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HomeMy WebLinkAbout065-380-001rC65-'38-01 2834-91B,P,E,M ONALD,..Don_ & Carolyn 14718 Denise Dr;, Magalia (new sf) 9 c o2 i O 065-38-0-001 #98-2144 SHAMBLIN,THOMAS 14718 DENISE DR.,MAGALIA UNY,N0W N �/IJg/ 9 /98 GAS HEAT STOVE I �` �.t+.n.•xne"�y'cYre?�at..�'�4��;t+ rs, >aa#�.�i'�e-:.T,�..�i�az�;i�v�d"'i4i4��'iF�KY�:�k���'t���ct:�dVVaI�t�k'ri�+!4(�y�r�",y I OFFICE COPY Address/47/9' GAS �y Meter B Dated// ELECTRIC Me y Date N COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541_ PER NO. APPLICATION AND PERMIT �1` ASSESSOR PARCEL NUMBER0 0 0 69-310-001-0 ZONING BUILDING PERMIT OWNER Thoinas F 9 mb TELEPHONE 87 —6599 SO, PT- OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 8 1)nCA 95954 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ LENDER'S MAILING ADDRESS nnn p I Filing Fee $ 20,00 ;;. Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI_N71�S�����. RIVE, %1AGALIA 11 PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LO NO. s4 SUBDIVISION'S NAME iterra Del Oro Tstates PARCEL MAP pump Solar or heat um water heater 23.00 /' USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other P] SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets V� 15.00 Building sewer 15.00 TYPE OF WORK — / PY New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other00 Describe Work: GAS HEAT STOVE — Mobile Home S G FwK @20.00 PERMITFEE $ 35. Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( 20oA OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. OR ADDNS. ( a ACC. BLDS. ) 3.50 FT. NEW) MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) b SINGLE OUTLET S Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 BAL .50 Ex. Occup. oFIXEEDTSPPLNS..°ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing g Fee 20.00 Heating y 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ 3+j �(� Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. � /®• �Cv[9�yysd>G�, ei?2r�— Date ��'� Signature of Applicant - JK Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 70.00 HAZ. 1 0. FEES IMP FLOOD COF PARCEL PD HD SU ISE n This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �,� - 'r 9/21/98 BY�///���---t^- ice— Date PERMITEXPIRESON 9/211rr'' (Date) Receipt No. 250594 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ti COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 9?_JIRMI� NO. APPLICATION AND PERMIT O pl !�ff ASSESSOR PARCEL NUMBER 065-380-001-000 ZONING BUILDING PERMIT OWNER Thomas E. Shamblin TELEPHONE 8 3 —6599 SO, Fr, OCC. BUILDING VALUATION OWNER'S MAWNG ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAIUNG ADDRESS nonp Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 14718 DENISE DRIVE MAGALIA PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 L� J.4 SUB i e r r a Del Oro Estates PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF El Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0' Describe Work: GAS HEAT STOVE Mobile Home ISI GI W @20.00 PERMITFEE s 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service550V OR LESS ( 2o0AOR. ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ) with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. } I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BUDS. ) SO. 3.5t. FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 Q I.00 BAL .SO Ex. Occup. FIXED APPS. OR ( OW UTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating X 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall employ any person In any manner so as to become subject to Workers' laws of California, and agree that if I should become subject to theworkers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. • Date �/ Signature of Applicant - $Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ A70.00not HAZ. D. FEES IMP FLOOD CDF PARCEL PDcompensation This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have B ell 61 PERMITEXPIRESON 9/21/99 applicable pro Resolutions to do work been paid. Date 9/21/98 (Date) Receipt No. 250594 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT II RESIDENTIAL X65-38-01 _ y-- 2834-91B,P,E,M' r ' MCDONALD, Don & Carolyn 14718 Denise Dr, Ma_galia (new sf) �- ? M<�r' ELECTRIC , Meter By1 GW Y ELECTRIC` Meter By JOB FINALED (Date) Signature % Date r Dd // `r Date Dated -/ `�1 J=OK O=Not OK NotQeadyable. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except N'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/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except a'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 q'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.