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HomeMy WebLinkAbout069-220-0230 f ..'069=22-0-023, ; .2 93=9.7 BPEM`Yk�V; "COLBY, Cash a 4y4` 35 -Apache Cr, Oroville I contr : Tom " Gravison ,new sf ., 61 l� � o o � I I ; c a r RESIDENTIAL BPEM �.'69-22-0-023 93-97 COLBY, Cash 35 Apache Cr, Oroville contr: Tom Gravison new sf OFFICE COPY Address ✓ {5 U GAS i _/7 Meter By Date��3 ELECTRIC Meter By Date i OFFICE COPY Address May Dam= ELECTRI Meter By qj�Date V/(a_ r ( I JOB FINALED (Da _ A, Signature I J ✓=OK O = Not OK Nott Ready MOBILE 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 r 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 #'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 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; Shttig-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 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_ (Single = Date UNDERF OOR (Plans) OK except N's Date o ng-Setbacks-Easeme s -FI od- lope tg., Main; Soils-Elec rn Ftg. Depth 3.,JS< Garage; Soils-Steel-Elec. Grnd.-/! tg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 1 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Piers -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test UF. Gas Pipe; Size -Anchors - yard ping: size -test Water Pipe; Test -Anchor -Regulator -Service Test V 12. Electric; Underground 1 enums & Ducts; Clearance -Material -Support -Ins. 74 Gtr ers- IIs -Anchor Bolts -Joists -Ven -Cripp es 1 ccess & Ventilation 6. 'Insulation Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's Water Htr.: Vent -Access -Combustion Air -Baffle ------------------- -------- ------------------------------- 1V 7!�Vater Pipe; Test & Anchor -Nail Protection ---- ------------------------------ LIZ--t.W.V.; Test -Fittings & Anchor -Nail Protection ------- --------------- — -------------------- 14-S+mwer Pan; Test. First Floor -Tub Access --- 20. Test Tub & Shower. Second Floor -Tub Access --------------------- - —_ Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -------- -------------- -------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except k's - 22. Fix jure & Transformer_Clearance-Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors -------- ---- - ---------------------------------- 2 ze Boxes & No. of Conductors -Stapled ----------- ---- ------------------------------------------------------------ Ro ex Installed Close to Edge of Studs & C.J. ----- - ip Ground made up wrMech Fastners Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------ ---------------------------- ------------- ---- 2R Suhfeed Wire Size ga. Cu or AI-A.C. Wire Size i / ga. Cu or At ----------------------- ----------------------------------------------- t -------------------------------------------- r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------------------------------------- 30-11me-Riser-Conductors & Ground -Main Disconnect ---------------------- ---------------------------------- 3+--Egtip-Gfearances Panels-Motors-Mech. Equip. -------------------------------------------------------------------------------- Light-Shower -------------Light-Shower Light -Spa Light 3. Smoke Detector -------------------------------------------------------------------- ---------------------- ------Date - ---------------- - - -- -- - ----- ---- ----------- -- - ----- ------ Date Z Card --1 Date Card -B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except tr's sulation & -Support- ------------ ----------------------------------------------- --------------- Fan_Exhaust above insulation --------------------- ----------- - - -------------- _ 06-evrtOEnsate Drain & Overflow: -Size & Grade - -- -- - ----------------------------------------------------------- Ur-nance_UnTAccess-Comb Air -Return Air Vent 115 outlet ------- &_Platform if Furnance in Attic --------------------- -- --- ---- -- --- - --- --- - ----------------------------------- Date ---------------------------------Date Card B-1 Date Card B-1 — ----------------- --------------------------------------------------------- ------ Date Card B-1 Date Card B-1 Date FRA G (Plans) OK exceptg's Sils Proper Material & Anchors ----------- ----- - - - ---- ------------------- d afls Studs -Nailing. Spacing & Bracing -Plates -Sound 4 earing Walls over Girders & Floor Nailing ra Stop ----------- ---- --------in-Walls------(rat------proof) ------------------------------------ e Stops: Furred Ceilings -Stairs -Chases -Tub - ------------- --- ---------- ------------------ ------ 4. Headers & Beam -Size & Bearing & Duplex) FRAMING (Continued) --- LA5— tan rs-Post Caps -Anchors -Connectors _ . Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 4d. Fireplace Ties or Type A Flue -Fireplace Throat clearance c Access; Size & Romex Protection -Draft Stop -Ins. Baffles ----- 49. Windows or Exiting Doors -Sill Hgt. & Dimensions . arage Fire -Protection Framing -------- 91 - ----Firewaal--& Openings _ --- -- Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 3. