing roperty Line Firewall & Openings `� oois-One T -Check Garage -3rd Story, Exits -One T -Check Garage -3rd Story,2 Exits 5 t ' . Width-Headroom-Rise-Run-Landino-Fire Protection plywood on Root Overhang -Attic Vents -Rafter 55. Siding -Nailing Veneer .56. Sluel5o Mesh -Drip Screed -Fd. Vents-Underflr. Access ng Area -Glass Protection -Skylights -Plastic, ^� Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Dat Card B-1 Card B-1 Dat Card B- Date Card B-1 Date FIN Plans OK except #'s A . E!J_Steps-Door & Sidelight Protection -Landings 9211�rqcke Detector urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6 room Exiting G J. & Bath Fixtures & Tub Access -Spa E)ec. Trim & Subpanel; Breaker Sizes & Labels 67. St 'rs & Rails Fir place or Stove; Clearances -Hearth . Elec. Outlets at Wood Panel; Int. & Ext. it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Ele . Outlets & Receptacles at Kit. Counter . Garage Fire Door; Swing -Landing -Closer C. Duct in Garage -Damper 74 r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In arage; Above Floor-Mech. Protection b., Elec. & Mech. Equip. Listed for Location ec. Receptacles in Garage; (G.F.I.)-Romex Protection 7T-,K—sulation-Foam-Looked in Attic ❑ Yes 7C. ua Rails & Deck Construction -Post Caps A , Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive @—AL!rs— ❑ No; Walks 49' lies ❑ No; Planters ❑ Yes ❑ No Brown -Finish A. C Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to O Ings 8 . r Well; Disconnect, Electrical, Plumbing Ex rior Elec. Trim; G.F.I. Receptacle -Underground 8 . Veatifation Throughout House from Previous In Gas -Electric & Sewer Connected -C/O to Grade -HD Certificate -Other Certificates Date •Z%j Q(Card B-1 e S Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95885-- Telephone: 916/538-7541 • d APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC: L NUMBER ZO NG 1 BUILDING PERMIT OWNER David TELEPHONE SO. FT. OCC. BUILDING V44-UA-34ON 23$9 R 95,560 OWNER'S MAI ING ADDRESS Box 1744 112 COV 560 CONTRACTOR'S NAME TELEPHONE CONT CTOR'S MAILING ADDRESS Fireplace 1 t1Alt CONSTRUCTION LENDER VN KNO WN 01,000 Total Valuation $ 97 120 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 427.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Q$ $ 213.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6525 Vinp St- Permit fee $ 665.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 22.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME i v I/P.t! PARCEL MAP t7�% - 3vr Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SFf2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.006 TYPE OF WORK New)[E Addition❑ Remodel❑ Utilities[] Installation[] Other[:] Describe work: 3 hdrm _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): r,Jr I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ���% Classification (1/=iV���f}G ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N) OR ADONS. ACC. BLDGS. 2yzQsgft 59, SQ NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Occu Ex. p(o UTLETS OR FIXTURES 120@50C 30 FIXED EX. Occup. OUTLETS (RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 g 15.00 Permit Fee $ 82.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 100,000 6.00 Cooling 3T 6.00 Hood 3.00 3.00 Ventilation 1 3.00 3.00 Permit Fee $ 29.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I o agre to save, indemnify and keep harmless the County of Butte against all liabili •es, judgments, and expenses which may in any way accrue against my i con equen a of the granting of this permit. 5 -„/�- QT Date `L� Signa ure of Ap lica - Owner Contractor Agent ❑ An OS A per it is required for excavations ve 5'0" deep and demolition or construct- ion of s it over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 oc CO S;T. E A TOTAL FEE $5$.50 HAz CUA PARK '- FE AR PD D ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated abov for which fees DI R PUBLIC By, PE MIT EXPIRE Date the applicable provi- resolutions to do have been paid. WORKS nPA Date Receipt No. 66112 - 268.50 ?0. 00 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE - DE,PARTMENT;OF P6BLa1Q.j RKS - BUILDING DIVISION 7 COLIN.T.Y CE TER DRIVE - OROVIL`LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 r .,,._,_,ter � .._ ; i .. REJR-MIT APPLICATION DATA SHEET Permit No. _ OWNERA, P. No. (S' Proposed Building Use St� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 16w DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. 8. ngineered truss details and layout in duplicate (required prior to plan check) L 2a Mobilehome installation data including manufacturer's installation - instructions........ ............................ 10 ees of $ _ .'�*� ��" ........................ g Chico Urban Area fees paid ....................................... Park fees paid .....-�.......................................... School District fees paid .............. 1 Sanitation approval from e Iin 0. Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20.. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector I (Date) Y 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. ' • 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 03 and hold for pit c p at office. Deliver w/inspector. Other Appl i ant Date Copy of plans sent Health Dept., Fire Dept., ther Date The following data must be submitted to pe V ssu n :(, c new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contrac r�deslgner,' ner, was advised of above required data by_phone�nail_counter by daeContractorner, wa)s aadvised of above required data by one _mall c nter by date' r �v f —CJ AQ� i ' A75/U ilk Plans checked by Date fans approved by Date go —2—Sets of plans on hold in . File cabinet AP folder 1 Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance OwIfer Location AP. c Plan Approved for: Sewage Disposal Water 'Supply Hold final for:. Water Supply Final clearance O. -K. for: Water Supply Clearance for �( bedroom moriafiome. Other NOTE ** r' Sanitarian Date COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive - Orovil-le, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR. PARCEL NUMBER / ZONING BUILDING PERMIT OWNER (1 TELEPHONE OCC, BUILDING VALUATION 4SQ.T. S V OWN ''S I NG ADDRESS \\ �� W CON -RA TOR'S NAM 006f TELEPHONE P CONTAACTORIWMAIL.ING ADDRESS Fireplace Q U CONSTRUCTION LENDER UNKNOWN Total Valuation is �Q Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee ; 2 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ .Z �3 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r Permit fee $ 6 6 .5.