HomeMy WebLinkAbout069-250-002e -
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f - 069-250-002 PERMITN94-2587
„ BRODERSON, ROD & PINKI ; T'-
5392 TREASURE HILL DR., OROVILLE
f CONT: STEVE ORSILLO CONSTRUCTION
I NEW SINGLE FAMILY ` �tr,�n►-A
. y j
RESIDENTIALIs
9-250-00'2 YPERMIT#94-2587
BRODERSON, ROD &•PINKI
5392 TREASURE HILL DR:, OROVILLE
CONT: STEVE.ORS'ILLO CONSTRUCTION
NEW SINGLE FAMILY
;4.
IN5
'L_ I 1lfj
OFFICE COPY
Address
GAS
Meter By Date s
ELFT
Me er
G
Da4e-
ELECTRIC
Meter. By Date/j�* .I
JOB FINALED (Date) z1hA45_
Signature
d=OK
O = Not OK
Not ApplReady
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"ft.
/ /"Nat. or/ /"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; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single
' =
Date UNDI;_BFLOOR (Plans) OK except k's j
Easements -Flood -SI
Main; Soils-Elec. Grnd
! -t21Ftg., Garage; Soils -Steel -Elea Grnd. fj/+' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ r/Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Apchors
8. Pigs- -Fireplace Ftq.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pi
Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
r 12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 '91Date Card B-1
Date Card B-1 Date Card B-1
Date PLU NG (Permit),OK except ti's
Water Htr.; Vent -Access -Combustion Air -Baffle
------------ -- -------
------------------------------------ --
ter Pipe; Test & Anchor -Nail Protection
---------- ------ -------------------------------
--- D.W.V.; Test -Fittings & Anchor -Nail Protection
--------------- — ------------------
n; est, First Floor -Tub Access
�e--- ub & Shower_Second Floor -Tub Access - - -
Gas Pipe: Size & Anchors
------ - r------------ - -- - --- - - - -
Datel v Card B-1 Date Card B -t
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
Fixture & Transformer Clearance -Ins. Protection
--------- -------------- - - -- - — - - - -
--
----- ----- ---- - --- - ---- -- ----- --
3. Receptacles Spacing -Lights & Switches at Doors
--------- - ---------------------------------=-------------------------
Si oxes & No. of.Conductors-Stapled
------------- ----
-------------------------------------------------------
Rom -Installed Close to Edge of Studs & C.J.
qu round made "up w!Mech. Fastners-Bond Gas & Water
---- -- ---------------------------------------------------------
------------------ ----- - ----------------------
---------------------------- ------
2 Appliance Circuts in Kitchen &Conductor Size/GFI
--------------- ---------------------------------------------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
_ Cu or At
29. Range Circ. ga. Cu or Oven Circ. / / a. Cu or Al.
Insulated euIral ❑ Yes- ---+s. No
----- ---- ------ --
ervice R ser Conductors Ground Main Disconnec
---------- ----- ----------------------------------------------------
Equip_Clearances Panels- Motors- Mech. Equip_
Closet Light -Shower Light Spa Light
----------- _'_'_'_oke Detector----------------
---------- - - - - -
---- ---------- -------------------
- - - ------------------
Date,- 4jY Card B-1 Date Card B-1
----- - --- ------------ ------------------------------
--------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
------------ ---- -- - -- - - - -- - - - - - -
--- --- - -- - --- ---- ----- ----------- ------ --- - --
---
Vent Fan. Exhaust above insulation
-------------------------------------------------------- ----------
36. Condensate Drain & Overflow: Size & Grade
FUfnance-Vent; Access -Comb Air -Return Air Vent -115 outlet
------------------------------------------
Attic -Access-&, P-latformif Furnance in Attic
------ - ------------------- - -- - --------------------------
-------------------- --
Date Card- B-1--4-� Card B=1
Date
- -�- -- - y -------- - ---- - - - -- - - -
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except n's
Sils. Proper Material & Anchors
---- ---------------------------
walls Studs -Nailing. Spacing Bracing- tes-Sound
------------ --------------- �racin�-_ tes-Sou
over Girders & Floor-
Nailing
------------ ----------------
442. Dra- Stop in Walls (rat proof)
F' e Stops_Furred Ceilings -S irs-Chases_Tub--------------------
4 Headers & Beam -Size & e rin
& Duplex)
Date,FRAMING (Continued)
42fikange Post Caps- ors -Connectors
g. Joist-Rftr. h oof Brac-Truss-Shthng.-Ring.