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------------------- 5 ywood;on Roof Overhang -Attic Vents -Rafter Outriggers ------- id' -Nailing Veneer _ _ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------- _—lazing Area -Glass Protection -Skylights -Plastic fling -Bolts 59. Insulation -Walls -Ceilings �3 60. Infiltration -Walls -Windows Date G Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's - -- 6 xt. Steps -Door & Sidelight Protection -Landings 6 moke Detector --- ------------- ----------------- 63 -Furnace: Vents -Clearance -Comb. Air -Connector - In Garage_ Above Floor -Ducts -Meth. Protection -_44_ edroom-Exiting --- �G F.I. & Bath Fixtures & Tub Access -Spa - - -------------------— 66_Ele - Trim & Subpanel: Breaker Sizes & Labels - ---------------- _._7,1 Stairs & Rails ............r or Stove: Clearances -Hearth E�lets at Wood Panel: Int. & Ext. Kit.Fixt &Appliance; Grnd.-Air Gap -Cooking Clearance Iec. Outlets & Receptacles at Kit. Counter _ - ---- --- -- Gara a Fire Door; Swing -Landing -Closer 72�A.C. Duct in Garage -Damper -- ----- - --------- ---- - - - -- - 7Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75rf'It` Elec. & Mech. Equip. Listed for Location ------------------ -Receptacles Receptacles in Garage; (G.F.I.)-Romex Protection ----------------------------------------- 7L-+rrSClation - Foam -Looked in Attic ❑ Yes 78%Guard Rails & Deck Construction -Post Caps Vents & Crawl Hole Door -Drainage & Wood -Earth -----------------Clearance Looked under Floor ❑ Yes-- " . ollowing instld�. Drive ❑ Yes ❑ No; Walks Yew s ID No: Planters 9 -les ❑ No ..------------------------- --- - - - ---- ucco Brown -Finish - Unit; Disconnect. Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Oyppe*�nings f4!V5ater Well; Disconnect, Electrical, Plumbing — xterior Elec. Trim; G.F.I. Receptacle -Underground --------- ----- 6. a on Throughout House -- --------- — ----------------- ------- a Protection _. .. - ... - - - -------------------------- Corrections from Previous Inspections ---------- ---------------------------------- ---- �as Test -Meters Tagged; Gas-Electtricric 96�Vvater & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates _ - ------------ ------------- Dat �' rd B- Date Card B-1 Date Card B_1 -- -- Date -- Card B-1 Date Card B-1 -Date Card B-1 Comments at Final: 1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF. DEVELOPMENT SERVICES. 1469 Humboldt Road, Chicp, CA - (916) 891.2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE MIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date (' Inspector REV 1 9 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES �. .. 11469'Humboldt Road, Chico, CA - (916) 891.2751 - 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (9161 872-6307 CORRECTION NOTICE IT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the abov address and should be corrected. Please notify this office when correction of work is com eted. If you have any questions pertaining to this matter, or need additional explanation, ple a contact this office immediately. I Paz , j" g2 „ ��4 Ile - yo -�-- B d / r /% � or� �4 e— t,, Date ! !fig Inspector REV 10/Z COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ' 1469 Humboldt Road, Chico, CA - (916) 89t-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Cl"i7i!I;[ PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work ' is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact contact this office immediately. izi-I-S All Date 2 Inspector All— REV 1019 -y KNI °':Y CE"'TIIFICATION p A' P DESCRIPTION 01 INSULATION ►!IC:ERi,L BKAND NAME THERMAL RES. y; ' X100, WALL LATFkTAT,`Fi,erg.iass BRAND NAME CertineeI THERMAL RES. CEILiI:G E•ATa OR BLANKET TYPE—FIBERGLASS BRAND NAME Certineed I �ICRF ESS THERMAL RES. • -'003L s1LL 1,%SIJL-z,--AFE IIT BRAND NAME CERTAIFTEED T?xC?eESS�.� THERMAL RES, 3 ELE'IdTED 'Al-&LUAg, fiberglass BRAND NAME Certineed -- THERMAL US. 1,9 �I;UtiR-�'Lrif - idIFRI` R VALL - �LTrRI:iL tibe-glass BRAND NAME Certineed y :sIILY.NES;__ THERMAL RES._ � ' 7 HiRSAY CE,,TIFY THAT- THE ABOVE INSULATION WAS INSTALLED' IN THE AB6VE- BU=LAIN" IR. CCNFORMANCE WITH THE STATE OF CALIF. _ ENERGY REQUIREMENTS . ' HAUL ID.IN db a HASTA INSULATION* LIC.1650722 . "7 J TrtrtS'; :e-tfjy the above insulation and all required items as show*' • oa twe building department approved plans and attachments Have been ' inWLallea acs r• -uired by the State of California Energy Requirements. J411 equipm .n,.,,-evices and materials are of the quality prescribed o i ere yleGi=isally approved by the State of Calif. --- - -_ ------------------ FIRK VAnE!0WHER (- LEASE FKINT) -------------------------------- STATE CONT. LIC/ _ r F ^T-WAVURE OF GLAD -4 CC`? :'��,0'aNEK �' DATE T� ,.s ctrtifi:at� &:Ijst be on file with the Building Dent_ erinr irz.rinwl - 1 L L o 1 ? ( COUNTY OF BUTTE - DEPAATMENT OF PUBLIC r6/538-7541 KS y 7 County Center Drive - Oroville, California 9965 - Telephone: 9 APPLICATION AND PERMIT r PERMIT NO. q,5 _q ASSESSOR PARCEL NUMBER �o • 22 - 2 ZONING RT -1 BUILDING PERMIT OWNER ash Colb TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI LING DDRESS 280 Fairhill Oroville 95966 1,064 R 57,45 .00 448 M 8,064.00 CO-fiamNTRACTOR'S NAME � TE EPHONE �-� �� 32 C 416.00 CON RACTc�O 'S MAILING ADDRESS ,'`r� �I/T- i ()`i 1, dQ)6S W. OIUVI" a Eq 144 0 1,008.00 Fireplace CONSTRUCTION ANDER UNKNOWN Total Valuation $Wt66,944.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 155,00 Permit Fee $449.00 Plan Checking Fee $224.550 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $708.50 #35 Apqrbp ('irrlp, Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 3 5.00 40.