�— PLUMBING PERMIT FllingFee 10.00 Each Trap 2.00 't 2 Sy Solar or heat pum eater 20.00 LOT NO. SUBDIVISION NAM PARCEL MAP Water piping 5.00 ... �� Each qas water heater or vent 5.00 Y` USE OF STRUCTURE SF& Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 0t Building sewer 5.00 4t Mobile Home I S I G W 10.00e TYPE OF WORK NewW Addition❑ Remodel❑ Utilities❑ Installation❑ Other[:] Describe work: _ 3� Reot Permit Fee $ j2 �7.� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 y� �/-lox Main service EA. ADD -L 100 AMP 2.50 'Z CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): E]NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification r_11, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, DWELLING oCCUP.51 OR ADDNS. ACC. BLDGS. I . 2/20sgft NEW CONSTR. MULTI -OUTLET BRANCH CIRCUIT 2.50 ea (POWER APPARATUS el (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES elO 30 2AL030 Ex. Occup. OUTLETS FIXED (RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Fl ling Fee 10.00 Heating I ¢s (, oco -- Cooling ®" 6of Hood 3.00 3,910- Ventilation 7 permit Fee ; 2 9 0 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Dale Signature of Applicant — f 0 ner ❑ Contractor ElAgent E] An OSHA permit is a ui �df o excavations over 5'0" deep and demolition or construct- ion of structures ov I m eight. Mobile Home Installation Fee $ Energy Inspection Fee $ (j occ CONST TYPE a Sy TOTAL FEE $ HAz CUA PARK scHl Fro PAR PD HD Issue This permit is hereby issued under sions or the Butte County Code and/or work Indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. - a P A wl. f-D.P.W„ YELLOW -ASSESSOR. PILAR -INSPECTOR, f,OLDfNPOD-APPLICANT 1BYVim/ �.........DATE.......1.. E SUBJECT...- .- ............................. SHEETNO......._....._OF..... ...... �. CHKD. BY..!......GT.DATE ....��, �O/eEi�jT ...................'-r..........................D �.......... _ JOB no. ......-.... . .................. ................................. 1?.3!f3r...f...!'E.. sT�...Com.. ...............----.... F L T ENGINEERING 5790 CLARK RD. PARADISE, CA 95969, J �e/��e/� (9 t 6) 872-025 Z_ %2fE C'f Ttf}L Z,4 T_`:F,P,4e- x"02 .4 71111 s ToIlVe- 4 CooE .: X988 u�c L .L = 3oPs� - sv✓o w Al Y111l s - D6 _ /O PSl Q�pF ESS/pN„ eF N rrm w _No. 3 T Z Sox .75- wJ6 /fav Jl• C IVIS- e) 6`27�9d 2x�- ST 40�Ps�' 120-2 Psi' e Posri u -w o, Pz yvn?o l - Al G/,S, Pieo,;)(�C7 STD, Cd•Ylve C7"1- 5/1iP SO" Z : ,C.01i - T/i /`/,o O (a e C/c T .00AVk- -T7,e & -/c ,4z( -ow Foie-. Ale c-ri( e'l / 50,o�s�-wm COUNTY DING ®EPARTMEN P J SHEET NO . ........ F-... OF BY ....... .......... DATE C*,r .......... . ........... : .... ........... I ...... .................... ..... .......... CHKD. BY ...................... DATE ................................ - ...................... .................................... ....................... ...... ................... ....... JOB ....... ..... ..... ...................... ........... 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DATE ........................ .................. . ........ I ........................................................................................... JOB NO . ..... . C�16 I�p .................... .. ..... ............. . ................. ................................................................ .......... -.- ................................................................................................................. .................. ... . ... . ............... ........ ................. 7- /� s�3� = , 6� � -, _ .�� may- _ ��a�'� �, f� �- �� . 60o �`.,X/271600 9.o FAI P� Owe 44(lz e -v SAIA 61 M//n% a 01 I&A, W14tX --17-U0 770' e0VVe!:-7/e 2.B5 A67 9 _75 7A 10,///,/ c f, 3,0 W,4441' 7-0 W,41-61 -?57ecovy BY..`�...Y.......... DATE ......5!�.. S�JBJECTSGFGEaIGC�.._..... `CC.%....... SHEET NO....R......O��F.-•--... CHKD. BY ........... ._.....DATE ..... _._..._......: ....................................._ ----....._...._..._.. JOB.•NO. -.,i� 4F5�. %/..... ........ -- f.'COo/ 70 74-vk/¢/' r� ZZ�� /z , 7os- �7 15 g 7 7 ' r Zos 3B 9Zy Chir -7/iPe-55-15 An 7ylAc rr Z1,< SZ = 7,75 "k: 74�(46 CXZ If I BY .......... SIJBJECT.!--� ..... ...... . .. . ....... _ ... . . ...... . ...... ................ SHEET NO . ...... QF......1...... CHKD. BY ................_....DATE............................. .. . ... . ............................. ............ .... ............................ . W-... . ...... . ....... . .......... JOB . .................. . . . . .... . ................. ............... ..... . ............... .................................... ............ .... .. .. .... . .............. j6 A /^/ 71-1-67 �aIW14-ers w11,` z9 h{ 600vvxJY (2' BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number GJ 7 �S Building Department No. School District �� rgdrt�( City County IM Jurisdiction Property Owner �� G, b.Q- 9 Project Location/Address ' Subdivision Residential Development: � a # of Living MHI Units Lot Number Sq. Footaga 39 // Addition (Group R) ` Commercial/Industrial: O Sq. Footage New Addition (Including Exterior Roofed Areas) Is_® �V Builairfg Depar meat Representative Date (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that t)aJ 1 -bio (Applicant ame) (Phone Number) (Street Address) (city) (State) (Zip Code) has complied with the requirements of Resolution No. by the pa ment of ,$ / / ���0� representing o'Z�� square feet. School District Representative Date PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION . ;.