_- - eptace Ties or Type A Flue -Fireplace Throat clearance
-- --,dA< attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
-- 1�/Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
. Garage Fire Protection Framing
Firewall & Openings
-Doors-One 3' -Check Garage -3rd Story, 2 Exits
----- - ,Jo�. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
-- pl ood on Roof Overhang -Attic Vents -Rafter Outriggers
S g -Nailing Veneer
_
Stu co Mesh -Drip Screed -Fd. Vents-Underflr. Access
U� Glazing Area -Glass Protection -Skylights -Plastic
Is; Nailing -Bolts
I�I nsulation all Ceilings/, ,
60. InfiltratioWindows
Date Card B-1 Date _ Card B-1
D_atyff lr'L Card B-1 //J Date Card B-1
Dat FI (Plans) OK ext pt #'s
1. E Steps -Door & Sidelight Protection -Landings
------------
6 S e Detector
Fur �: Vents -Clearance -Comb. Air -Connector-
--- ----------
-Garage: Above Floor -Ducts -Meth. Protection
d om_Exiting ---
F.I. & Bath Fixtures & Tub Access -Spa
c. Trim & Subpanel; Breaker Sizes &Labels
des. place or Stove: Clearances -Hearth
- EI utlets at Wood Panel: Int. & Ext.
7 Fixt Appliance; Grnd -Air Gap -Cooking Clearance
-- - ---- -- -
---------- ---- --
EI . Outlets & Receptacles_at Kit. Counter
7 rage Fire Door Swing -Landing -Closer
A.0 ct in Garage -Damper
7 tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. .
IiAbove Floor -Meth. Protection
let. & Mech. Equip Listed for Location
Receptacles in Garage: (G.F.I.)-Romex Protection
-Insulation-Foam-Looked in Attic ❑ Yes
i s & Deck Construction -Post Caps
1 1a�S-6;twt-Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor _❑ Yes
80. Following mstld Drive �erjWo, Walkses ❑ No;
Plan ers IIIYes o
_-: Brown -Finish ---- —
A. nit; Disconnect. Electrical, Plumbing
-- -- ----------------- -----
- - `-
------------------ - ----- - --
Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
----------
------------ el: Disconnect, Electrical, Plumbing ---
jjti�erior Elec. Trim; G.F.I. Receptacle -Underground
6. Ve nation Throughout House
- -
Glass Protection
-I ------------------------------ ---- -----------
8a. Corre 'ans from Previous Inspections
- --- ---- - ------------------------------------------------
est-Meters Tagged; Gas -Electric
- - - - - - -- - - - -- - - - - -- --
est-Meters
-------------
ter & Sewer Connected -C/O to Grade -HD Approval- —
Energy Compliance Certificate -Other -Certificates
------ - -- ----
-- --
--- -- — ---
Date Card B-1 Date _ _Card B-1
----------- --
Date Card B-1 Date Card B-1
--- -----------------------------------
Date Card B-1 Date Card B-1
Comments at Final
-----------------
COUNTY OF BUTTE -DEPARTMENT OF .4EVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California -85965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 9
ASSESSOR PARCEL NUMBER
069-290-002
L
ZONING
RTI
BUILDING PERMIT
�Z
OWNER
ROD &
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2955 ORANGE AVE, OROVILL-E,
1697 R 91, 638.00
528 M 9,504.00
CONTRACTOR'S NAME
STEVE
TELEPHONE
151 C 1,963.00
-1131
CONTRACTOR'S MAILING ADDRESS
Fireplace "A11 1 , 500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 104, 605.00
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ 657.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 427.05
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $ 23.00
Penalty $
BUILDING ADDRESS
5399 TREASURE HILL
PERMIT FEE $ 1127.05
PLUMBING PERMIT Filing Fee 20.00
Each Trap 9 7.00 63.00
Solar or heat pump water heater 23.00
LOT NO.
205
SUBDIVISION'S NAME
KELLTY RIDGE 4B
PAflCEL MAP
58-7374
Water piping 15.00 15.00
Each gas water heater or vent 15.00 ±15.00
USE OF STRUCTURE
SF ❑g Duplex ❑ Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer 15.00 5 .00
Mobile Home S G W 20.00
TYPE OF WORK
New OX Addition ❑ Remodel ❑ Utilities ❑ Installation O Other O
Describe Work: 3 X BEDROOM
PERMIT FEE S
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 2111101 LESS
( 200A OR LESS ) 23.00 00
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP. SO,
OR ADDNS. ( & ACC. BLOS. ) 3.5C FT. 77-25
CONTRACTORS LICENSE LAW
I d)eglare under penalty of perjury (check one)
/$ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and m lic nse is in full force and effect.