-Connectors 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 i Date Card B-1 Date Card B-1 ' Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except ft's -1. Setbacks -Easements 'r 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to 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 (; = Date UNG FLOOR (Plans) OK except ti's 1: oning-Setbacks-Easement Flood -Slope F _ Main; Soils_Elec. Gaped. -//V' Ftg. Depth t ., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. ., Porches & Decks; Soils -Steel-/ /Ftg. Depth 1? j- emwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Sla ; Steel -Wrapped i -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test UF. Gas Pipe; Size -Anchors - yard gas piping: size -test ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground . Pien ms & Ducts; Clearance -Material -Support -Ins. r ers-Sills-Anchor Bolts -Joists -Vents -Cripples Access & Ventilation - 16. Insulation Date Y ` �e Card B-1 >^J Date Card B_ Date C1!" jo. o►-, Card B-1 (i' Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date ----- -----Card B-1 DateCard B-1 -- - - - -- — - - - - — -------- - ------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's Fixture &Transformer Clearance -Ins. Protection --- ------- -*----T & Tl---------- ------------------------------------ --- - - 3. Etec_Receptacles Spacing -Lights -& Switches at Doors ------ -------------------------------------------- 24. ze Boxes & No. of Conductors -Stapled ---- - -- - - - -- ---------------------------- - - --- I--------------- -- ------ omex stalled Close to Edge of Studs & C.J. -- - -------------- - - - - - --- - ----n- -- - ----------- -- ----------------------- ---- Equip. Ground made up w!Mech. Fastners-Bond Gas & Water -------------------------------------- 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------------------------------'------------------------ 22. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI Range Circ. !-, ga. Cu or AI -Oven Circ. ! ' ga. Cu or AI Insulated Neutral ❑ Yes �No ------------ - - - ------------------------- --- --------- - -- ---- 40. Service -Riser Conductors & Ground -Main Disconnect Yclearances -- -- --- - --- -- --- ----------- - - --- ----------- Equip. Panels-Motors-Mech. Equip. ------------------------------------------ ------------ - - ---- -- -- Clothes Closet Light -Shower Light -Spa Light --- - ---- --- Smoke -Detector-- ---------------------------- ------------------ - -------------------------------------------------------------------------------- Date Card B_1 Date Card B_1 -------------- - ------------------------- ------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support -------------- ---- -- - ---------------------- ----------------- -------------- 35. Vent Fan: Exhaust above insulation ------------- 36. Condensate Drain & Overflow: Size & Grade _.- __ - - 3 u ce a t.Access-Comb. Air -Return A r Vent -1 5 outlet 38. Attic Access & Platform ifFurnance in Attic----- ----- --- - - - - - - - - - - - - - - --------------- ------------------------------ Date CardB_�DateCard B-1 ------------------------------- ------------------------------------------------ Date Card B-1 Date Card B-1 Date FR MING (Plans) OK except ti's . Sils. Proper Material & Anchors -- - 4a1 Studs -Nailing. Spacing & Bracing -Plates -Sound - -- -- - - ----- --- ing.S - ting --Brac-- --tat - - - ----- - aring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) re Stops: Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing tY V >ingle & Duplex) Date /FRAMING (Continued) /Hangers -Post Caps -Anchors -Connectors - -V6. Cing. Joist-Rflr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ------------ _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions .50. Garage Fire Protection Framing ------- roperiy Line Firewall & Openings Ext. Doors one 3 -Check Garage -3rd Story, 2 Exits Ktairs; Width -Headroom -Rise -Run -Landing -Fire Protection W/plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ Siding -Nailing Veneer 6. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ________ k2171 Glazing Area -Glass Protection -Skylights- Plastic 5 ear Walls: Nailing -Bolts ------------------------- — - I sulation-Walls-Ceilings ------------ - -------------- Infiltration -Walls -Windows Date _ jG _Card B-1 Date~�- Card B-1 Datell IWIM Card B-1 AA I Date Card B-1 Date ti's -- F _ teps-Door & Sidelight Protection -Landings Sm ke' Det tor urnace: Vents -Clearance -Comb. Air -Connector - In rage: Above Floor -Ducts -Meth. Protection - edroom Exiting 6 F.I..& Bath Fixtures &Tub Access -Spa ---- ---- ec Trim & Subpanel; Breaker Sizes &Labels -- - -- - -. -tair.-& Rails -------- -------- --- --- re ace or tove: Clearances -Hearth lec. lets at Wood Panel: Int. & Ext. 7 it ixt. & Appliance: Grnd._Air Gap -Cooking Clearance -------- - --- - -- - Outlets & Receptacles at Kit. Counter -- Gana re Door; Swing -Landing -Closer 7 C. uct in Garage -Damper 74,4tr. Hir. Vents -Clearance -Comb. Air-Connector-P.R.V. In ge: Above Floor -Meth. Protection 7 Ib. ec. & Mech. Equip. Listed for Location - -- ----- 7-. let-eceptacles in Garage: (G.F.I.)-Romex Protection nsulation-Foam-Looked in Attic ❑ Yes uard 6 Rails &eck Construct o Cap Post s ---------- - /--- --- e --- -- j77 n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor . ❑ Yes .... - - - -- - - - - ---- ---------------- - 80. Followinginstld.: Drive es ❑ No: Walks es ❑ No: Pla�nters� ❑ Yes ❑ No ------------- ------------ -------------- -1�Siucc Brown -Finish-------- -- -_ B�,�C `nit: Disconnect. Electrical, Plumbing 8 ents Above Roof: Plbg -Appliance-Fireplace.