•Y i Attention Property Owner: An 'owner -builder" building permit has-been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) e 5 2. I (have/have not) signed an application for a building permit for the proposed work. "X I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. /5. I will provide some of the work but I have contracted (hired) the following / persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner ./ oc Mar Date -7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and,Safety Code. This verification must be .completed and.returned to our office before we are per- mitted to issue the permit. 5/89 RESIDENTIAL PLAN CHECKING GUIDE . (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER '>4d/0 A. P. GENERAL t, �ning requirements: (sideyards luation. 0/ Pans signed by designer. ergy Design and Compliance. t Existing violations on property.. QItems on data sheet. and number of permitted living units). PLOT PLAN 'i. mplete parcel size and dimensions. �� acks, sideyards, easements, etc. ��r buildings or structures. -4' rr ing, fills, drainage. ood hazard. S al conditions on creation map or compliance document. AU & FAS road setback. P.m? PLAN �1!nplete to scale plan with dimensions. 11/ fired windows for light and ventilation (Sec. 1205). equired windows for second exit (Sec. 1204). ., fights (Chapter 34 & Sec. 5207). �.Human impact glass (Sec. 5406). equired room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). �! Light fixtures, switches, receptacles, and exterior receptacles for.maintenance mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. --10—.-Garage firewall, door size, and closer (Sec. 503(d)(3)). ]rl� 3'0" exterior exit door (Sec. 3304(e)). ]k! F'lace and wood stove location, alcoves, and clearance. ].Smoke detectors (Sec. 1210). STRUCTURAL DETAILS ll! Foundation plan complete enough to construct building. floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. --5---Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR ��airway details: landings, rise and run, head clearance, handrails (Sec. 3306). fY.�uardrail details (Sec. 1711 & 3306(j)). &! Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING.GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) 4-*"-xterior plaster - weep screeds (Sec. 4706). c5-' Proper roof pitch for roof covering (Chapter 32). RR f covering type - (fire hazard). &--gafter ties or bearing ridge beam. ,_JWrrlage-dam" or porch header sizes. 9 -. Adequate bracing. -IG—Eiving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. -+t�--��.o exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). 1' Adis access and ventilation (Sec. 3205). 15 -.'Underfloor access and ventilation (Sec. 2516). ambustion air for fuel burning appliances. 'leo' a requirements on duplexes. i�e soils - special foundation design. Retaining walls requiring design. ]t�!JAM sual shape, size, or split level house requiring lateral design. 18. Flashing at all exterior openings. Certificate of Compliance: Residential - ProjectTtue J ; Proled Address Docu BUILDING DATA hone Conditioned Floor Area 2S Number of Stories_ SlabZoor Number of .Units _L i �] ingle Family Detached (SFD) [ ] Addition Alone (] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition BUILDING SHELL rqSULATION Component Insulation Locaiion/Comments Type R -Value (atria to esteem. P/Ditel. Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge ..... GLAZING Glazing Orientation K-ri V-44,LL s T tc Area Glass Type Shading Devices Climate Zone .11 Building Permit # C3eited By/ Due Enforcement Agency Use only Interior Exterior. Overhang Framing Type North ( 0)"' 72- �)t= WA0.E 5.VA /JO Notch ( ) East (� _ q East ( ) South (✓f_ WI�FiTE RADS South ( ) West West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed tile. etc.) (sf) (inches) Location/Description (kitchen. bath. etc.) 0 HVAC SYSTEMS hiirimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE. SEER,HSPF) . (attic, etc.) R -Value (Btuh) (or approved equal) 6 93 Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES REMARKS (Add extra sheets if necessary) Glass Area % Glass North 2-22.5 9.3 East 3.2 South 6.2 West Skylight , 2 Total ZI•� Interior Exterior. Overhang Framing Type North ( 0)"' 72- �)t= WA0.E 5.VA /JO Notch ( ) East (� _ q East ( ) South (✓f_ WI�FiTE RADS South ( ) West West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed tile. etc.) (sf) (inches) Location/Description (kitchen. bath. etc.) 0 HVAC SYSTEMS hiirimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE. SEER,HSPF) . (attic, etc.) R -Value (Btuh) (or approved equal) 6 93 Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES REMARKS (Add extra sheets if necessary) / OWNER'S NAME: C�'ktp RECEIVED ►�✓ PERMIT NUMBER: "l5( 9.0 A. P. #: S' DATE 29 - 9 ESIDENTIAL ❑ NON RESIDENTIAL RECEIVED BY TIME --------------------------------------- REQUIRED PRIOR TO PERMIT ISSUANCE ❑ FROM DATA SHEET .[;-,�7 REQUESTED.BY PLAN CHECKER 0 ❑ OTHER --------------------------------------- REQUESTED BY CORRECTION NOTICE ❑ YES ❑ NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: WHEN APPROVED, PROCESS AS FOLLOWS: --------------------- Mail to owner (Address) Mail to contractor (Name and Address) Call and hold for pickup at office. Deliver with next inspection. REVISED PLAN CHECK FEES PAID: $15.00 $30.00 Additional Fees Not Required COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERZONING — — 41/0 BUILDING PERMIT OWNER J TELEPHONE SO. FT., OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTR CT 0 R' y1E A ^ TELEPHONE CONT CTOR'S MAIL G ADDRESS Fireplace CONS RUC TI N LENDER UNKNOWN Total Valuation is LENDER'S MAILING A DRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee t_ -c Plan Checking Fee $ — $ ARCHITECT OR ENGINEER'S MAILING ADOR=SS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ /r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20,00 LOT NO. r 9 / q SU BDIVISION NAM 'J CEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF Duplex[] Mobilehome❑ Other— SPECT Y Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ . Other Describe work: �e J= Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3- of the BUSIne$$ 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 compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. ,. Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2,50 NEW CONST. I DWELLING OCCUP.a OR AOONS. % ACC. BLOGS. , /20sgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRCITS/POWER 2.50 ea APPARATUS a1 l SINGLE OUTLET CIR. / Ex. OCCUp�OUTLETS OR FIXTURES 20970t 0050t FIXED Ex. Occ FIXED APPLNS. OR Up• OUTLETS (RESIO.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree -to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile -Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE _ TOTAL FEE $ 'ZJ HAZ I CUA PAR I PD HD IssuE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXP!RES Date Receipt No. + WMITC-D. r. W.. YELLOW-A93C 940 P. PIYR-INSPECTOR. .O' OENPCO-APe1_1^_ANT 5/89 j 'RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) 4. Exterior plaster - weep screeds (Sec. 4706). 5. Proper roof pitch for roof covering (Chapter 32). 6. Roof covering type - (fire hazard). 7. Rafter ties or bearing ridge beam. 8. Garage door or porch header sizes. 9. Adequate bracing. 10. Living area over garage - complete 1-hour separation required on garage side including supporting walls and posts, etc. 11. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). 12. Attic access and ventilation (Sec. 3205). 13. Underfloor access and ventilation (Sec. 25.16). 14. Combustion air for fuel burning appliances. 15. Noise requirements on duplexes. 16. Adobe soils - special foundation design. 17. Retaining walls requiring design. 18. Unusual shape, size, or split level house requiring lateral design. 19. Flashing at all exterior openings. ' 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY)" OWNER GENERAL /lning requirements: (sideyards '*Valuation. .�. Plans signed by designer. 0-4t -nergy Design and Compliance. / Existing violations on property. 6. Items on data sheet. Bldg. Permit # A.P. # G!5 - and 15 - and number of permitted living units). PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map or compliance document. FAU & FAS road setback. FLOOR PLAN 1. Complete to scale plan with dimensions. 2. Required windows for light and ventilation (Sec. 1205). 3. Required windows for second exit (Sec. 1204). 4. Skylights (Chapter 34 & Sec. 5207). 5. Human impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec. 1207). 7. GFCIs in baths, garage, and exterior outlets (Article 210-8). 8. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 10. Garage firewall, door size, and closer (Sec. 503(d)(3)). 11. 1 - 3'0" exterior exit door (Sec. 3304(e)). 12. Fireplace and wood stove location, alcoves, and clearance. 13. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 1. Foundation plan complete enough to construct building. 2. Floor construction details complete enough to construct building. 3. Elevations and wall construction details complete enough to construct building. 4. Roof construction details complete enough to construct building. 5. Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 2. Guardrail details (Sec. 1711 & 3306(j)). 3. Brick or stone veneer (Chapter 30). ..�. �aaaa arc vi %,ULLI 11"mc: lRtc5wc►uxai %_timate zone 11 D,41JiD C3t��Q Project Title _ S I S (05.- �/ (05 -as- l /%J/�G Buil Project Address 7-/ 710 Checked By/ Date Documentation Author Telephone Enfotoe hent Agency Use only BUILDING DATA Glass Area % Glass • :. North ,��.,y' ?.3t Condition i0_ELQgLArea .3 Number of Stories •1— East �— Sla sed F Number of .Units ( South �— . [ Single Family Detached (SFD) [ ] Addition Alone West -a, /3 [ ] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi -Family (MF) [) Existing -Plus -Addition Total 3/ . d/. BUILDING SHELL INSULATION. Component Insulation Locatilon/Commenits' Type'R-Value (attic, .to garage, r* al, etc J Wall .............. Wall .............. Roof ............. 3 Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type North ( )� •5 �orJ-� Gd If ACAF1�� /yi/i.O X L., North ( ) East East ( ) South ( ) /_� 'e �Nr� ©QWM> q Sou Lh ( ) _ West ( ) rr (�1�t'ti VWJ9PAs s West ( ) Skylight....... •e ---=� THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) Location/Description (kitchen, bath etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE. SEER.HSPF) (attic etc.) R -Value (Btuh) (or approved equal) t;. a 4 Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Sundards must contain these mc> sures 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 feuura noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCRJMON DESIGNER ENFORCEMENT Building Envelope Measures • §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill insulation manufacturer's labeled R-Valuc. §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). 12.5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 permltoch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infittradon/Esfiltration Controls a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows cenified. c. Doors and windows wcathcrstripped; all joints and penttsations caulked and salol. §2-5352(c): Special infiltration barrier installed to comply with 02-5351 mods CEC quality standards. 