Classification
License No. � f3
O I, as the owner, or my em loyees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST, MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POWERAPPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.01
BAL. .50
Ex. Occu FIXED APPWS. OR
p' (OUTLETS (RESID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $ 100.00 (valuation) or less.
1 have placed on file with the County of Butte Dept. of Development Services,
wilding Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
12085
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating SPLIT 15.00
Cooling ATTIC 15.00
Hood 6.50 .50
Ventilation 2 4.50 9 .00
PERMIT FEE $ 45.50
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in nsequence of he granting of this permit.
X Date _
at e o Applicant Owner ❑ ntractor A Agent
An OSHA permit is equired for ex avations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
occ
R3
CONST. TYPE
VN
TOTAL FEE $ 1482.40
HAZ.
--
D. FE IMP
--
FLOOD
X
COF
X
PARCEL PD
--
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate b ve fo which fees have been paid.
By e `. DateV' C /
-�
PERMITEXPIRESON
I ,Dere,
Qc+� _
Receipt No. 530.05 - 1687n1 // Me 0 ! 71 ���j�i -3S'-
I
"ITE-D.D.S.-B.D.
-' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
c ruS�e-S ��o-
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION (2(IPV 94�
7' County Center Drive - Oroville, Caljfornia.95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT g�-�S87
PARCEL NUMBS
ZONWO
BUILDING PERMIT
OWNERSO.
FT. OCC.BUILDING VALUATIOOWNER�4t.INLIN
ADORE.Off/S /CONT�pR'S
NAME / r TELEPHONE
,�,3---
CON?FTOR'SMAILINGADORESS`i P& vP /uUl �l P L -!T s%� f�
FireplaceCONSTRUCTION
LENDER
UNKNOWN
Total Valuati6n $
Filing Fee
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGSER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS /
PERMIT FEE $PLUMBING
PERMIT
ili g Fee 20.00
Each Trap
7.00Solar
or heat pump water heater
23.00
piping
15.00Each
l0T O. SUBOIVISION'SNAMEWater
gas water heater or vent
15.00 X670
US OF S UCTURE
SF Duplex O Mobilehome ❑' Other
sPECIFr
Gas piping system 1 5 outlets
15.00 QlfBuilding
sewer
15.00
Mobile Home S G W
TYPE OF WORK
Addition ❑ Remodel ❑ tilities stallation ❑ Other ❑
DescribeWork: �/J/( /
PERMIT FEE gNew
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 600VORLESS)23.00
200A OR LESSMain
3,Od
Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
AODNS. & ACC. BLDS.
SO, zzOR
3.50FT.
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one)
❑ 1 am a licensed under rovisions of Cha ter 9, Division 3 of the Business and
P P
PI'ofessions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Codeforthis reason
NEW CONST. MULTI -OUTLET
•NON-RESID. BRANCH CIRCUITS
7.50
( POWER APPARATUSI
6 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLETOR FIXTURES )
20 is 1.00
BAL. .50
Ex. Occup. ( OUITETSI1ESID:OEA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring,
23 00
WORKER'S COMPENSATION INSURANCE
declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
of Consent to Self -insure.
Ishall not employ any person in any manner so asto become subject to the Worker'sHoodCompensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.Contractor
PERMIT FEE S
121
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
HeatingCertificate
Cooling❑
6.50
Ventilation
PERMIT FEE $
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
construction, and hereby authorize representatives of the County of Butte toenter upon the above mentioned property for inspection purposes.
also agree to save, indemnify and keep harmless the County of Butte against all
judgments, costs, and expenses which may in any way accrue against said
in consequr nce of the granting of this permit.
Date / `
Signature of Applica•It - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition orindicated
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $building
D 1
)
co,�ryiTv�PE
(j�Vliabilities,
TOTAL FEE $1
HAZ.
D. FEES
IMPF
O
C PARCEL POCounty
-X
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
above for which fees have been
By
PERMIT EXPIRES ON
IOetel
provisions
to do work
paid.