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 0 � UN) 1 -3 PARCEL MAP 43-43 Water piping 7.00 7.00 Each qas water heater or vent 7.00 7,00 USE OF STRUCTURE SF U� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 5.00 Building sewer 1 15.001 15.00 Mobile Home ISI GILL_ @15.00 TYPE OF WORK Newry Addition[] Remodel❑ Utilities - Installation❑ Other❑ Describe work: New 2 Bedroom Single Family _ Permit Fee $ .00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): LAINON-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. -"72 Classification Y/ ❑ 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) ElI, 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 200ATO1000AI 37.50 NEW CONST. DWELLING OCCUP.&\ . OR ADDNS. ACC. BLDGS. / X 3.64sq.ft. )52 90 NEW CONST R. ULTI.OUTLET BRANCH CIRC ITS @ 5.00 IPOWER APPARATUS 6 `SINGLE OUTLET CIR. ) EX. OCCUp(OUTLETS OR FIXTURES 20 76 P FIXED APLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 86.40 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 1 15.00 Heating Dual Pack1 .00 9.00 Cooling 2 Ton 1 9.00 9.00 Hood 1 6.50 6.S0 Ventilation 1 .50 4.50 Permit Fee $ 44.00 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 also agree to save, indemnify and keep harmless the County of Butte against all liabiliMes, judgments, costs, and expenses which may in any way accrue against s,�id Coun in onsequence of the granting of this permit. X Date " ��` y 3 SignaturAe of AppI conn - Owner ❑ Contractor f� Agent ❑ An OSHA q 5 permit is required for excavations over 5' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $40.00 "m CoN 1T, TA PE jV TOTAL FEES QA7.90 HAz 10 FEES IMP FL000 coF PARCEL PD o Is u This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indic a for which fees have been paid. OR OF PUBLIC WORKS By Date 3 /� TZ P MIT EXPIRES Date!/ , Z Receipt No. 130450 $304.50 PC//135738 $663.40 Balance WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT i / U;±t�i,.. �f: t.�'•�*-r. '.��' � • .t� ..i'4 �'ae�� -r..fir...{R.«f:+�'f•'1rh��....%��.K •r.,�, `.!'.5:. .�s_•i i�•�t'7 ri ,',.�.r £:' e'� . y�. . ... COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVI D -B ILDING.D.IVISION_ o7COUNTYCENTERDRIVE-OROVILLE,CALFORV�955TELE )538-7541 / PERMIT APPLICATION DATA SHEET OWNER I A. P. No. Proposed Building Use S Building Inspector i Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ... ................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. 10. Mobilehome data a d a acturer's installation instructions; 2 sets. ........... Fees of $ .......... 3- 11. Impact fees as shown on attached schedule. a�Jh:?�• � .......... 319 IS 12. California Department of Forestry plan approval/fees......................... ' 4- 13. 14. Flood elevation letter (100 year flood) by California Engineer. . . Sanitation and plot plan approval �- 0 /► U Health Department 15. -b . ............ City of Chico plumbing permit . ......................................... r 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ Ivk1w 18. 19. Contact Land Development about (A) Improvements (B) Drainage. . Driveway permit (construction approval required to occupancy). prior .. .. .. . 20. uest Pre -inspection for required. o Build g Inspector (Date) of ­ 21. 22. Contractor's license information. (No., Name Style, Classification). Certificate of Workmans Compensation Insurance. .. .... 23. 24. . . .. Owner -Builder Verification (Given to owner , Mail to owner )............ Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. 27. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 'Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... xisting violations x ired ermits. ............ ................ . Plan checklist. ...................TQCFI. 34. When you issue the permit, process -as follows: Mail to owner. Mail to contractor. Telephone S b99-< </ and hol for pickup at D 0406' jC-- office. Deliver with inspector. Other Parcel Creation Acreage pplicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. ,r Pollution Date Copy of plans sent Health Dept. Fire Dept. Other -.Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: item not checked above). 56�n�lractdesigner, owner, was advised of above required data by �ne mail Counter by Date /-2 43ntractor, designer, owner, was advised of above required data by _ phone _ mail Counte Date Plans checked by %z IL Date /�3 Plans approved by Date�D- 3 Sets of plans on hold in File cabinet AP folder NOT -5- OANSF�R f3Y -D 4TE Copy - Department of Public Works COUNTY OF BUTTE — DEPARM-f NT OF� PUBLIC WORKS — BU=ING DMSION 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541 07 iMEER PROPOSED BUILDING USE 3. A.P. NO. d6 ? — Z DATE I /3 l REC . R DATE_ REC School Distric Fees 40 0l// � (paid at District Office) She_Tiff Fees (paid. at Building Department) Residential ......... I _ unit amt. Commercial(per sq.f t.) X =$ sq. ft. amt. Urban Area Fees (paid at Building Department Residential (per unit) % _$ 7r units amt. Commerical(per sq.f t.) X 4 sq.f.t. amt. 4. Reis eation District Fees (paid at District Off.ice) S. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid pr= to issuance of the permit. / �?DLICANT DATE '� CdA- - Uo / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cakfornia 95965 - Telephone: 916.'538-7541 0,0-viet-L- APPLICATION AND PERMIT. -4a�9� ASSESSOR PARCEL NUMBER20NING �ZZQ -023 % BUILDING PERMIT OWNER e,45ql /Y/ ^ TELEP ONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2 �0 i 4i X / / /' CONTRACTOR'S NAME TO/A Gr f%U`56&) TELEPHONE Sgg -3-1/57 CONTRACTOR'S//M AI L%%G� ADDRESS (� 42J7 61 Imo `L f�S ;D� Q�v(((t CS -5&6 �+ 0Q Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ YZ 9 d -1q LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee $ oQ Plan Checking Fee $ L Z y- 5D ARCHITECT OR ENGINEER'S MAILING ADDRESS "'35Penalty Energy Plan Checking Fee $ ZQ• 013 $ BUILDING AODRE$$ —��TTr/'' L f/ Permit fee $ O R -5 PLUMBING PERMIT Filing Feet/ 15.00 Each Trap 5.00 Lo.0 Solar or heat pump water heater 20.00 LOT NO. '� SUBDIVISION NAME l e /� �( P,A/RCEL�7AP `�/ �" /� Water piping 7,00 7,06 Each qas water heater or vent 7.00 —7-00 USE OF STRUCTURE SF$:� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 , ©'a Building sewer 15.00 J . 05 Mobile Home S I G [W @ 15.00 TYPE OF WORK New Addition❑C Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: c ) — 6 2 Permit Fee $ 00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 B .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 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) E:1I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) r_1 i am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST.( DWELLING ocC*y1P 3.5Qsq.ft. OR AODNS. ACC. BLDGS. T 'jL� Z • 1 O NEW CONSTFi ULT (-OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS 61 (SINGLE OUTLET CIR. Ex, Occup(OUTLETS OR FIXTURES RAO @ 76d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee SR6 -L/d 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 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 15.00 Heating O Cooling 01Dof Hood 6.50 es 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 Countyot 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 ny way accrue against said County in consequence of the granting of this per it. X Date Signature of Applicant — Owner ❑ Contractor ❑i Agent An OSHAwork permit is required for excavations over 5'0" deep and demllkt'NC0Tn;,:t®ruc�1 ion of structures over 3 stories in height.e Receipt No. 3� Sd� C 35 38- Mobile Home Installation Fee S Energy Inspection F e $ o c CON T PE / TOTAL FEE $ 1p HAL MP PLoeo coF PARCEL P 5 �-- This permit is hereby issued under the -applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS y Dale PERMIT EXPIRES Date WMITC-O.P.W., 1ELlOW-AgeC390R, PINK -INSPECTOR, GOLD ENNOD-APPLI A a ? RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg.' Permit # ?7 OWNER A.P. # 61?- ZZ -0,7Z, Plan Checker {_/ /-_9�, CY GENERAL ' nining requirements: (sideyards and number of permitted living units). Z: aluation. 1! P ans signed by designer. 4. Prro�opper description of work on application. misting violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). ecor ed notice of violation. PLOT PLAN l41__:�romplete parcel size and dimensions. etbacks, sideyards, easements, etc. 3/ -Other buildings or structures. Leading, fills, drainage. 5. Flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). FAU & FAS road setback. Building or utilities across lot lines (Record form). FL OOR PLAN lete to scale plan with dimensions. windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). ynights (Chapter 34 & Sec.:5207). impact glass (Sec. 5406). quired room sizes, ceiling heights (Sec. 1207). 74-'--GFCIs in baths, garage, kitchen, and exterior outlets (Article,210-8). Wight fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Z____L-6cations of water heater, heating and cooling equipment, other electrical omegas equipment. 14) --Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 '0" exterior exit door (sec. 3304 (f). ace and wood stove location, alcoves, and clearance. 1 oke detectors (Sec. 1210). 1 Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS i! Standard bracing or engineered design (Table 25V) a—TH-7Tisual shape, size, or split level house requiring lateral design. T- Clerestory requiring balloon framing and/or engineering. ree story building requiring engineered calculations and plans. Foundatio.,n plan complete enough to construct building. �-oor costruction details complete enough to construct building. �evations and wall construction details complete enough to construct building 8��Roof construction details complete enough to construct building. F place construction details and calcs if necessary. rties or bearing ridge beam. age door or porch header sizes. 1 Stud heights. soils - special foundation design. Retaining walls requiring design. 5. Special Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (ySec 3306) . 2 Guardrail details (Sec. 1711 & 3306(j). ,a,---Br_ick or stone veneer (Chapter 30). tom' r plaster - weep screeds (Sec. 4706). 5J__ r roof pitch for roof convering (Chapter 32). OT, covering type - (fire hazard). 7. Foam insulation - protection. 8. 36" halls and stairways. A-.--tiving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1 wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1�5,tic access a d—v ne tilation (Sec. 3205). 171/U rfloo ccess and ventilation (Sec. 2516). 1 Comb ion air for fuel burning appliances - L.P.G. requirements. i e requirements on duplexes. gy design. 1 Flashing at all exterior openings. responsible area requirements. �P-1-S 0 T0 r rr Y_ A Return to DPW AGRICULTURAL STATF.IMNT OF AC.3IOWLED`(;Z E?TT FOR RESIDENTIAL DEVELOPMEINT Section 26-8.1 of the Butte Count• Code requires this acknowledgement: be recorded prior to issuance of a building permit. -- -- ---- ---- -- 93-06766 All that real property situate in the County of Butte, State of California, described as follows: w -T. (u7 PSf1J0WJ 01J N1PP UNrlr�_(:-v, U i # 3 ►c vv1�1�.