12.5352(d): Installation of Fireplace 1. Masonry and factory -built fireplaces have: a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measurer §2-5352(8) and 2.5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2.5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2.5314(c): Gas-fucd space hating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water haters, showcrheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanker (R-12 or greater) or combined interior/exierior insulation (R.16 or greater): first 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2.5318(d): Swimming Pool Hating 1. System has: a On/off switch on hater. b. Weatherproof instruction plate on hater: e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/watt or grater for general lighting in kitchens and bathrooms. §2-5314(c): Gas ftrcd appliances equipped with intermiaent ignition devices. 12.5314(a): Refrigerators, refrigerator -!recurs. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of roalpEance lists the b<uuiding features and petfonnarice specifications needed to comply with Mile 24. Chapter 2-53 and Title 20, ChaptrrZ SubchapW4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purdiaser of the building. Designer Building Owner • % �- Ip fel e, ,5 % S -147-1V Name: Name: rtlrJFtmt Titk/Frm: Address: Address: s Tekph rw_ Telephone: Maximum Furnace Heating Output: Btuh t,ic. 0: HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) } (signature) S7'64*4�L 6A -S J _ .� Documentation Author SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Num: Titk/Firrs t Address:. (date) (signature) Enforcement Agency None: A&- -r—Telephone. (date) 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories Number of stories R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 49 -32 0.10 -26 -13 -8 0.08 -18 .9 -6 .. . 0.06 -11 -5 1 0.04 -4 -2 2 0.02 4 23 1 0.00 11 5 7 2. Wall Insulation 3. Raised Floor Insulation Single- Single - Number of stories Etfeetive Pei cart Glass Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value Number of Stories -14 --.. 0.60 - 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Controlled Ventilation Crawlspace Insulation in Floor Slab. Floor Number of stories Etfeetive Pei cart Glass Number of stories One R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 . 0 0 R-30 3 1 1 U -value -37 Number of Stories -14 --.. 0.60 - -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace Single- Slab. Floor Number of stories Etfeetive Pei cart Glass R -value One Two Three R-0 -11 -7 -5 R-5 -4 -0 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 40 - -" -37 Number of Stories -14 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 .3 F2 factor -58 -20 -12 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Inriltration (Air Leakage) Specification Points Standard' 0 6. Glass Heat Loss Total Single- Slab. Floor Sum of 1.6 Etfeetive Pei cart Glass U value East Percent :West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 49 -15 -8 -1 7 14 25 46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 40 -11 4 2 8 15 J 22 -37 -9 -3 3 9 15 21 -34 -7. -2 4 10 15 , 20 -31 -6 0 5 10 16 19 -29 4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3: 8 12 17 16 -20 0 4 9 13 17 ' 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 -2 -2 -2 5.3 Solar 7 5 7. Shading (Shade Open) -& cil-ve Percent Glass (percent Slags x SC) Effective Single- Slab. Floor Sum of 1.6 Etfeetive Pei cart Glass %Glass North East South :West Skylight 18 .5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na.__ 12 3 3 5 2 na - 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -7 -23 3 0 IB. Shading (Shade Closed) Single- Slab. Floor Sum of 1.6 Etfeetive Pei cart Glass Family Mass (percent glaaa x SC) Stories Effective Attached Stories 0.00 0.20 /CFA One %Glass Norf1 East Salth West SV01 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na it -7 -26 -36 -33 na 10 -6 -23 -31 -29 .74' 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 .1 1 1 -4 . 0 2 3 4 3 0 . s - ,,.,r am wl 7 8 10 11 9. Interior Thermal Mass Interior Single- Slab. Floor Sum of 1.6 Raised Floor Family Mass Mutt Stories Detached Attached Stories 0.00 0.20 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -0 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 - 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Singie- Sum of 1.6 Wall Family Family Mutt Mass Detached Attached Family 0.00 0.20 0 3 0 0 0.40 0.60 5 8 4 6 3 . 4 0.80 1.00 10 13 8 10 5 7 i 1.20 1.40 13 12 12 13 8 9 1 1.60 1.80 10 10 13 12 ll.. . 12 200 10 11 13 11. Heating System SE or SSPF (assumes ducts In attic) Zonal Control Adjustment System Type .. Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst!m SEER . -1 . -4 Sum of 1.6 -3 ..2 (assume: ducts In attic) -2 7.0 _25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 . -5 +5 ' +15 more 0.72 6.60 0 0 0 0 0 0 0.75 0.80 :6.88 7.33 3 8 3 7 3 6 2 5 2 4 1 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 8 0.95 8.71 _ 20 18- 15 13 11 70% 75% Effective -25 or -24 to -1410 -41o, Effective SE or HSPF SEER less -15 -5 +5 (SE or HSPF x duct efficiency) -30 -25 .21 -17 -13 Effective -25 or -24 to -1410 0% -d to +61D 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 .22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 .4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 .28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type .. Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst!m 6.0 6.6 SEER . -1 . -4 -4 -3 ..2 (assume: ducts In attic) -2 7.0 Sim of 7-10 0 0 0 -25 or ,24 to 04 to -410 +6110 160f SEER less •15 13 +5 +15 more 8.0 -14 -12 40 -8 -6 -4 -4 -3 8.5 8.9 -9 •7 -6 -5 -5 -4 -4 -3 -2 -2 9.0 ri -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 4 2 3 1 2 10.5 11.0 7 6 5 10 9 7 6 4 3 120 15 13 11 9 7 5 13:0 20 17 14 12 9 6 29 ERedive SEER 20 15 10 (SEER xauct efficiency) Zonal Control Sue of 7-10 70% 75% Effective -25 or -24 to -1410 -41o, +610 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 .21 -17 -13 .9 0% 1 9 -7 -6 -4 6.0 6.6 -12 -5 -1 . -4 -4 -3 ..2 Raised Floor Insulation -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 50% Zonal Control Adjustment 70% 75% 10 8 7 6 4 3 Lories No Cooling System Installed 125• 0% 5% Ik 15% 20% 25% 30% One -5 -4 -4 -3 -2 -2 Two+ 3 3 2 2 2 1 Single-Famlly Detached and Attached Unit Size (sQ Water i 199 12W. '1700 2200 2700 Heater Credit or .