Date
e<ASSESSOR
eceipt No. U
iE-D.D.S.-B.D. CA AR -ASSESSOR PINK -INSPECT R, GOLDENROD -APPLICANT
l��iy�,'+. v,/'d#r�c�Y"""'.°'Hr.'.".^yMtHT`�'^^r.aM w.�c(`.*•w, .. Hwy^.», r� � lea_ _ .m _ ����
COUNTYOF BUTTE - DEPARTMENT OF CIEVELOPMENTSERVICES - BUILDINODNISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
C-�
PERMIT APPLICATION DATASN' 'EET �+
/�
OWNER o
Proposed Building Use
A. P. No.
Building Inspector a 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 . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form............ ............................... .
6. Energy Design Compliance and supporting documentation . ..................
atement of Intent for Non -Heated and A/C Buildings.
e8ingineered truss details and layout in duplicate (required prior to plan check). ....��
Mobilehome data and a ufacturer,s installation instructions, 2 sets. ........... D y�
10. Fees of $ —07, r te. ........................... .
W IV J—Impact fees as shown on attached schedule . ................
12. California Department of Forestry plan approval/ ees ...9�5�%" (. p� r✓��Gj -
13. Flood elevation letter (100 year flood) by California Engineer. .
14. Sanitation and plot plan approval 40 A Health Department . ............ a 4
15. City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
--19—Contact Land Development.about (A) Improvements (B) Drainage.
— i9. Driveway permit (construction approval required prior to occupancy).*. ?! %3D
Pre4nspection request
20. Pre-inspectiOD4016. required. .. to Building Inspector (Date)
21. Contractor' license information (No., Name Style, Class cation) . ..............�9 V �C
22. Certificate of or mans pensation Insurance . .......................... .
Owner -Builder Verification (Given to owner Mail to owner_). ..
ZE�e--P24�Recorded copy of Agricultural Acknowledgement Statement . ..................
I'
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ...........................................
28. Mobilehome utility clearance . ................... `...................... .
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 . ...............
31. Existing violations/expired permits . ................ ...................... .
32. Plan check list . ......................................................
33. 06VOIll
34. -
Whenu issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone4�3 7-1131 and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. f Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to
1. Index permit for above items No.
2. Additional items required: •.
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 _ mail Counter by _ Date
Plans checked by Date Plans approved by f Date z
Sets of plans on hold in File cabinet - AP folder 9� `
Copy - Department of Public Works _�`
OWNER
PROPOSED
COUNTY .OF BUM DEPAR174M OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (916) 538-7541
A.P. #
UILDING USE f� DATE Ic
REC. # DATE REC
,S0f0'0L DISTRICT -FEES
(paid at District Office) ......................... r� /l 0j_ f
SHERIFF FEES .
(paid at Building Department)
Residential..... x =$ e2
unit amt.
Commercial (sgft)_ x =$
sq.ft. amt.
URBAN AREA FEES
(paid at Building'Department)
Residential (per unit) x =$
# units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
&6.
7.
RECREATION DISTRICT FEES
(paid at District Office) .........................
DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
SRA FIRE INSPECTION AND PLAN CHECK = $89.00......
(paid at Building Department)
OTHER
M41
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANT DATE
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District 012-d
Building Department No-
A.P. Number 010
Jurisdiction Jurisdiction
0
City
County
•
Property Owner �yQ �,,;�
-fai n -kr nee
e asoj
Property Location/Address
T &as Li
re- 41/
J )►'r:Ue orc)V,
/[I-
Subdivison
Lot No.
Residential Development
=
Sq. Footage
No. of Living
MHI
Addition
(Group R)
Units
Commercial/Industrial]
0
Sq. Footage
New
Addition
(Including Exterior
Roofed Areas)
r
BtAldiRg Departme epresent
ive
Date
(Floor Plans reviewed by'School District Personnel)
District Identification No. 9 ��
( `/PU✓I /�P� e�2 rel • School District certifies that
(Applicant)
Ave. -
(Street Address) (Phone Number)
✓� Nr
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $ oZ 9
representing /417 square feet.
l°12 7 �9
School 15istrict Representa iv Date
Paid by Check Number Remarks:
Bank Number
Paid by Cash
LES -IC YU✓h 4 -
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
e ketum to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
Building Division FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this
acknowledgement be recorded prior to issuance of a building T
permit.
94-045182
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents
of this property may be subject to inconveniences or
discomfort arising from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and OCT 2'7 199
fertilizers; and from the pursuit of agricultural operations t� 37°t
including, but not limited to cultivation, plowing, spraying,
pruning, and harvesting which occasionally generate `
dust;smoke, noise, and odor. Butte County has established
agricultural zones which have as a priority use for productive
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
FO � \��a sp
Date: [
PROPERTY 0 ERS:
State of California ) _ = - - LJu u u L,. -
County ofrVU�T-� ) '' \� DUDIE HULTZ c
I Q ��4 NOTARY PUBUGCAU RN1A t.