}� wPS r`CoffpLJ I rJ r(—JE, OFFIGt 01' Tt-16 �Z�cvR1��i2 G [f r C-oo ►it`( The propel ty described herein is adjacent 93-006766 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 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 agricultural operations including, 12:40pm 17 -Feb -93 I PU BL XX 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 adiacent 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: w -T. (u7 PSf1J0WJ 01J N1PP UNrlr�_(:-v, U i # 3 ►c vv1�1�.}� wPS r`CoffpLJ I rJ r(—JE, OFFIGt 01' Tt-16 �Z�cvR1��i2 G [f r C-oo ►it`( 0P MpP , �� P/: �c-c- ; �y, �5, yd,y7 plv0 4�3, /() F#- 06q _ E2-0 -vz3_ o Date: I - ci-q-3 D or 613116 BUNG � s0 C,��a State of California On this the 16thday of February 19 93 , before me, the SS. undersigned Notary Public, personally appeared County of Butte ) Cash Colby**** • • • Personally known to me. El Proved to me on the basis OFFICIAL SEAL. of satisfactory evidence. [MICHELLE A. MILLER NOTARY PUBUC-CALIFORNIA • to be the person( whose name(Q is Pfincipal we InBUTfECo. • subscribed to the within instrument and acknowledged that he • • • • • ; ; :m;' OCT. ;9;5 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. r P Present A.P. No. Notary Public END OF DOCU'MIE 9T PERMIT NO: 15-93 Lake Oroville Area Public Utility District 1960 EWw Street OROVILLE, CALIFORNIA 95966 CORN o 0Fo PT7B 533-2000 DISTRICT APPROVAL AND MSR O 9 } V VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the -Butte County -Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: March 9, 1993 Applicant: Cash Colby Applicant Address: P, 0. Box 915 F OrrWille', CA 95965 Applicant Phone No.: 533-32 Property Location (s): 35 Apache Circle Kelly Ridge Estates - Unit 3 - Lot 147 A. P. No. (s): 69-22-23 Fees due: All fees paid. , J Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Ln Date: Lake Oroville Area Public Utility District release to close permit: Date: By: +f„�+;i.,r,,.5,_�.N:^,..'y,.�^^vr_.:,�.b.,y.�er-!'"`—v' �s�++,gti v. s.••er.�+i•;mi+�S� S' s�'?�)'p°"h3�':Ns'[f�n�"4,'s�'�r""r�S�� • — �''. ., a 'r' - �,,(�.. ' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM / (One Form Per Buildiwg) ; School District Building Department No. A.P. Number �W (- L L U - OZ� Jurisdiction 0 City [ County Property Owner ( 1,0 J _ (_ Property Location/Address 35 Subdivison COUNTY 0l: Residential Developm�QLclrvc oear�E MAS 9 199 N o Units ZfflLiVIng MHI Commercial/Industrial New Lot No. Sq. Footage I U & Addition (Group R) 0 Sq. Footage Addition (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) 1 13 913 Date District Identification No. / S School District certifies that (Applicant) (Street Ad (City) a (State) (Phone Number) (Zip has complied with the requirements of Resolution No. by payment of $ / �, 0 representing square feet. El School District Representative 4 Paid by Check Number Remarks: Bank Number Paid by Cash 0 —3 J7- �1 :3 -- Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.Al (4/92) Certificate of Compliance: Residential Climate Zone 11 Col✓�Y Project Title � r 93– 9 -7 �S �i?�rGNE 'C/i2 Bttilditt Petrmitw Project Address Duct 3 HVAC SYSTEMS Minimum Checked By/ Date Efficiency Documentation Author Teepbone Etfot emitint Ajpency Use Only BUILDING DATA (attic, etc.) North Glass Area //¢ %Glass /00.7 Conditioned Floor Area Number of Stories J East �_ 4�— Slab/Raised Floor Number of Units South -� Single Family Detached (SFD) [ ] Addition -Alone West Single Family Attached (SFA) (] Existing Building Skylight 4 O [) Multi -Family (MF) (] Existing -Plus -Addition Total BUII,DING SHELL INSULATION Component Insulation Locatiorurommerlas ' Type R -Value (Sufic. to garage, tvpiar3, etc.) Wall.............._JZ-/ / Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices . Glaring Area Glass interior Exterior Overhang Framing Type Orientation (SO (Tolla blind, etc.) (shtdamem etc.) (yesh,o) (metal/wood) North ISL• A9 rt . North ( ) East East ( ) South ( ) 2p South ( ) West West ( ) Skylight:...... D --------_ THERMAL MASS JI L 114F p�N Type/Covering Area Thickness ++�wI•� _.-% /..01 . /:....11s..\ T ....., r:ww Rl..w.......:....� e._�__ —.4-grJA HOT WATER h:6TEiT.S Tank System Type (storage gas, etc.) Capacity .vr 1570 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown'elsewhere in the documents or on this cheddist only. DESCRIPTION I DESIGNER I ENFORCEMENT , Building Envelope Measures §150(a): Minimum R-19 ceiling insulation. j §150(b): Loose fill insulaton manufacturer's labeled R -Value. §150(c1: Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). - §150(d): Minimum R-13 raised floor insulation in harried floors; minimum R-8 in concrete raised floors. §150(1): Slab edoe insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 permrinch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors and InfiltradoNExrillradon Controls a Doors and winnows oetween conditioned and unconditioned spaces cesioned to limit air leakage. b. Manufactured fenestration products have label with certified U -value. and infiltration certification. c. Exterior doors and windows weatherstripped: all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ) §150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: ' a. Closeable metal or glass door b. Outside air intake with damper and