-� to to to • or Type Type less .1699 2199 2699 more SG None 0 0 0.. 0 0 0.6 or Solar 12 ' ` 8 6 5 4 23 r HP -HWR 8 5 4 3 3 48 4.2 WSB 5 3 3 2 2 0.3 POU ._ .8 5 4 3 3 1.8 SE None -37 -24 -18 -15 -12 `1 Solar -1 -1 -1 0 0 5 HWR -18 -12 -9 -7 -6 0.9 WSB.. -25 -16 -12 -10' -8 24 POU -18 ---12 3 -9 _-7 -6 IG None -5 -3 -2 -2 -2 5.3 Solar 7 5 4 3 2 POU .3 2 1 1 1 IE None 48 19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 -3 1.7 Multi -Family (Individual units) 23 25 27 3 ' Unit Size (6 3.4 3.8 Water 4 699 700 1200 1700 2200 Heater Credit or to to to or Type Type 1.6 -1199 1699 2199 more. SG _less None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 At -9 Solar 2 1 1 0 0 1.7 HWR -23 -12 -8 -6 -5 i WSB -25 -13' -8 -6 -5 4.7 49 23 -12 -8 -6 -5 IG None -8 -4 -3 -2 ;_ -2 2 Solar _ 6- 3 .2 1! 1_ 3.5 POU 1 0 00 4.6 0 IE None -30 -15 -10 T -8 -6 64 Solar 18 9 6 4 4 POU -8 -4 -3 -2 -2 Interior Mass/CFA . TT.L 2 PASS (►.7.uiMC�..2) Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. l TYPE I IUSS WI11C ! 4.2, le: exP0 ed slab) 6. Glass Heat Lass 7. Shading (Shade Open) or R -value 101 F3 factor 10.771 Standard i x477_- Type [double] U -value [0.651 % Glass SC Eff. % Glass y3( X ,FIs = 14,q7 3./r x •/S x / -.0 ;a- ./7 X 77 _ /3�? _ TYPE 1 COND. MASS AREA �g FLOOR AREA 40% 45Y. 50% 55% 60% 66t 70% 75% 80% 85Y. 90% 95% 100%105% --- 110%. i15Y. 120% 125• 0% 5% Ik 15% 20% 25% 30% 35% 10y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 19 2.8 23 25 2.7 2.9 3.19 3.3 3.5 3.7 48 4.2 �4 46 4.8 58 5.2 S4 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 20% 0.5 o.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 43 4.5 4.7 4.9 5.1 5.3 5.6 58 30% 8 8 500% 0.9 1.1 1.3 13 1.7 19 21 23 25 27 3 32 3.4 3.8 3.8 4 42 4.4 4.6 4.8 5.1 5.3 55 5.7 5.9 61 55% . 09 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 . 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 6655% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 39 3.2 3.4 3.6 38 4 4.3 4.5 4.7 49 5.1 S3 5.5 5.7 5.9 6.1 64 1.2 1.4 1.6 1.6 2 2.2 25 27 2.9 3.t 3.3 3.5 3.7 ' 3.9 4.1 - 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 70% 25 2.7 3 3.2 3.4 3.6 3.6 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 75% 1.3 15 1.7 1:9 21 23 80% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 eSY. 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5 3 54 5.5 5.6 5.7 5.9 5.9 6.1 6.2 63 6.4 65 66 67 6 8 90% ' 1.5 1.7 2 2.2 2.4 26 2.8 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 91500%. 1.7 19 21 3.2 3.4 3.6 3.8 49 4.2 4.4 46 4.9 5.1 5.3 55 5.7 59 6.1 6.3 65 6.7 79 2.3 2.5 28 39 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5. 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 7.1 MY. 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.2 6.3 6.4 6.5 '6.6 6.7 6.8 69 7 7.2 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 1225% 2.1 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 59 6.1 6.3 65 6.7 79 7.2 7.4 2.3 25 28 39 3.2 3.4 9.6 3.8 49 l Point System Summary: Climate Gone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Lass 7. Shading (Shade Open) a. " North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d.. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) l 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating measures O or Eff. % Glass R -value 1381 U -value [0.0301 or R -value [ 11 j U -value [0.0981 / q or R -value 119) U -value [0.0371 or R -value 101 F3 factor 10.771 Standard i x477_- Type [double] U -value [0.651 Point Scores t 0 % Total Glass [ 161 Sum 1.6 % Glass SC Eff. % Glass q.3 / x X X x477_- % Glass SC Eff. % Glass y3( X ,FIs = 14,q7 3./r x •/S x / -.0 ;a- ./7 X 77 _ /3�? _ TYPE 1 COND. MASS AREA �g FLOOR AREA Interior M. ass/CFA TYPE 2 MASS AREA � Exterior Wall Mass ND. R AREA L O 7 - x --- SE or HSPF Duct Efficiency 10.78] HSPF ive S or [0.72/6.6] S> 19 X SEER 19.51 Duct Efficiency 10.741 Effective SEER [7.03] t NA -8- T Sum 7-10 +.3 Type [SGJ Credit [none] Point Total3� Certificate of Compliance: • Residential i : = Climate Zone;11 Project Ptle r . 2,5 1 . f' til t.—,( Bu' ing Permit w ProjectAddresa y 1 CA (— Checked By / ate Documentation Author Telephone Enforcement Agency Use only Glass 2, lass %93 BUILDING DATA North 2.Z2 ,5 Conditioned Floor Area 2 390 Number of Stories_ East 3.2 Slab ss Oor Number of _Units �_ South 6.2 Single Family Detached (SFD) [ ] Addition Alone west Skylight 2. r 2 [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total 2/ BUILDING SHELL INSULATION Component Insulation LocafionlComments Type R -Value (attic, to art e, t• icel, etc.) Wall .............. —19 Wr4 A- S Wall .............. Roof .............� T t c 111 Roof ............. Floor ............. I S Po Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type North ( Lf 722,f, 0, e WARE S. North ( ) East East ( ) South (✓f ��_ _ WI�FtTE, RA;Le-5' South ( ) West (� West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness , (slab/exposed tile, etc.) (so (inches) Location/Description (kitchen• bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model# System Type (storage gas etc.) Capacity (or approved equal) Special Features) R,t�g G -AC SPECIAL FEATUR7REMARKS (Add extra sheets if necessary) . Mandatory Measures Checklist: Residential MF -1R ~ ; NOTE- Lowrise residential buildings subject to the Standards must contain these measures mgardkm of the compliance approach used. Items marked with an asterisk (-) may be supeseded by move stringent compliu= mquuancntslistcd . on the Certificate of compiance Wben this checklist is incorporated into the permit docummM the features rioted shall be considered by all parties as binding minimum comr, , - t perfomunce specifications for the mandatory measures whether they art shown elsewhere in the documents or on this checir ist only. M DESCIUMON Building Envelope Measurer §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352f .. Loose fill insulation manufacturer's labeled R.Value. §2-5352(c): Minimum will insulation in framed walls R-11 weighted average (does not appy to exterior mass walls). 