On / 0' o before me,
Butte Com
I �7 d mn 80w Reb.3.1995
personally appeared 1C) ���ee _ C P 1� �MmnMplUMR+GJIG9AH?it�e4R+nnn�n��.�
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that. he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
WITNESS a and ficial s _
A HULTZ s
>. -4 V
NOTARY PUBUC-CAUFORNIN
a Butte County
Signature �lil Seal: 0 MyCotnmisatonl=]�lresFeb-3,t995 r
A. P. # (0al — C `
j•
ORDER NO. BU -144547-3
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
LOT 205, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE
ESTATES UNIT 4B", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF.BUTTE, STATE OF CALIFORNIA, ON NOVEMBER
10, 1977, IN BOOK 58 OF MAPS, AT PAGE(S) 73, 74, 75, 76 AND 77.
PAGE 5
1. PERMIT NO: 52-94
Lake Oroville Area Public Utility District
19W Elfin street
OROVILLE, CALIFORNIA 95966
533-2000
DISTRICT APPROVAL AND
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: October 18, 1994
Applicant: Rod & Pinki Broderson (Steve Orsillo Const.)
Applicant Address: 2955 Orange Ave, Oroville, CA X5965
Applicant Phone No.: (916)533'6041
Property Location (s):
A. P. No. (s):
Fees due:
5329 Treasure Hill Dr., Oroville, CA 95966 -
Kelly Ridge Estates Unit 4B Lot #205
069-250-002-0
All fees paid
Application for service approved:
i
LAK'Z/ORYILJGE AREA
PUBLIC UT LITY DISTRICT
Inspection(s) made and successful test(s) observed:
Location: Date:
A --
Lake
Lake Oroville Area Public Utility District release to close permit:
Date:
By:
RESIDENTIAL PLAN CHECKING GUIDE 8/91
.(S.F., DUPLEX & MISC. ONLY) /
OWNER mor Bldg. Permit # y?`
A. P.
GENERAL Plan Checker�Fc, -�7
!
/Zoning requirements: (sideyards and number of permitted living units).
Valuation.
lans signed by designer.
oper description of work on application.
Existing violations on property.
6� Items on data sheet. N.C., fees, Health, Developer Fees; License law, etc).
Recorded notice of violation.
PLOT PLAN
f.:-t1F`AU
omplete parcel size and dimensions.
etbacks, sideyards, easements, etc.
• ther buildings or'structures.
• rading, fills, drainage.
• lood hazard.
pecial conditions on creation map,
stible, and foundations).
& FAS road setback.
(noise, CDF, fire sprinklers, non -comb-
-$- Building or utilities across lot lines (Record form).
FLOOR PLAN
Complete to scale plan with dimensions. '
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
�'- Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
�FCIs in baths; garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for.main-
1,1tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
or gas equipment.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
r'.--1 - 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove location, alcoves, and clearance.
3' Smoke detectors (Sec. 1210).
4-: Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
Standard bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
%Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building
Roof construction details complete enough to construct building.
7.--ft'replace construction details and calcs if necessary.
Q. Rafter ties or bearing ridge beam.
1. Garage door or porch header sizes.
2' Stud heights.
3- Adobe soils - special foundation design.
4-.- Retaining walls requiring design.
5•: Special Inspection required.
l
M
8/91
RESIDENTIAL PLAN; CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j).
rick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
P,roper roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
Foam insulation - protection.
36" halls and, stairways.
.'Living area over garage - complete 1 -hour separation required on garage side
including -supporting walls and posts, etc.
wo exits on three-story dwellings (sec.,3303 & see Mezannines - 1716).
. Attic access and.ventilation (Sec. 3205).
underfloor access and ventilation (Sec. 2516).
Combustion air for fuel burning appliances - L.P.G. requirements.
poise requirements on duplexes.
5' Energy design.
Flashing at all exterior openings.
CDF responsible area requirements.
0
A routine
the above
is comule
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307.
CORRECTION NOTICE
gOection indicates that the following violations of Butte County Ordinances exist at
ddress and should be corrected. Please notify this office Wheri correction of work
i. If you have any questions pertaining to this matter, or need additional explanation,
act this office immediately.
�r � 'eo G d dt cr
pp � w2
l
Date „ .- Inspector //y
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
oz -50-1 W - 2j-�q
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 ou have any questions pertaining to this matter, or need additional explanation,
please�contac t is office immediately.