-Clearance to Op Wings _ __ ater Well: Disconnect, Electrical, Plumbing . ---- — ----- xte ' Elec. Trim: G.F.I. Receptacle -Underground - -- ----- ------------ - --- --- - -- -- —------- A,<, tion Throughout House - ---- ------ -- - - - ---- - --- --- la Protect - - - - -ion or tions---- from Previous Inspections - ------------------------------- Gas Meters Tagged; Gas -Electric ---------- -- ------------------------------------ & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Date d B -t Date Card B-1 Date /and B-1 Date Card B-1 Date 4Card B -t Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ? 'r 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 - CORRECTION NOTICE RMIT 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. 5• 'i. 'rx s- Y: r is Date Z Inspector a•_ 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 L OWNER 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 matjer, or need additional explanation, please contact this office immediately. 711M�TZMUMM Date // Inspec 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 OWNER eeyy 5 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, I- A CA I I F0 ti AV/�z� b o vrt . /%Fig to I Date "/ Inspector - Owner Permit, No. ENERGY CERTIFICATION LOCATION ROOF MATERIAL_ THICKNESS DESCRIPTION OF INSULATION BRAND-NAME _ THERMAL RES. A. 11. NO. EXTERIOR WALL MATERIAL FIBERGL ,8 BRAND NAME 29TAINTEED THICKNESS 2 12 THERMAL RES. CEILING BATT OR BLANKET TY�-FiberglasB.RAND NAME C AINTEED THICKNESS %� L THERMAL RES. -310 LOOSE FILLT,YPE INSUL- A,S FE IIIBRAND NAME C R INTEED THICKNESS -�-y THERMAL RES. FLOOR,ELEVATED MATERIAL FIBE 1 BRAND NAME CE INTEED THICKNESS THERMAL RES. Al,- / FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH FOUNDATION WALL �J MATERIAL BRAND NAME THICKNESS THERMAL RES. /. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. SHASTA I SULATION INC. # 62.2184 FIRM.NAMEZ,nNER STATE CONTR. LICENSE NO. OF C�—Io-Gi/ I hereby certify the above insulation and all required items as shown .on the Building Depart. approved plans 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 Calif. ------------------------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO. ATURE10 )317 C &&Iluty-Ll NERAL CONTRACTOR/OWNER 1)ATE i3 - 7 v This certificate must be on file with the BUILDING 1)EPARTMI.:NT prior to final inspection approval and a cope shall be posted within the building. JAA'tIARY 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541` APPLICATION AND PERMIT ASSESSCrR PARCEL NUMBER 65-38-1 ZONING RMH BUILDING PERMIT OWNER DON & CAROLYN McDONALD TELEPHONE 873-2397 SQ. FT. OCC. BUILDING VALUATION 1875 R 95,625 OWNER'S MAILING ADDRESS P.O. BOX 39 MAGALIA 95954 486 M 8,748 CONTRACTOR'S NAME MCDONAOR'S TELEPHONE 240 0 1,680 24 coy 312 CONTRACTDON MAILING DDRESS Fireplace "A" 1. 500 CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 197.865 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 453.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 226-50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14718 DENISE DR. MAGALIA Permit fee $ 704-50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 1,1 2.00 Solar or heat pump water heater 20.00 LOT NO. 234 SUBDIVISION NAME SIERRA DEL ORO UNIT 3 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF FX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 3RnRM Permit Fee $ 44.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS OR 100 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): ❑ 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. ❑ 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) JA 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 OCCUR -ad) OR ADDNS. \ACC. BLDGS. yzQsgft 59.00 NEW MULTI -OUTLET NON.RESIESIDD. BRANCH CIRCUITS) 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20030t eAL090 FIXED PR Ex. Occup. OUTLETS (RESID IEAJ 2.00 Temporary service 10.00 10.0C' Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ 91.50 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 FiIingFee 10.00 Heating Cooling 1 g — TON 11.9 11.50 Hood 3.00 on Ventilation permit Fee $ 30.50 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 ofC 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 age t said Co ty in consequenc f the granti g of this permit. _I rk _q � X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excovati s over 5'0" deep and demolition or cons ruct ion of structures over 3 stories in height. 7j Mobile Home Installation Fee $ Energy Inspection Fee $ 30-00 `" PE I TOTAL F E $ 897 5 " HAL I CUA -I PARK s H F CDF —� P R 1 HD ISs}1E, This permit is hereby issued under the applicable provi- Bions of the Butte County.Code and/or resolutions to do work indicated abov 94for which fees have been paid. �) OF UBL WORKS Date PER IT EXPIRES Date 773az ® Receipt No. (9<? S-7� �/ 'l%��g,S� aG WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT NO '-A 7,� COUNTY OF E DEPARTMENT�O,PUBLIC WORKS -BUILDING DIVISION 7 COUNTY GENIE DRIVE - OROVILLE,CAFOF�NIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET Permit No. OWNER C�'d Q L `/�✓ %Ja.