6 2.5352(4}. Slab edge insulation - water absorption rat no greater than 0.3%. want vapor transmission rat no greater than 2.0 pmnlirich. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/EsGltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. n b. Doors and windows certified. e Doors and windows wcathersaipped: all joints and penetrations caulked and sealed 62.5352(e): Special infiltration barsier installed to comply with §2-5351 mocu CEC quality standards §2-5352(d): Installation of Fireplaces - 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e Flue damper and control 2. No continuous burning gas pilots allowed HVAC and Plumbing System Measures ` §2-5352(g) and 2-5303: Space conditioning equipment siring: attach takulasions. §2-5352(h) and 2-5315: Setback dtermosta: on all applicable beating systems. §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2.5316(br Exhaust systems have damper controls. §2-5314(c): Gas-futd space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment. water heaters. showeri+cads and faucets certified by the CEC. §2.53520: Water heater insulation blanket (R-12 or greater) or combined intuior,cx1crior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5319(d): Swimming Pool Heating 1. System has: L OrVoff switch on heater. b. Weatherproof instruction plat on Mato: e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. , 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.53520): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas feed appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators. refrigerator -freezers. freezers and fluorescent tamp ballasts certified by the CEC. Indicate make and model number. DESIGNER I ENFORCEMENT COMPLIANCE STATEMENT This certificate of compliance lists t13e btuiding features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chagtcr 2. Sttbchapter4. Article 1 of the California Administrative code- This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purdlaser of the building. Designer Nannie Documenta Name _ TttklFurn: Address: uthor (date) Building Owner Name Titki'Fi m- Address: Telephonic (signantre) (da(e) Enforcement Agency Name: At— r. Telephone 1. Ceiling Insulation ' Family Number of stories 1 R -value One Two Three R-0 -103 -49 32: R-19 -8 -4 •2 R30 -2 -1 -1 , R38 0 0 0' U -value 0.50 -91 -68 0.50 -176 -84 -54 0.30 -102 -49 32 . 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 . 3 3. Raised Floor Insulation 2. Wall Insulation - - Insulation in Floor Single- Single - Number of stories Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value _ 0.30 -69 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 10 5 3 3. Raised Floor Insulation -58 - - Insulation in Floor -3 R -value Number of stories Two R -value One Two Three " R-0 -17 8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 . U -value -14 -48 -69 '-- --.0.60 . -i44 -70 -46 J. 0.50 -120 -58 38 0.40 -95 -46 30 _ 0.30 -69 -34 -22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 - 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -58 -20 Number of stories -3 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 :,i 4. Slab Edge Insulation 7 14 25 -46 -14 - -- 0 Number of Stories 14 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 i F2 factor 3 3 9 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 • 0.50 9 6 3 0.44 12 8 4 - S. Infiltration (Air Leakage)'- Specification eakage)'Spe ification Points Standard 0 6. Glass Heat Loss Total -14 -48 -69 -- U -value 16 Percent -42 -59 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 _ 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 -34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15' 18 12 -9 6 9 12 15 19 11 3 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 ' 17 20 8-_- -2 - 12 14 16 18 20 7..Shading (Shade Open) -14 -48 -69 -- Erreetive Percent Class 16 -12 -42 -59 (pen -tat Stan x SC) na Effective -10 -35 -50 -46 %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0' 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 15 10. Exterior Wall Thermal Mass 25 �B. Shading (Shade Closed) Effective Pei Batt Clan (percent Stan x SC) Effective fit. Glass Norio East South West S4,5* 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 37 na 11 -7 -26 36 33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -S -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 9 11 13 -4 0' 2 3 4 -1 ' 3 0 na . not atbwed 9. Interior Thermal Mass 2 -3g Interior Slab Floor Raised Floor , Mass Strafes Stories U -value [0.098] or /CFA One Two Three One , Two Three 0.0 -8 -5 - - ..4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 • 12 13 13 6.5 6 9 10 12 13 13 , 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass 25 Exterior Single- Single - 3.2 3.4 Wall Family Family Mull 4.2 Mass Detached Attached Fame 0.00 0 0 0 ! 0.20 3 2 1 16 or 0.40 5 4 3 -5 0.60 8 6 4 -5.0 0.80 10 8 5 . 1.00 13 10 7 -12 1.20 13 12 8 -6 1.40 12 13 9 -4 1.60 10 13 :: 11... -2 ; 1.80 10 12 12 0 2-00 10 11 13 8.0 11. Heating System 8 6 5 SE or 13SPF 3 i 9.0 (assumes ducts In attic) -- 14 12 ' 9 Sum of 1-6 5 - 10.0 22 -25 or -24 to -14 to -4to +610 16 or ' SE HSPF less -15 .. -5 . +5 +15 more ` 0.72 6.60 0 0 0 0 0 0 0.75 .6.88 3 3 3 2 2 1 0.80 7.33 8 - 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 -`15 13 11 8 10 Effective SE or HSPF 7 (SE or HSPF x duct efficiency) 4 - Effective -25 or -24 to -14 to -410 +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 j 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 . 