V3
ROOF
Material
;. Brand Name
Thickness (inches)
Thermal Resistance (R -Value)
CEILING
Batt or Blanket Type FIBERGLASS .
Brand Name CERTAINTEED
Thickness (Inches)
Therms! Resistence (R-Value�
Imre Fin Type INSULSAFE III
Brand Name CERTAINTEED
Contractors minimum installed weigM/R Ib
Wtrdmum Btickness des
Manufacturefs installed weight per square root to achieve Thermal Resistance (R -Value) 3 O
EXTERIOR WALL
Material FIBERGLASS
Thickness (inches) G7 /7
Brand Name CERTAINTEEn
Thermal Resistance
(R Value)
RAISED FLOOR
.. _ Materia! FIBERGLASS
,
Brand Name CERTAINTEED-
Thic mess (orches)
Thermal Resistance (R -Value)
SLAB FLOOR
Material
Brand Name
Thickness (inches)
Thermal Resistance (R -Value)
WK th (orches)
FOUNDATION WALL
Material FIBERGLASS
Brand Name CERTAINTEED
Thickness (inches)
Thermal Resistance (R -Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in
'conformance with the current Building Energy Efficiency Standards for new residential buildings
contained in Title 24 of the California Administrative Code.
j
GENERAL CONTRACTOR (BUILDER)
LICENSE NUMBER
SIGNATURE b TITLE
SHASTA INSULATION
SUB -CONTRACTOR (INSULATION INSTALLER)
SIGNATURE d TITLE
DATE
272941
LICENSE NUMBER
/-/o - gs--
DATE
Bl7ZiNC Wim] lied �>iILIA i odt/SOY) BUILDING PEP.MiT
BUILDING LOCATION: 6739a TreqsurP
An installation cortdlowe is required to by posted at the building site prior to the issuance of the ooarpancy permit. This form
may be used to meet these requirements. All appliance categones listed below are the actual equipment installed. Note that
the efflrwenty and type of the appliartea installed must be ecutvalent or bettor than the appliance specified on the Cartifix=s of
Compliance (CF -IR). This condicate (or its equivalent) snail be prepared and signed by the persan(s) assuming overall
responsibility for the appliance instattanon.
I. the undersigned. verity that the equipment fisted in the category above my signature is the actual equipment installed and
that the equipment meets or exceeds the requirements of the Appliance Efficient:/ Standards. In addition. I have verified that
the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submittoo to
demonstrate mmpliiance with the Entergy Efficiancy Stanoatds for residential buildings.
HVAC SYSTEMS
Nate: Hydmnic boiler intormabon is entered here. Other hydronic or combined hydrant equipment is listed under
Water Hearing Systems.
Heating Equip. CEC Cartffled Actual Distribution Duct or Heating Load Heating
Type (furnace, Manaf. Make & EfficiencyType and Piping Before Over• Equipment
heat ourno. eta.) Model Number (AFUE. etc.) Location R -Value SWnQ(Btuh) Caoaetty (9tuh)
Fu r2.v.acE �yl; P� b.s �, sZ�o
• ��4T1-ic_�,
t;>;C C.artftled
Coating Equip. Compressor Unit' Actual Distribution Duct or
Type (air Bond.,, Manuf. Malta & Efficiency Type and Piping
The building assign heat loss and design heat gain rate have been determined us thod specified in Section 150(h) of
the a E.rficteno f St andsa d ars two of the criteria used for equipment sizing and selection.
-97ZV6 r" .¢S/L 4a, [ 2.u!'T.
Sign re Date HVAC Subontractor (Co. Name► or General Contractor or Owner
WATER HEATING SYSTEMS
Water Heating CSC Cartff led
Rated' Tank Factor or
External
ank (til
System Type Manut. Make &
(storage age. etc.) Model Number
Input (kW Capacity Recovery.
or Stun) (gallons) E=flcient y
Standbys Insulation
Loss (%) R -Value
s�,2,ocE GfJlt' A.D.S�YI T7� F6P-�f>7 pbd � �jIT '- �
=or smali Qaa storage bates ftut S 75.000 et uhry, electric resatance ano heat pump water hieaters, list Energy Factor.
=or targe gas storage water heaters ire," :nous -15.00() ettyhn. list Ratea Input, ;;e=very t ffei@Aey anQ StgnQDy �t S3,
For tnatantartmms gas water neatens, eat, list Pat" In= ono Recovery. E•'-ctency.
Fgr.tnstantanecus emetric water heaters. list Raton Input.