✓ A7, �%../2L/v • A. P. No. � _157- g Proposed Building UseAe v X32 Building Inspector C5� 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. tatement of Intent for Non -Heated and AC Buildings .. ngineered truss details and layout in duplicate (required prior to plan check) - 1� 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees p id .......................................... �tl AW/ 4-<- School District fees paid .............. -7 Z -sanitation approval from le/d_111 ii d/1e� 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 (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 ❑) ..... - Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When Alephone Issue the permit, process as follows: Mail to owner. Mail to contractor. i G73- VY5la and hold for pickup at Pah ' office. Deliver w/inspector. Other I VQ 12k Applicant _6���J�%�`I,(,.G�. .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept- Other Date I By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone—mall—counter ZT7"nteg daes Plans checked by Date Plans approved by �Z�- Sets of plans on h-pa'ld c i e.1 04kP�f er Copy—DPW = TO Buildina Department FROM: Environmental-Healz°h SUBJECT: Sanitation Clearance _..� Owneil Location AP# Plan Approved for: Hold final for: Sewaqe Disposal ✓ Water Supply Final clearance O.R. for: Clearance for bedroom m��l home. Water Supply Water Supply Other 9,-/' s�Q NOTE, Sanitarian Date n /J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. J r 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 657 - 3 oJ, ZONING R BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN R'S MAILING ADDRESS L/� �� / > 7�L/ , ��� ' CONO,� , OR'S NAME / �4- 60 !/J �/ I7 C TELEPHONE V [ b rc CONTRACTOR'S MAILING ADDRESS Fireplace CONSTR TION LENDER Z7� _� UNKNOWN /0 Total Valuation $ �0 % 2.6 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ �$�3 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 26 Energy Plan Checking Fee $ ! o� ARCHITECT OR ENGINEER'S MAILING ADDRESS __— Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 2_41 A�l4'? Solar or heat pump water heater 20.00 LOT NO. y ` SUBDIVISION NAME ) t, S! �/ C),Vii' r 3 PARCEL MAP Water piping � 5.00 5� Each pas water heater or vent5914 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation[- Other ❑ Describe work: 3'Bz _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 �fl Main service EA. ADD'L 100 AMP ( 2.50 Z_ f9 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license Is In full force and effect. License No. 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 NEW CONST. ( DWELLING OCCUP.N) OR ADDNS. ACC. BLDGS. -L.74 / , /20sp ft NEW CONSTR MULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. zA @30 Ex. Occup(OUTLETS OR FIXTURES .20@030 Ex. Occup. OUTLETS FIXED (RESID )REA.1 2.00 Temporary service k10.00 O Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating x C / !�_>0 k Oro 6�j /DJ /tet 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 aga' t said ounty in copse ence of the granting of this permit. X Date J� �' �� 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 $ occ CONST TYPE TOTAL FEE $ e1917S HAz. I CUA I PARK SCHL I FLD I CDF I PAR I PD I HD. ISSUE This permit is hereby Issued under the applicable sions of the Butte County. Code and/or resolutions work indicated above for which fees have been DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date provi- to do pa,d. Receipt NO. b05,7 152. WNITE•O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT BUTTE COUNTY SCHOOLS DEVELOPMENT FEE`CERTIFICATION FORM (One Form periBuilding) A.P. Number Building Department No. School District /'0/VLn,0iJ City•= County = Jurisdiction Property Owner Me- &-W-24 :6 Project Location/Address / Y �� �j De'-/ I J C- d(- --, Subdivision I 1V bS pCAI�4 A!qe-/ 0/10 (.iIVI Z_Lot Number 2 Residential Development: 3 Sq. -Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) �...-,....--- ctihv S yrdi g Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) PAID BY CHECK NO. BANK NO / �- vs -`l PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district fi O/.ta SCHOOL.FEE (8/88) q1' �u Distri4 Id No. I School District certifies that AA 26� (Applica (Phone Number) �Name) �y (Street Address) (Cit ) (State) (Zip Code) has complied with the requirements of Resolution No. by the ayment of $ 0 /(0 �,�� representing If j sq are feet. School District epresentative Da e PAID BY CHECK NO. BANK NO / �- vs -`l PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district fi O/.ta SCHOOL.FEE (8/88) Y 8/91 RESIDENTIAL PLAN.CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR 1 Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). rtck-or stone veneer (Chapter 30). fr. Ext r plaster - weep screeds (Sec. 4706). roper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). --FvaaT'"insulation - protection. 8'* -*0 36" halls and stairways. in area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. � xits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 ttic access and ventilation (Sec. 3205). lY Underfloor access and ventilation (Sec. 2516). ustion air for fuel burning appliances - L.P.G. requirements. requirements on duplexes. WFashing y design. at all exterior openings. IX responsible area requirements. Sy ccT- g��('17 4eA RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # �g �4• l OWNER C o mAL.P A.P. # Plan Checker ! GENERAL. - JJAA rrAA ^ 1 oning requirements: (sideyards and number of permitted living units)`. 2. V 1 tion. ans signed by designer. Proper description of work on application. 