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment Heater System Type or 10 to Resistance 10 9 7 6 4 3' Other 6 5 4 3 2 2 12. Cooling System 2 -3g or R -value [38 g' 1 SEER R -value [ 11a k'- 1 / U -value [0.098] or R -value [ 191 U -value [0.037] (assume; ducts In aide) R -value (01 7 Interior Mass/CFA Standard Sim of 7-10 Z. X Type [double] U -value [0.65] -25 or ,24 io e -t4 b i b +6 b 16 or. SEER leu • -15 t •d +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 . 8.5 •9 -7 -6 -5 -4 3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 =- 12.0 15 13 11 9 7 5 13.0 20 17 .. 14 12 9 6 23 25 Effective SEER 2.9 3.2 3.4 (SEER xdud efficiency) 4 4.2 4.4 Sun of 7-10 4.8 S S.3 Effective725 or -24to -1410 -Alo +6 to 16 or SEER less -15 -5 +5 +15 more -5.0 30 -25 •21 -17 -13 -9 . 6.0 -12 -11. -9 -7 -6 -4 ; 6.6 -5 -4 -4 3 -2 -2 ; 7.0 0 0 0 0 0 0 1 8.0 9 8 6 5 4 3 i 9.0 16 14 12 ' 9 7 5 - 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 09 Zonal Control Adjustment 19 i 1.7 10 8 7 6 4 3 3.2 No Cooling System Installed I 1 -Stories 4.5 4.7 4.9 5.1 5.3 5.5 One 5 -4 -4 3 -2 -2 Two+ 3 3 .- 2 2 2 1 32 3.4 3.6 3.8 4 42 4.4 Single -Family Detached and Attached 4.8 5.1 5.3 a Unit Size (sq 5.7 Water 6.1 1199 •1204'-1700 1.1 2200 2700 Heater Credit or 10 to to or Type Type less 1699 2199 2699 more SG None 0' r' 0 0. 0 0 or Solar 12 `j 8 6 5 4 - HP -HWR 8 5 4 3 3 3.5 WSB 5 3 3 2 2 5 POU _ 8 5 4 3 3 SE None -37 -24 18 -15 -12 24 Solar -1 -1 -1 0 0 3.8 HWR -18 -12 -9 -7 -6 53 WSB.. -25 -16 -12 -10 -8 _ - POU -18 -.-12 =9 -7 -6 n None IS -3 -2 -2 -2 4.1 So!ar 7 5 4 3 2 5.6 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 3 Solar 8 5 4 3 3 4.4 POU -10 < 3 -5 -4 -3 5.9 Muld-Family (individual units) 6.3 65 80% ' -' i Unit Size (sQ 1.8 2 Water 2.4 699 ; 700 1200 1700 2200 Heater Crelrt or b to b or Type Type less :1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9., 5 3 2 2 54 WSB 9 4 3 2- 2 90%' POU 9 5 '23 3 2 2 SE None 45 3.4 -15 -11 -9 4.3 Solar 2 1 1 0 0 5.7 HWR -23' -12 -8 3 '-5. 1.6 WSB -25 -13 •8 3 •5 �QU__23 -12 -8 3 -5.. IG -None - -8 -4 -3 -2 --2 ' Solar .°• 6 .. 3 2 1' 1 100% POU 1 0 0 0 ..0. -• E None : 30 -15 -10 _,.-8 18 4 > P :. -4 6 :4 - 4 - _ _3 ,2 _-2. Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 0 2. Wall Insulation 3. Raised Floor Insulation '4 Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass Measures 2 -3g or R -value [38 g' 1 U -value [0.030] or R -value [ 11a k'- 1 / U -value [0.098] or R -value [ 191 U -value [0.037] 151 or R -value (01 7 Interior Mass/CFA Standard ?, Z 9 Z. X Type [double] U -value [0.65] 2 X . t.a : ,seta . o Glass ... Ype ISG] - ,- - - - -- - - . ... ;•:, :.. G-2 x .:.. .2<,? X ,2 - - . 'D 1r.7.0rnC�I Ie.,vateM .lbi .sl AREA � InteriorWass/CFA AREA t TYPE 1 MASS (Ut11C•a 4.2, to: exposed -� slab) Exterior Wall Mau ' ND. L OR AREA 0%. 5% '10% 1S% 20% 25% 30% 3S% 40% 45% SO% SS% 60% 69ir. 70% 75% 80% 8S% 90% 95% 100% 105% 110% 115% 120% 125- 0% 0 02 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 S S.3 10% 02 CA 0.6 0.8 1. 1.2 1.4 1.6 1.9 21 23 25 21 2.9 3.1 3.3 15 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 22 24 27 29 3.1 3.3 3.5 37 3.9 4.1 4.3' 4.5 4.8 5 52 5.4 56 30% 03 U 0.9 1.1 1.4 1.6 1.6 2 22 24 26 2.11 3 32 3.5 3.1 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 So 40% 0.7 09 1.1 19 1.5 1.7 1.9 22 24 28 28 3 3.2 3.4 3.5 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5:7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2.5 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 S5% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.7 4.S 4.7 4.9 5.1 53 5.6 5.8 6 6 2; 60% 1 12 1.4 1.7 1.9 21 23 2S 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 76% 1.3 15 1.7 19 21 23 2S 27 3 3.2 SA 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 65 80% ' 1.4 1.6 1.8 2 22 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 52 54 56 5.9 6.1 63 65. 67 90%' 1.5. 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 38 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 22 2.5 27 29 3.1 33 3.5 3.7 34 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 19 .21 2.3 25 28 3 3.2 3.4 3.6 18 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 2.6 26 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 66 68 7 1101/. 1.9 21 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.5 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 22 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.3 2.S 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% 21 23 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 3.1 5.3 5.$ 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 0 2. Wall Insulation 3. Raised Floor Insulation '4 Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass Measures 2 -3g or R -value [38 g' 1 U -value [0.030] or R -value [ 11a k'- 1 / U -value [0.098] or R -value [ 191 U -value [0.037] 151 or R -value (01 7 F2 factor [0.77] Standard ?, Z 9 Z. X Type [double] U -value [0.65] 21.x... % Total Glass (16) % Glass 2 SC ..Eff. % Glass 9.3 X (-77 _ 7,1 3.Z x = Z.4(o 12.. Cooling System x • ��Z - _ ?, Z 9 Z. X Duct Efficiency [0.74] Effective SEER [7.031 2 X o Glass ... Ype ISG] SC Eff. % Glass •3 X .4�& = 4,46 3.2 x 1 = 2, I G-2 x 2 ,2 .2<,? X // _ F.7 ,2 X 'D TYPE 1 MASS AREA InteriorWass/CFA COND. FLOOR AREA TYPE 2 MASS AREA {� g Exterior Wall Mau ND. L OR AREA 11. Heating System 2 x g 3 = • 60 Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or 10. 6. HSPF (0.56/5.15] 12.. Cooling System x • ��Z - _ ?, Z 9 Zonal Control? ( Y / N) SEER (9.5] Duct Efficiency [0.74] Effective SEER [7.031 ..13. Water Heating-- e" - ..... __ ... Ype ISG] Credit [none] Point Scores 0. 0 Sum 1.6 -t2- Point Total: ,t----