control f c. Rue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC equipment. water heaters, showerheads and faucets certified by the Commission. §t 50(i): Setback thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation 1. Indirect hot water tants (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or oreater) or combined intenonexterfor insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non-recirculadno systems. insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55°F insulated. S. Piping insulated between heating source and indirect hot water lank. • §150(m): Ducts and Fans w 1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: ducts insulated to a minimum instaileo value of 8-4.2 or quits enclosed entirely within conditioneii0m: 2. Exhaust fan systems nave oackdraft or automatic dampers 3. Gravity ventiiating systems serving conditioned space have either automatic or readily accessible. _ manually operated campers.. §114: Pool and'Spa Hearing Systems and Equipment - 1. System is cerdfied with 78% thermal efficiency, ori-orf_switch. weatherprooi operating instructions. no electric resistance neatinq and no pilot light t 2. System is installed with: l a. At least 36'.ioe oetween filter and hearer for future solar hearing. i b. Cover for outcoor pools or outdoor spa. 3. Pool sysiem nas caectionai inlets ano a circulation pump time switcrt. I §115: Gas-fired contra: furnace, pool neater. spa neater or household cooxinc appfianoe have no i continuously bunng p:iot uoht. (Exception: Non -electrical looking appliance with pilot < 150 Btwhr.) Lighting Measures §150(k1: 40 lumenswan cr orealer for general fighting in kitchens and rooms with water closets: and recessed ceuino twures C iinsuiauon coven approved. COMPUANCE STATEMENT ', 1 This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of i the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the y individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be butt in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (jeer suatoess a Professions code) Documentation Author - Name: Name: Tide/Firm: Title/Firm: Address: Address'. Telephone: Telephone- Lic. s: (signature) (date) (signature) (date) Enforcement Agency ` Name: Title: - Agency: Telephone: (signaturwstamp) (date) A � r ria r Duct HVAC SYSTEMS Minimum Type (fu race, air Efficiency Location Duct conditioner. heat pump) (• '. SEER.HSPF) (attic, etc.) R=Value ,'% �• �+� - _ <,�oT .p .�•�o HOT WATER h:6TEiT.S Tank System Type (storage gas, etc.) Capacity .vr 1570 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown'elsewhere in the documents or on this cheddist only. DESCRIPTION I DESIGNER I ENFORCEMENT , Building Envelope Measures §150(a): Minimum R-19 ceiling insulation. j §150(b): Loose fill insulaton manufacturer's labeled R -Value. §150(c1: Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). - §150(d): Minimum R-13 raised floor insulation in harried floors; minimum R-8 in concrete raised floors. §150(1): Slab edoe insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 permrinch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors and InfiltradoNExrillradon Controls a Doors and winnows oetween conditioned and unconditioned spaces cesioned to limit air leakage. b. Manufactured fenestration products have label with certified U -value. and infiltration certification. c. Exterior doors and windows weatherstripped: all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ) §150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: ' a. Closeable metal or glass door b. Outside air intake with damper and control f c. Rue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC equipment. water heaters, showerheads and faucets certified by the Commission. §t 50(i): Setback thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation 1. Indirect hot water tants (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or oreater) or combined intenonexterfor insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non-recirculadno systems. insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55°F insulated. S. Piping insulated between heating source and indirect hot water lank. • §150(m): Ducts and Fans w 1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: ducts insulated to a minimum instaileo value of 8-4.2 or quits enclosed entirely within conditioneii0m: 2. Exhaust fan systems nave oackdraft or automatic dampers 3. Gravity ventiiating systems serving conditioned space have either automatic or readily accessible. _ manually operated campers.. §114: Pool and'Spa Hearing Systems and Equipment - 1. System is cerdfied with 78% thermal efficiency, ori-orf_switch. weatherprooi operating instructions. no electric resistance neatinq and no pilot light t 2. System is installed with: l a. At least 36'.ioe oetween filter and hearer for future solar hearing. i b. Cover for outcoor pools or outdoor spa. 3. Pool sysiem nas caectionai inlets ano a circulation pump time switcrt. I §115: Gas-fired contra: furnace, pool neater. spa neater or household cooxinc appfianoe have no i continuously bunng p:iot uoht. (Exception: Non -electrical looking appliance with pilot < 150 Btwhr.) Lighting Measures §150(k1: 40 lumenswan cr orealer for general fighting in kitchens and rooms with water closets: and recessed ceuino twures C iinsuiauon coven approved. COMPUANCE STATEMENT ', 1 