FAUC."i S & SHOWE.9 HEADS
Au faucets anv snowerneaas tnstauea are iistao in ttte Cammisston's Diro=r/ of Canlfiea Faucets and Showemeaas.
Pursuant to iitlo 24. Part 6. SubCr.apter 2. Section 111.
Signa re Oats Plumoing Suotonvrac mr (Co. Name] or Genera' Centra= or Owner
77IIS CLR'TIi'ICA7'-r MUST BE PROVIDED To Tf1E- BUILDING DEPARTMENT PRIOR TO FXNAL INSPECTION
APPROVAL AND A (MPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
TABLE OF CONTENTS TOC
Project Title.......... Residence for Broderson Date........ 09/11/94
Project Address........ A.P.#069-0257002
Oroville
Documentation Author... Neal Kuopus BuildingQ,� Permit
Company.......... .... CALCTECH pjS y`,,?%
Telephone.............. (916) 589-4219 Plan Check Date
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Field Check/ Date
MICROPAS4 v4.02 File-BRODERSC Wth-CTZ11S92 Program -TOC
User#-MP1320 User-CALCTECH Run -Proposed Residence
TABLE OF CONTENTS
Report Page
FORM
CF -1R ................
1
FORM
MF -1R ................
4
FORM
C -2R .................
6
FORM
C -3R .................
10
HVAC
SIZING ...............
14
E c®Utli
V11.��tAG
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R
Project Title.......... Residence for Broderson Date........ 09/11/94
t Add A P 4069-025-002
Oroville
Documentation Author... Neal Kuopus
Company ................ CALCTECH
Telephone .............. (916) 589-4219
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Field Check/ Date
MICROPAS4 v4.02 File-BRODERSC Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
GENERAL INFORMATION
Conditioned Floor Area..... 1699 sf
Building Type ..............
Single Family Detached
Construction Type .........
New
Building Front
Orientation. Front Facing
180 deg (S)
Number of Dwelling Units...
1
Number of Stories..........
1
Floor Construction Type....
Slab On Grade (Package D)
BUILDING
SHELL INSULATION
Component
Insulation Assembly
Type
R -value
U -Value
Location/Comments
Wall
R-19
0.062
FRONT, FRONT BAY, RIGHT, BACK BAY, BACK
LEFT
Door
R-0
0.330
FRONT ENTRY, TO
GARAGE
Wall
R-19
0.063
TO GARAGE
Wall
R-19
0.066
TO ATTIC
Roof
R-30
0.031
FLAT CEILING, TILT CEILING
S1abEdge
R-0
0.900
SLAB EDGE
S1abEdge
R-0
0.720
SLAB EDGE
S1abEdge
R-0
0.550
SLAB EDGE
S1abEdge
R-0
0.500
SLAB EDGE
FENESTRATION
# of
Interior
Over -
Area
U- Pan-
Shading/
Exterior
'hang/ Framing
Orientation
(sf)
Value es
Description
Shading
Fins
Type
Window Front
(S) /16.0
0.600 2
Drapes.Std
None
None
Vinyl
Window Front
(S) -6.3
0.570 2
Drapes.Std
None
None
Vinyl
Window Front
(S) 7.5.0.570
2
Drapes.Std
None
Yes
Vinyl
Window Right
(SE) -6.0
0.600 2
Drapes.Std
None
None
Vinyl
Window Front
(SW) -6.'0
0.600 2
Drapes.Std
None
None
Vinyl
Window Right
(E) -50.0
0.600 2
Drapes.Std
None
None
Vinyl
Window Right
(E) X16.7
0.550 2
Drapes.Std
None
Yes
WoodDiv
Window Back
(NE) '-8.0
0.600 2
Drapes.Std
None
Yes
Vinyl
Window Left
(NW) -8.0
0.600 2
Drapes.Std
None
Yes
Vinyl
Window Back
(N) -72.0
0.600 2
Drapes.Std
None
Yes
Vinyl
Window Back
(N) -17.8
0.550 2
Drapes.Std
None
Yes
WoodDiv
Window Back
(N) X33.4
0.550 2
Drapes.Std
None
Yes
Vinyl
Window Left
(W) .16.0
0.600 2
Drapes.Std
None
None
Vinyl
Window Left
(W) -6.3
0.570 2
Drapes.Std
None
None
Vinyl
i
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R
Project Title.......... Residence for Broderson Date........ 09/11/94
MICROPAS4 v4.02 File-BRODERSC Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
Type
S1abOnGrade
S1abOnGrade
InteriorVert
InteriorHorz
Exposed
Yes
No
Yes
Yes
THERMAL MASS
Area
(sf)
409
1210
50
80
Thickness
(in) Location/Comments
3.5
Exposed
3.5
Covered
1.0
Tile Walls
1.0
Tile Floor
HVAC SYSTEMS
WATER HEATING SYSTEMS
Duct Thermostat
R -value Type
R-4.2 Setback
R-4.2 Setback
Number Tank External
in Energy Size Insulation
Tank Type Heater Type Distribution Type System Factor (gal) R -value