'ng violations on property. 6. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). notice of violation. PLOT PLAN 1Co plete parcel size and dimensions. Z -.1 --Setbacks, sideyards, easements, etc. -3---,-@ttrer buildings or structures. ading, fills, drainage. 540"Flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). 7. AU & FAS road setback. 8. ilding or utilities across lot lines (Record form). FLOOR PLAN omplete to scale plan with dimensions. 2,..quired windows for light and ventilation (Sec. 1205).: . quired windows for second exit (Sec. 1204). !*' �ylights (Chapter 34 & Sec. 5207). !/5 Liman impact glass (Sec. 5406). i quired room sizes, ceiling heights (Sec. 1207). 7 GF in baths, garage, kitchen, and exterior outlets (Article 210-8). 86;, -Light fixtures, switches, receptacles, and exterior receptacles for main- 9�enance of mechanical equipment. ocations of water heater, heating and cooling equipment, other electrical r gas equipment. 1 . Garage firewall, door size, and closer'(Sec. 503(d)(3)). 1 3'0" exterior exit door (sec. 3304 (f). lV. r lace and wood stove location, alcoves, and clearance. . I"' oke detectors (Sec. 1210). 1V.Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Yll�Standard'bracing or engineered design (Table 25V) Visual shape, size, or split level house requiring lateral design. 47est,ory requiring balloon framing and/or engineering. ee story building requiring engineered calculations and plans. Fo dation-:plan complete enough to construct building. 6 loor construction details complete enough to construct building. 7 elevations and wall construction details complete enough to construct building g{� Roof construction details complete enough to construct building. a e construction details and calcs if necessary. 1�•�ter ties or bearing ridge beam. 1� gage door or porch header sizes. Sud heights. 1 Adobe soils - special foundation design. 1 . Retaining walls requiring design. 15. Special Inspection required. ut not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate.dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. 5.00 5.00 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real property situate in the County of Butte, State of California, described as follows: DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Lot 234, as shown on that certain Map entitled, "SIERRA DEL ORO - ESTATES UNIT NO. 3",,which Map was filed in the Office of the Recorder of the County of Butte, State of California, June 3, 1968, in Book 35 of Maps, at pages 27, 28 and 29. Date: a(o C1 State of L On this the County ofSS. undersigned d_) PROPERTY 014NERS : �J a� day of, 19 ci\ , before me, the Notary Public, perso lly appeared ■••••••owsoM•ra•••ra•••E� Personally known to me. Proved to me on the basis • CELESTE F.RINER • of satisfactory evidence. • NOTARYFUBM-CALIFORNIA to be the person(s) whose name(s) _ • —i Butte c9unty My Commission Expires M subscribed to the within instrument and ackn wledged t at • Feb. 3,1995 ■ executed the same for the purposes therein contained. IN WITNES •monsoon mango ••Mosso 0 WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Pu lic nvi�l lull ulC&L 01'1111!AvIt v r .. Ur-:AUK-NOWLEDC1= FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building' permit. The property described herein is adjacent 91-035190 1 Rec Fee to land or included within an area zoned I Cash for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of b agricultural operations including, 10:07am 26 -Aug -91 I ut not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate.dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. 5.00 5.00 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real property situate in the County of Butte, State of California, described as follows: DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Lot 234, as shown on that certain Map entitled, "SIERRA DEL ORO - ESTATES UNIT NO. 3",,which Map was filed in the Office of the Recorder of the County of Butte, State of California, June 3, 1968, in Book 35 of Maps, at pages 27, 28 and 29. Date: a(o C1 State of L On this the County ofSS. undersigned d_) PROPERTY 014NERS : �J a� day of, 19 ci\ , before me, the Notary Public, perso lly appeared ■••••••owsoM•ra•••ra•••E� Personally known to me. Proved to me on the basis • CELESTE F.RINER • of satisfactory evidence. • NOTARYFUBM-CALIFORNIA to be the person(s) whose name(s) _ • —i Butte c9unty My Commission Expires M subscribed to the within instrument and ackn wledged t at • Feb. 3,1995 ■ executed the same for the purposes therein contained. IN WITNES •monsoon mango ••Mosso 0 WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Pu lic 9 I -35190 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requii?es this acknowledgement be recorded prior to issuance of a building permit. I The property described herein is adjacent 91-035190 1 Rec Fee 5.00 to land or included within an area zoned I Cash 5.