This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of i the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the y individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be butt in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (jeer suatoess a Professions code) Documentation Author - Name: Name: Tide/Firm: Title/Firm: Address: Address'. Telephone: Telephone- Lic. s: (signature) (date) (signature) (date) Enforcement Agency ` Name: Title: - Agency: Telephone: (signaturwstamp) (date) Point System Summary: Climate Zone 11 1. Ceiling Insulation or 7. Fenestration Heat Gain % Fenestration SCShade open Eff. % Fenes. Shade Eff. Ratio North /0 i7 x f = $ r 2 East Of c x I= D (o South t X West / x = / r Skylight O x = d Overhangs? ( Y / N ) 8. Interior Thermal Mass _� or % Exp. Slab 1201 Int Mass/CFA 9. Exterior Wal[ Mass 19 Ext Wall Mass 10. Heating System t% g x AFUE or HSPF Duct Etfic. [1 story: Effective AFUE [780/6 or 6.81 0.83; 2+ story: 0.881 or HSPF 11 Cooling System f-0 x r `b T" = %.y SEER [10.0] Duct Effic. 11 story: Effective SEER 0.81; 2+ story: 0.67] Point Scores Zonal Control Adjustment [0] Zonal Control Adjustment [0] 12. Water Heating Lo System 1 - S• 61, . SO 1 12= k Z ST`D Heater Type _ . Enorgy Factor Ext Ins. R -value Auxiliary Input Distribution ISG501 [0.53] 1121 [None] [STD] -System 2 Heater Type [None] Energy Factor Ext Ins. R -value Auxiliary Input Distribution Sum 1-6 7. Fenestration Heat Gain (based on Shade Effectiveness Ratio) Eft % Fen- estra- non North .87 .67 .52 or to 10 more .86 .66 R -value 1381 U -value (0.028] 2. Wall Insulation i3 or .51 or less .87 or more R -value 1191 U -value 10.0651 3. Raised Floor Insulation -5 or -3 -2 R-val 1101 U -value (0.037] 4. Slab Edge Insulation -26 or 6. Infiltration R -value [0) Any Ducts in F2 factor (0.75] Unconditioned Space? Y / N •23 •16 .75 ( 6. Fenestration Heat Loss Val,- /5' 1 18 Type U -value (0.65] Total % Fenes. 16] 7. Fenestration Heat Gain % Fenestration SCShade open Eff. % Fenes. Shade Eff. Ratio North /0 i7 x f = $ r 2 East Of c x I= D (o South t X West / x = / r Skylight O x = d Overhangs? ( Y / N ) 8. Interior Thermal Mass _� or % Exp. Slab 1201 Int Mass/CFA 9. Exterior Wal[ Mass 19 Ext Wall Mass 10. Heating System t% g x AFUE or HSPF Duct Etfic. [1 story: Effective AFUE [780/6 or 6.81 0.83; 2+ story: 0.881 or HSPF 11 Cooling System f-0 x r `b T" = %.y SEER [10.0] Duct Effic. 11 story: Effective SEER 0.81; 2+ story: 0.67] Point Scores Zonal Control Adjustment [0] Zonal Control Adjustment [0] 12. Water Heating Lo System 1 - S• 61, . SO 1 12= k Z ST`D Heater Type _ . Enorgy Factor Ext Ins. R -value Auxiliary Input Distribution ISG501 [0.53] 1121 [None] [STD] -System 2 Heater Type [None] Energy Factor Ext Ins. R -value Auxiliary Input Distribution Sum 1-6 7. Fenestration Heat Gain (based on Shade Effectiveness Ratio) Eft % Fen- estra- non North .87 .67 .52 or to 10 more .86 .66 .51 or less .87 or more East .67 .52 to to .86 .66 .51 or less .87 or more South .67 .52 to to .86 .66 .51 or less .87 or more West .67 .52 to to .86. .66 .51 or lee's Skylight - .67 .66 or or more less . 18% -5 -4 -3 -2 -21 -20 15 12 -26 -23 16 12 36 .32 •23 •16 .75 •50 t69. 4 4 2 1 18 16 13 10 21 19 13 9 31 27 19 14 GS �4 14% -4 -3 -2 -1 -14 -13 -11 -8 -16 -14 -10 -7 -26 -23 -16 -11 -55 •38 129. 3 2 1 •1 -11 -10 -8 -6 -12 10 .7 •4 21 18 13 8 46 31 11% -2 -2 -1 0 •10 -9 •7 -6 -10 -8 -5 -3 -19 -16 -11 .7 -41 -28 1096 -2 -2 -1 0 -8 -8 -6 •5 -8 -7 -4 -2 -16 -14 •9 -6 -37 •25 996 -2 -1 -1 0 -7 -7 •5 -4 -6 -5 -3 •1 -14 -12 -8 -5 •32 -22 8% -1 --T- -1 0 -6 -5 -4 •4 -4 -4 -2 0 -11 -10 -6 •4 •28 .19 7% -1 -1 0 0 -5 -4 -4. -3 -3 -3 -1 0 -10 -8 -5 -3 -24 -17 6% -1 -1 0 0 -4 -4 .3 .2 .2 -2 -1 0 •8 -7 -4 -2 -20 -14 5% -1 0 0 0 -3 .3 -2 -2 -2 -1 0 0 -6 -5 -3 -1 -16 •12 4% 0 0 0 0 -2 .2 -1 -1 •t -1 0 1 .4 -4 -2 0 •12 -10 3% 0 0 0 0 -1 -1 -1 0 0 0 0 1 -2 -2 0 1 -9 -7 2% 0 0 0 1 0 0 0 0 0 0 1 1 0' 0 1 2 -6 -5 1% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 .3 .2 0% 1 1 1 1 1 14.0 1 1 0 0 0 0 3 3 3 3 0 0 8. Interior Thermal Mass Houses with Ducts (R-42) 10. Heating System 4. Slab Edge Insulation - r SEER Method A (Slab -on -grade Construction Only) 0 Houses With Ducts (R4.2) Spin Pew one Two Three .1 AC AC less -15 -5 Sum of 1-6 +15 more Exoosed Story Stories Stories Gas Split Pkg -25 -24 -14 -4 +6 16 0 -3 -2 .1 AFUE HP HP or to to to to or 10 -2 -1 -1 126 11 9 HSPF HSPF less -15 .5 +5 +15 more Z0 0 0 0 7896 6.8 6.6 • 0 0 0 0 0 0 30 1 1 1 80% 7.0 6.8 1 1 1 1 0 0 Sum 7-9 40 3 2 1 85% 7.4 7.2 5 4 3 2 2 1 50 4 3 2 90% 7.8 7.6 8 7 5 4 3 1 �- 60 5 3 2 9596 8.3 8.0 11 9 7 5 4 2 70 6 4 2 j 100% 8.7 8.5 13 11 9 7 4. 2 80 8 5 3 -4 Effective AFUE or HSPF 0 0 gp g 6 3 I (AFUE or HSPF x duct efficiency) 6.8 -7 -6 -4 100 10 6 4 . - Effective 8.0 7.8 -1 0 0 Sum of 1-0 0 0 15 20 Method B 8.1 Gas Split Pkg -25 -24 •14 -4 +6 16 a•,: int Slab Floor Raised Floor t AFUE HP HP or to to to to or Mass Storms 1 Stories i HSPF HSPF less -15 _5 +5 +15 more /CFA One Two Three One Two Three ! One Story House 9 6 2 0 House Sim Adjust S~ 0.0 .11 -8 -6- -1 -1 0 33% 2.9 2.8 -62 -53 -44 -34 -25 -16 0.1 -10 -7 -0 0 0 0 4096 3.5 3.4 -40 -34 -28 -22 -16 -10 0.3 -9 -6 -5 1 1 1 50% 4.4 4.2 -19 -16 -13 -10 .7 .5 0.5 -8 -5 -4 2 2 2 . 6096 5.2 5.1 -4 -4 -3 -2 .2 .1 J� 1.0 .6 -3 -1 4 4 5. 64% 5.6 5.4 0-, 0 0 0 0 0 11. Cooling System 1. Ceiling Insulation Houses with Ducts (R-42) Ali 4. Slab Edge Insulation - r SEER Sum of 7-9 -5 0 Point Total: Spin Pcxg -25 or -24 to -14 to -4 to +6 to 16 or �- .1 AC AC less -15 -5 +5 +15 more 6 5 10.0 9.7 0 0 0 0 0 0 1 -1 11.0 10.7 4 3 2 2 1 0 3 6 12.0 11.6 8 6 5 3 1 0 House Sim Ad jusonen 13.0 126 11 9 6 4 2 0 6.8 House Sue If 14.0 13.6 13 11 8 5 2 0 Suototal Its 15.0 14.6 16 12 9 6 2 0 WaterHeaang than IG' Effective SEER 1 3 3 6 Po" Score 1000 9 / 10' - 9' '1d 90% 7.8 7.6 • '8:5 19 24 16 20 13 17 .30 17 5 6 (SEER x duct efficiency) --4 .25 -14 Elf SEER 74 Sum of 7.9 -27 R-0 .20 t t Split Pckg -25 or -24 to -14 to -4 to +6 to 16 or .15 A AC AC less -15 •5 +5 +15 more -10 -0 One Story House 13. wto0x%87°. , 1Two'6r Three Story House -5 -3 5.0 4.9 -29 -23 -17 -11 -4 0 0 0 6.0 5.8 -16 -13 -9 -6 -2 0 5 3 7.0 6.8 -7 -6 -4 -3 -1 0 10 6 9 8.0 7.8 -1 0 0 0 0 0 15 20 11 8.1 7.9 0 0 0 0 0 0 25 t4 9.0 8.7 5 4 3 2 1 0- 0.93 .16 10.0 9.7 9 7 5 3 1 0 6.0 5 11.0 10.7 12 10 7 4 • 2 0 3.4 -46 1Z.0 11.6 15 12 9 6 2 0 House Sim Adjust 13.0 12.6 18 14 10 6 3 0 -10 House S 14.0 13.6 20 16 11 7 3 0 Subtotal 1500 15.0 14.6 22 17 12 8 3 0 Water Heating 10 Two or Three Story House -13 -9 -5 2- Wall Insulation Potts Score 1999 5.0 4.9 -35 -27- -20 •13 -5 0 -30 0 6.0 5.8 -21 -17 -12 -0 -3 0 .25 0 7.0 6.8 -11 -9 -7 -4 -2 0 .20 -15 0 0 8.0 7.8 -4 -3 -2 -1 -1 0 Single. Single- 8.7 8.4 0 0 0 0 0 0 -5 0 9.0 8.7 2 1 1 1 0 0 0 0 10.0 9.7 6 5 4 2 1 0 5 0 11.0 10.7 10 8 6 4 1 0 10 0 12.0 11.6 13 10 7 5 2 0 15 0 13.0 1Z.6 16 12 9 6 2 0 20 0 14.0 13.6 18 14 10 6 3 0 ?5 0 15.0 14.6 20 16 11 7 3 0 Attached Fenestration Zonal Control Adjustment 130 1.20 1.10 AD 6 5, 4 2 1 0 .50 .45 1. Ceiling Insulation SG50 Ali 4. Slab Edge Insulation 0 3 1 -9 -5 0 Point Total: am 8 1.5 .4 .1 1 6 6 6 8 70% 6.1 5.9 6 5 4 3 7 2 1 3 0.48 -2 1 -1 -12 -7 Number of Stories 0.58 3 6 5 -5 -1 4 2.0 -2 2 4 8 8 , 80% 7.0 6.8 13 11 9 -12 5 -41 R -value Number of stories one Two iriiee'- R.value One .17 Two Three S. Infiltration (Duct Air Leakage) g) -16 IG' 2.5 3.0. 1 3 3 6 5 5 9 11 9 / 10' - 9' '1d 90% 7.8 7.6 • '8:5 19 24 16 20 13 17 11 13 8 10 5 6 --4 HP 6-11.13.15 Rai 74 7 -27 R-0 0 0 4 Two Water Heaters - No A11XMar7 Credin' 0 Ducts in Unconditioned Space QS3 .7 0 -0. -17 4.0 -4 6 7 13 '13 13. wto0x%87°. , 1Two'6r Three Story House 1 0.73 6 R-19 •5 -4 -2 R-5 R-7 6 7 All 4 .12 -0 2 2 No Ducts in Unconditioned Space -12 3 0.58 5.0 4 6 8 14 14 tl4 f. s 33% 2.9 2.8 -09 •58 .48 -37 -26 -15 R-30 •1 .1 0 .14 .19 .46 -35 -22 0.93 .16 .7 .12 -39 -28 -15 IG 6.0 5 7 9 15 _ 15 15 - 40% 3.5 3.4 -46 -39 -32 -24 -17 -10 R-38 0 0 0 6. Fenestration Heat LOSS 1 3 1 -10 b 0 7.0 7 8 10 16 16 16 50% 4.4 4.2 -24 -20 -16 -13 -9 -5 2- Wall Insulation - u4wue 8.0 8 9 11 18 17 - 17 600% 5.2 5.1 -9 -8 -0. •5 -3 -2 Single. Single- Total 1.31 1.21 1.11 1.01 .91 .81 .76 .71 .66 .61 .56 .51 .46 .41 .36 -.35 69% 6.0 -5.8 0 0 0 0 , 0 0 FamilyFamiy . Mului- . Percent - or to to to to to to to to to to to to to to or. �� 70% 6.1 5.9 1 1 1 1 0 0 R - value Detached Attached Fenestration more 130 1.20 1.10 1.00 .90 .80 .75 .70 .65 .60 • .55 .50 .45 .40 less 9. Exterior Wall Thermal Mass 80% 7.0 6.8 9 8 6 5. 3 2 R 0 .72 57 Fami 50% -100 -76 -69 -62 -55 -48 -41 -38 -34 •31 -27 -24 � 20 -17 -13 -10 Exterior Single- Single- . Mufti 900/. 7.8 7.6 15 13 10 8 6 3 R-11 .7 40% -77 -58 -52 -47 -41 -36 •30 -27 -25 -22 -19 -16 -13. -11 -8 -5 Wall Family Family . Family 100% 8.7 8.5 20 17 14 11 8 4 R-13 .5 ,6 -4 35% -06 -49 -44 -39 -34 -29 -25 -22 -20 -17 -15 -12 -10 -7 •5 -3 Mass Detached -Attached Zonal Control Adjustment R-15 -4 -4 .3 3 3096 -54 -40 -36 -31 -27 -23 -19 -17 -15 -13 -11 -8 -6 -4 -2 0 0.00 0 0 0 System Type R-19 0 0 .2 0 2896 -50 -36 •32 •28 -25 -21 -17 -15 -13 -11 -9 -7 •5 -3 -1 1 0.20 3 3 2 Resistance 6 4 3 2 1 0 R-211 1 1 26% •45 -33 -29 25 -22 -18 -14 -13 -11 -9 -7 -5 -4 -2 0 2 0.40 7 5 4 Other 3 3 2 1 1 0 3. Raised Floor Insulation 24% -4129 26 -22 -19 -16 -12 -11 -9 -7 -6 -4 -2 -1 1 3 i 0,60 9 8 6 220/6 •36 -25 •22 •19 -16 •13 -10 -8 -7 •5 •4 .2 -1 1 2 4 i 0.80 12 10 7 Insulation in Floor 200/6 -31 -22 -19 -16 -13 -11 -8 -6 -5 -4 -2 .1 1 2 3 5 1.00 14 12 9 Adjustment for No Tank bnsuiattoa Number of stories- 18% -27 -18 -16 -13 -11 -8 -0 -4 .3 .2 -1 1 2 3 4 6 1.20 17 13 10 Number of Water Healers R -slue One Two Three 16% -22 -14 •12 •10 -8 -6 -3 -2 -1 0 1 2 3 4 6 7 1.40 18 14 11 Water Heater Tvoe One Two R-0 -14 -9 .5 14% -18 -11 -9 -7 -5 -3 -1 0 1 2 3 4 5 6 7 8 1.60 21 17 13 SG50 •2 •5 R-11 -3 .2 .1 1296 -13 -7 -6 -4 -2 -1 1 2 3 4 4 5 6 7 8 9 1.80 23 18 14 G7 SG; 5 •3 -0 R-19 0 0 0 10% -8 -4 .2 .1 1 2 3 4 5 5 6 7 8 6 9 10 2.00 24 19 14 SE -5 -9 R-30 2 1 1 80/0 -4 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 HP -2 -4 12. Water Heating One Water Heater - No Antdllaty Credits Dittnbtaion Syet@m2 R�Systems Wer climates Energy STD HWR Ripe No Timer Demd Heater Tvoel Zones Factor POU Insul On SG50 Ali am 0 3 1 -9 -5 0 am 8 6 .4 0 5 0.73 /- 8 11 9 0 4 8 SG75 AD 0.48 -2 1 -1 -12 -7 -2 0.58 3 6 5 -5 -1 4 0.68 7 10 8 -1 3 7 SE AD 097 -20 -12 -17 -41 32. -19 0.93 .17 _-9 - -13 38 -28 -16 IG' All am 2 5 3 IE AD 0.93 -21 -12. --4 HP 6-11.13.15 1.80 4 7 5 -5 -1 Two Water Heaters - No A11XMar7 Credin' SG50 All QS3 .7 .4 -0. -17 -12 -7 0.63 1 5 3 -0 .4 1 0.73 6 10 8 -2 2 7 SG75 All 0.48 .12 -0 .11 .22 -17. -12 0.58 .1 3 0 -11 -6 -14 0.68 6 9 7 -4 1 6 SE Ali 0.67 .22 .14 .19 .46 -35 -22 0.93 .16 .7 .12 -39 -28 -15 IG All 0.80 -4 -1 -3 IE AD 0.93 -21 -12 HP t-11.13.15 1.80 1 3 1 -10 b 0