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations including, 10:07am 26 -Aug -91 I X 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate. dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Lot 234, as shown on that certain Map entitled, "SIERRA DEL ORO ESTATES UNIT NO. 3", which Map was filed in the Office of the Recorder of the County of Butte, State of California, June 3, 1968, in Book 35 of Maps, at pages 27, 28 and 29. Date • State of ) ) SS. County of ) PROPERTY OWNERS: On this the allt day of 19 c�l\, before me, the undersigned Notary Public, perso lly appeared ■••••••••••••••••••••� Personally known to me. Proved to me on the basis • CELESTE F.FUNER • of satisfactory.evidence. o _ NOTARY PUBUC•CALIFORNIA to be the person(s) whose name(s) �y �� mycommesssonExpires subscribed to the within instrument yand ackn wledged that • Feb. 3,1995 ■ executed the samb? for the purposes therein contained. IN WITNES E ••••i••• •s•••••••'•• i WHEREOF, I hereunto set my hand and official seal. Present A.P. No. �p�r 3� (//_ AA i_ Notary Public EN® OF DOCUMENT 9 4F ts ;, A a, 0 tj r- " 1%.V j• f. tj ;,ip ': a t: 7, Lertiricate of compua.nc:e: nesiaenuai G LAOA I— Address Documentation Author Telephone Cilmate Gone 11 P_9 I Lzecked By / Due Fxdor=mc nt Agency Use only, BL'II.DING DATri, G 4b Glass North tTJ . 5 - Conditioned Floor Area /3 7-S7 Number of Stories East_ ?. / Slab/Raised Floor SSD Number of Units South -��—� ( Single Family Detached (SFD) (] Addition Alone West 1,9015-/ [ j Single Family Attached (SFA) [ ] Existing Building Skylight _/4,_ m ; (j Multi -Family (MF) [ ] Existing -Plus -Addition Total Z 1.r Z41 - BUILDING SHELL INSULATION Component Insulation Location/Cpmme:xts 0/4)0 Tyee R -Value (attic, :a garage, tr�i_r3, etc.j wai.............. ' 13 Roof.............,2 (0 Roof .. ...........jy Floor ............. i Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang FramingType Orientation. (sr) (single. double) (roller blind, etc.) (shadescrees, etc,) (yesmo) (mealltrotlid) North North ( ) _East ( ) --- East ( ) Sough ( )_ South ( ) West ( ) West ( ) - -----_ Skylight....... THERMAL MASS Type/ Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) LOcadon/DCSCription (kitchen, bath etc) " HVAC SYSTEMS hii:.imum Duct ! Type (furnace, air Efficiency Location Duct Output Maas�/ y conditioner, hent Dulnp) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or ape VIV(lcl`#i 6 191 P -� S 7 aulu c.. -ATT) C --1 Maximum Furnace Hearin uta Hearing tP Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System T (storage gas. etc.) Capacity or approved equal) Soecial Features) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) _e Mandatory Measures Checklist: Residential - MF -IR NOM- Lowrisc residential buildings subject to the Standards mus contain these mcasines regardless of the compliance approach used Items marded rtut sin astcruk (•) may be superseded by mots mingent compiiantoc mquuxnv as baud • an we Cwficye of Compliance. when dols CIwknis is incorporated into doe petit docian a nts. the fauna naedshall be considered by all parries as binding minimum component trr(ortnanee specifications for we mandatory mciaao -Malty they am shot'" elsewhere in the documents or on this choctlm only. DFSCR.IrnoN DESIGNER ENFORt�rENT Building Envelope Measures - 12.5352(a): Minimum ceiling insulation R. 19 weighted avenge. 42.5352(bY Loose fall insulation manufacuuet's labeled R.value. 42.5352(c): Minuntirn all insulation in framed walls R. 11 weighted average (does not apply b cstmor mass wales. §2.5352(k): Slab edge insulation - water absorption rate no pester than 0,9•, rata vapor, Vaasmusion rate no putater than 2.0 per nlwdt. 12.5311: Insulation speerrcel or installed meets California Energy Commission (CE(.7 quality standards. Indicate type and form. §2-5352(fY Vapor barriers mandatory in Climate Zones 14 and 16 only. 12.5317: Inrltration&,rltnuon Conools a. Door: and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows ccrurmd. e Doors and windows wcdnerstripped: all joints and peneuatiots ea,,Lk d and soled. 52.5352(e), Special infdeation burict installed to comply with §2.3331 meets CEC quality standards. 12.5352(d): Installation of Fuepiaces 1. Masonry and factory -built futptacrs haver a. Tight fitting, closeable metal or glass d6w b. Outside air intake with danger and conuol C. Flue damper and control 2. No continuous burning gas pilots allowed_ HVAC and Plumbing Sysem Measures 12.53320 and 2-5303: Space conditioning equipment sizing: attach oh:ulatioru, 12.5352(h) and 2.5315: Setback thermostat on 4 applicable beating systems. • §2.5316(3y Ducts Consuucwd. instilled and insulated per Chapter 10. 1976 UMC §2-5316ft Ea)taea systems haver damper comoo(s. 12.5314(e): Gas-fired space heating equipment has intent jam ignitiod devices. i §2-5314: HVAC equipment, water heaters, showerUesds and fat.'..certified by the CFC. §2.53520: Water hater insulation blanks (R.12 or greater) or combined intrsioncCaterior + imulation (R-16 or pcaicT): fust 5 (cert of pipes closes to tank insulated (R-3 or grmter). 52.5312(Exception rr Pipe insulation on Sarson and steam Condensate mmnt & recirculating 4 pa4ang• i §2.5319(dY. Swimming Pod Nesting 1. System hat a. On/off switch on heater. b. weatherproof instruction plate on heater. C Plumbed to allow for Solar. 2 75 percent wenn► efrcieney. 3. Pool cover. . 4, Tame clock. 5. Directional water inlet, t Lighting and Appliance Memures i§2-5352(j): Lighting - 25 lumens/,rut or grrsut for general lighting in kitchens and bathrooms. i 12.5314(Cr Gas feed appliances equipped with intermittent ignition devices. 12.5314(a), Refrigerators, mfrigerawt.freezers, fteescn and fluoroscan lamp ballasts certifted by we CEC Indicate make and model number. COMPLIANCE STATEMENT This cerdfic3m of compliattce lista the building fcam= and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Claptcr 2, Subdlap;er 4. Article 1 of the California Adminisuadvd code This mruficate has been signed by the in lividual -*rich overall design rmpcnsibility and the building owner. who shall ='ain a copy of it and transmit the = ficate to any subsequent ptudiaser of the building. Designer ` Name Tuk/Fimc { Addm= ,1 ` Tekphorte Lic. (si6raaaue) —(date)— Documentation Author r Name ( TdUFUM Building Owner Name 7-ulc/6'-trrn Address: Tckphanc Enforcement Agency Name: ACcncr. %1 �--9 I date) R-0 -11 1. Ceiling Insulation 5 S. Infiltration (Air Leakage) d 3 R-11 -2 Number of stories R-19 .-1 .2 .2 i 4. Slab Fdge Insulation R -value One Two Three Three Specf;mbon Points 0 R-5 8 R-0 -103 -49 32 3 Standard 0 -59 0.90 -t R-19 -8 -4 .2 0 0.70 2 2 1 0.60 6 R30 •2 .1 -1 3 0•d0 12 8 4 -M Rab 0 0 0 31 -29 -74 9 -5 1.1 -value -27 -25 -65 6. Glass Heat Loss •5 -17 -23 0.50 -176 -84 •54 Total -1918 1.1 -value -47 6 0.30 -102 -49 32 Percent .5110 .41 to .31 to 0.30 or •it 0.10 -26 -13 -8 Giass Single Double .60 .50 .40 less 3 Us O.C6 -18 t t -9 -5 -6 -4 50 -121 -53 39 -24 .10 4 -� 0.04 '9 -2 '1 40 -90 37 •26 -14 3 8 0 -2--' 3 '.d 3 35 -75 •29 -19 •9 1 10 6.6 O.CO 1 5 3 30 28 -61 -21 -13 .4 4 12 5 4 3 0 0.60 8.0 8 6 4 28 •55 -18 -10 2 5 13 9.0 2. W211 Insulation 14 12 13 10 7 27 25 -52 -17 -9 -2 -49 -t5 3 .1 6 7 13 14 19 16 1.40 Single.. Single- 11.0 25 -t6 -14 •7 0 7 14 1.80 120 Famtry Family MUI& 24 -43 •12 •5 1 8 14 29 24 R -value Detacned Att=,edFam,y 23 -40 -11 .4 2 8 15 10 _ _ Sum of 1-6 6 4 3 22 37 •9 3 3 9 15 more R-0 38 -51 34 21 34 -7 .2 4 10 15 0.80 R-11 0 0 0 20 31 3 0 5 10 16 8.25 R-13 2 2 1 19 -29 -4 1 6 11 16 . 1 ., ..._.__..__.�. 8-19.._._...:..8 ._..._ .._ 6....._--_.4 _.18" �:.26 3 2 -.7 12 16 2.75 U -value -30 na 3.41 17 -23 -1 3 8 12 17 -34 30 -26 •22 -18 -14 0.50 4.58 •10 .9 -8 7 -5 16 -20 0 4 9 13 17 ' _- �----==0.80 •:----153 =,-114 "--•---.76 "15 -17 1 6 10 14 17 17 15 13 11 9 0.50 •91 -68 -46 14 •14 3 7 10 14 18 : 0.30 -47 36 .24 13 -12 4 8 11 15 18 Solar 0.10 0 0 0 12 •9 6 9 12 15 19 -7 0.08 4 3 2 11 -6 7 10 13 16 19 Plitt O.C6 9 7 5 10 3 9 11 14 17 19 .2 0.04 14 11 7 9 -1 10 13 15 17 20 POU 0.02 19 14 10 8 2 12 14 16 18 20 -11 0.00 24 18 12 4 3 3 POU -10 3 -5 -4 .3 Muttl-Famf T (individual units) - 3. Raised Floor Insulation 7..Sh2ding (Shade Open) Unit Size (sn : Water Insulation in Floor 1200 1700 - Heater Credit or to - 101 . • ort+.N TYPO TYPO ERectJve Pee eent Glass 1699 2199' fl,". SG Number of stories 0' 0 0 (Percent gtass x SC) 0 . R•value One Two Three 3 R-0 -t 7 -85 visa Effee ve 3 2 2A R-11 3 .2 q %Glass North East South :West Skyright L R-19 0 0 0 18 5 1 4 1 na 0 R-30 3 1 -12 16 -6,' •5 wse-23 U-vaiue -8 -6 •5 14 4 2 5 1 na _ •b - - -144 -70 .46 12 11 3 3 5 3 3 5 2 2 na na P^U 0.50 -120 -58 38 10 2 3 5 2 1 -a 0.40 -95 -46 30 9 2 3 5 2 2 i 0.30 39 34 .22 8 2 3 5 2 2 0.20 _4 -21 -14 7 1 3 4 2 2 0.10 0.08 -17 -8 -5 6 1 3 2 3 0.06 -11 -6 3 •3 •4 -2 5 4 1 4 0 2 3 2 1 3 3 0.04 -t . 0 0 3 0 1 2 1 3 0.02 4 2 1 2 0 0 1 0 3 0.00 10 5 3. 1 1 -1 .1 2/ 0 =i 2 -4 -2 f0 Controlled Ventilation Craovispace na. not allowed Number of stories R-valua One Two Three R-0 -11 .7 5 R-5 -4 d 3 R-11 -2 .2 .2 R-19 .-1 .2 .2 i 4. Slab Fdge Insulation - - Number of Stories 0.0 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8' 6 3 F2 fac=r -t2 -59 0.90 -t 3 •1 0.60 i -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0•d0 12 8 4 al. Shading (Shade Closed) Interior Stab Flow Raised Floor Effective Percmt Glass ►flus to uuc) Stones Stones (Descent glass x SC) sCFA Ellecm Two Three One Two rnm 0.0 North EW South West Skylight 18 .14 -A8 -69 -64 na 16 .12 -t2 -59 -55 na 14 -10 -35 -50 i6 na 12 -8 -29 -!0 •37 na 11 •7 -26 36 -M na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 •5 -17 -23 -21 -56 7 -t •14 -1918 7 8 10 it -47 6 3 -11 -15 .14/" •08 5 -2 -6 •it X 13 4 .1 3 -8223 7.0 _M 3 0 -4 -5 .4> -16 2 1 ..�•1� -� 1 '9 1 1 1 5.0 1 0 0 -2--' 3 '.d 3 Masa nn . not ariwed Detached Attached Family 0.00 6.6 0 0 0 9. Interior Thermal Mass Interior Stab Flow Raised Floor ►flus to uuc) Stones Stones sCFA One Two Three One Two rnm 0.0 -a .5 .4 1 at a J7/1 -5 3 1 0 0 G.3 -7 1 .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 it 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 all Tfiermal Mass 5.0 Exterior Single. Sngle- -17 Wall -9 Family Family Multi -12 Masa -7 Detached Attached Family 0.00 6.6 0 0 0 0.20 -2 3 2 1 7.0 0.40 0 .4 5 4 3 0 0.60 8.0 8 6 4 8 0.80 4 10 8 5 9.0 1.00 14 12 13 10 7 7 110 10.0 13 12 8 19 16 1.40 10 12 13 9 11.0 1.60 23 19 10 13 11..., 12 1.80 120 10 12 12 26 22 2C0 14 10 it _ 13 13.0 11. Heating System 29 24 20 15 SE or HSPF Zonal Control Adjustment (assumes ducts in attic) . ~ 10 _ _ Sum of 1-6 6 4 3 -25 or -24 to -14 to d to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33. 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 095 8.71 20 18 15 13 11 8 :139 /203 1700 Effective SE or HSPF 2700 Heater (SE or HSPF x duct eMciencT) or - b Effectve -25 of -24 to -14 to .4 to +6 to 16 or SE HSPF fess -is -1 +5 +15 more 0.30 2.75 -773 ld .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 -t2 System Type Solar -1 .1 Resismnce 10 9 7 6 4 3 Olmer HWR 6 5 4 3 2 2 12. Cooling Sy,0 m SEER (,"amn ducts to uuc) Sim of 7-10 m or .24 b P-1410 -4 b +6 to 16 Of SEER .It64 •15 t b +5 +15 man 8.0 -14 .12 .10 -8 -6 4 8s ./ .7 -6 -5 -4 3 8.9 .5 .4 -4 3 -2 -2 9.0 .4 -3 -3 -2 .2 -1 95 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 i0 9 7 6 4 3 120 15 13 11 9 7 5 .13.0 23 17 14 12 9 6 Effedve SEER (SEER Xaud tiftdenc7) �A of 7-10 Effective -25 or -24 to -1410 .4 to +6 b 16 or SEER leu -15 -s +5 +15 more 5.0 • 30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 .4 6.6 -5 3 -2 -2 . 7.0 0 0 .4 0 0 0 8.0 9 8 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 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Coollaq, System Installed -Stories One -5 -t -t 3 -2 -2 Two + 3 3 .: 2 2 2 1 Single -Family betacfsed and Attached Ut Size ($4 Water :139 /203 1700 2200 2700 Heater (:redid or - b to to w Type Type less 1699 2199 2699 mora SG None 0' T 0 0. 0 0 or Solar 12 ' ! 8 15 4 HP HWR 8 5 4 3 3 WS3 5 3 3 2 2 POU 8 5 4 3 3 SE None 37 •24 - 15 -t2 Solar -1 .1 1 0 0 HWR ' -18 .12 -7 -6 WS3 -25 -16 -12 -10' -a Plitt -18 _-12 -9 -7 -6 IG None -5 -3 -2 .2 •2 Solar 7 5 4 3 2 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 3 -5 -4 .3 Muttl-Famf T (individual units) Unit Size (sn : Water 699 700 1200 1700 1200 Heater Credit or to to 101 . • ort+.N TYPO TYPO less 1199 1699 2199' fl,". SG Pane 0' 0 0 0 0 or Solar 14 7 5 4 3 visa 9 4 3 2 2A PCU 9 5 3 2 2 SE None _,is -23 -15 •11 •9 Solar 2 1 1 0 0 -12 a -6,' •5 wse-23 2S -13 -8 -6 •5 P^U _23 _12_8 •b •5 G None Solar 8 4 -3 .2 .2 P^U 6 3 1 2 - 0 1 0 1 0 IE Nene SOW _0 v0 15 •t0 -a •b a i 6 -3 s •Z s •2 IntaiorMa&vCFA II.IMIIC•.. 71 t TYPE t PASS MAC . 4.2. Sal t *�osCd •t=p1 0% Sx 1016 t!M 20% 25x 30% 35x 4M 45% 50% 55% 150% 6511 70% 75% 9ft t1S'R 90x 9a% ttt0% 1CSA 1tm in% Im% t2S• Of. 0 12 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 It , 23 2S 21 29 12 14 IS 3.6 t 42 44 4/- .1 10% a2 a4 0.6 0.8 1 1.2 1.4 1.5 1.9 21 23 25 27 29 11 13 is 17 4 42 4.4 4! is !!- ii 1� lox 03 06 at 1 1.2 1.4 1.6 1.3 2 Z2 Z4 Z7 29 11 13 15 17 19 4.1 43 45 4! ! `it " !t 91 30x a5 47 a9 1.1 1.4 1.6 1A 2 22 tt 2a 28 3 a2 i5 17 19 4.1 41 4S 4.1 49 to K''ii f! So 0% of a i.3 is ii 1.9 11 ZJ IS Z7 36 iz 14 IS 14 4 42 13 4.6 47 ii t7 ,!s ! sso t ld 1.6 a6 is {� 19 SS% 0.9 1.1 1.4 1.6 1.8 2 22 24 Z6 to 3 32 15 17 it 41 4J 4.3 4.7 4.9 0,1 S! S! ' !! / box 1 12 1.4 1.7 1.0 21 73 25 27 It 11 13 Is 16 4 42 44 46 4.1 S S! !.4 96 65% 1.1 1.7 1.5 1.7 1.9 22 21 26 23 3 3.2 14 36 I1 t 4.3 4S 4.7 l.9 it 53 S4 S.7 S! •{1 11 lox 1.2 1.4 1.6 i.8 2 Z2 25 27 29 11 13 15 17 19 41 a.3 4t t.a S S2 S.4 S6 SI { !2 64 75% 13 >s 1.7 1! 21 23 23 2T 3 12 It Ia it • 42 4.4 l6 46 5.1 a3 IS 5.7 i9 6.1 •! 64 Box 1.4 1.6 1.1 2 22 21 26 21 3 13 1S 17 19 41 4.3 t.5 4.7 49 5.1 14 St 5.8 / t2 /4 !/� 85% 1.4 1.7 1.9 Z1 23 25 L7 29 11 3.3 3.5 16 4 4.2 44 4.6 4.6 S 52 54 S6 59 t.t 63 69 67 907." 1.5 1.7 2 22 Z4 26 26 3 32 14 3.e 18 It U 4.S 4.7 4.9 11 53 .53 17 5.9 62 64 N 66 957: t.6 . 11 2 22 2S 2T 29 11 33 15 17 19 41 43 4.6 4.2 S 12 5.4 5.6 5.e 6 42 44 67 66 1007: 1.7 19 21 23 25 26 3 12 14 15 It 4 42 44 4t 4.9 it 5.3 5.5 17 19 6.1 6.3 6.S l7 1 105% 1.8 2 22 24 28 2e 3 13 IS 3.7 19 4.1 4.3 tS 47 4.9 it 5.4 56 5.6 a 6.2 6.4 66 1107. 1.9 21 23 23 27 29 11 13 36 38 4 4.2 4.4 46 4.8 S S2 5.4 5.7 5.9 61 6.3 6.5 6.7 so 7.1 115% 2 u 24 76 26 3 3.2 14 16 3.e 4.1 4.3 4.5 4.7 49 it 13 S.5 5.7 5.9 6.2 6.4 6.e 6.6 7 1 i 120% 2 23 25 27 29 11 13 15 11 3.2 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. 125% 2t 23 tt 2.5 21 3 12 14 a6 11 4 4.2 4.6 a9 ii 13 Is i7 5.9 6.1 6.3 6.5 it 1 13 7 7.1 ,7.4 Point System Summary: Climate Zone 11 SCORE CARD 0uµ.0 Measures PoiniSc res 1. Ceiling Insulation A �or R -v [381 /� value (0.0301 2. Wall Insulation 4F �) fbrl- -^_ I+� It -v (11 U -value [o al _ _......... . 3. Raised Floor insulation Zi( 7, or d R -value (191 U -value [0.0371 4. Slab Edge insulation or R -value (01 F2 facar [0.771 5. Infiltration Standard 0 6.• Glass Heat Loss v O v Type (double! U-vai to fGA51 % Total Glass (161 Sum 1-6 -7. Shading (Shade Open) % Glass SC Eff. % Glass a. North 01-57 X .1-7, = C. `t' -- b. East -74 / x I C. South d , X 1 d . / d. West -7,_1 x = -,5,5 -- e. Skylight Q x 7 7 8. Shading (Shade Closed) % GlassSC Eff. 010 Glass t/ a. North 0--5- x tZ = 04 Z b. East %. / X C. South x t. d.� West -7,1 X N e. Skylight 4 r X t d 'n ~r 1 TYPE 1 MASS AREA (/'� V 9. Interior Thermal Mass InteriorNualCFA COND. FLOOR AREA � [/ 510: (Ezierioi Wall Mass TYPE z MASS AREA y_ f r Exterior Wall Mass ND. FLOOR AREA Sum 7.10 11. Heating System to 1 �- X 1195 = Zonal Control? (Y / N) SE - HSPF Duct Emory (0.781 Effective SE or (0.7716.61 / � - HSPF to -W5. 5111 ,E J 12. Cooling System 9,4�X _ / Zonal Control? (Y / N) SEER[ 9E���- fiueary (0.741 Flfoaive SEER (7.031 13. Water Heating Type JSGJ /Credit 1-i Point To ;g5