Storage Gas Standard 1 0.62 EF 40 R-0
SPECIAL FEATURES/REMARKS
R-4.2 duct insulation required
R-19 floor insulation required per Form 3
R-19 wall insulation required per Form 3s
R-30 ceiling insulation required per Form 3
Vinyl -frame dual -pane clear glazing required
Glazing U -values per CEC DEFAULT TABLES - Mfr. unknown
FURN.78: CEC MIN. REQUIREMENT
AC.10.0: CEC. MIN. REQUIREMENT
HWH: A.O.SMITH FGR -40 REQUIRED
Minimum
Duct
Equipment Type
Efficiency
Location
Furnace
0.780 AFUE
Attic
ACSplit
10.00 SEER
Attic
WATER HEATING SYSTEMS
Duct Thermostat
R -value Type
R-4.2 Setback
R-4.2 Setback
Number Tank External
in Energy Size Insulation
Tank Type Heater Type Distribution Type System Factor (gal) R -value
Storage Gas Standard 1 0.62 EF 40 R-0
SPECIAL FEATURES/REMARKS
R-4.2 duct insulation required
R-19 floor insulation required per Form 3
R-19 wall insulation required per Form 3s
R-30 ceiling insulation required per Form 3
Vinyl -frame dual -pane clear glazing required
Glazing U -values per CEC DEFAULT TABLES - Mfr. unknown
FURN.78: CEC MIN. REQUIREMENT
AC.10.0: CEC. MIN. REQUIREMENT
HWH: A.O.SMITH FGR -40 REQUIRED
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R
Project Title.......... Residence for Broderson Date........ 09/11/94
MICROPAS4 v4.02 File-BRODERSC Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
This certificate of compliance lists the building features and performance
specifications needed to comply with Title -24, Parts 1 and 6 of the
California Code of Regulations, and the administrative regulations to
implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is
submitted for a single building plan to be built in multiple orientations,
any shading feature that is.varied is indicated in the Special Features/
Remarks section.
DESIGNER or OWNER
Name....
Steve Orsillo
Company.
Steve Orsillo Constr.
Address.
4296 Olive
0�1/7 Oroville, C96
Phone...
(916) 532-1
License.
542034
Signed..
ENFORCEMENT AGENCY
Name....
Title...
Agency..
Phone...
Signed..
(date)
DOCUMENTATION AUTHOR
Name.... Neal Kuopus
Company. CALCTECH
Address. 27 Wahoo Ave.
Oroville, CA 95966
Phone... (916) 589-4219
cAl
Signed.. �� q1j. I /q+
(date)
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R
Project Title.......... Residence for Broderson Date........ 09/11/94
Project.nddress........ A.P.#069-025-002
Oroville
Documentation Author... Neal Kuopus
Company ................ CALCTECH
Telephone .............. (916) 589-4219
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Fie Ch_e_c_R7 Date
MICROPAS4 v4.02 File-BRODERSC Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
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 checklist only.
BUILDING ENVELOPE MEASURES
Design- Enforce-
150(i): Slab edge insulation - water absorption rate no greater
than 0.3%, water vapor transmission rate no greater than 2.0
perm/inch.
118: Insulation specified or installed meets CEC quality
standards. Indicate type and form.
116-17: Fenestration Products, Exterior Doors and Infiltration/
exfiltration controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label with
certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
150(g): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f): Special infiltration barrier installed to comply with
Sec. 151 meets CEC quality standards.
150(e): Installation of Fireplaces, Decorative Gas Appliances
and gas logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
'AJ C
_AJ r_
K.
. NA
er ment
Minimum R-19
ceiling insulation.
9-;0
150(b):
Loose fill insulation manufacturers labeled R -Value.
*150(c):
Minimum R-13
wall insulation in framed walls
(does
not apply to
exterior mass walls).
2"lci
*150(d):
Minimum R-13
raised floor insulation in framed floors;
minimum R-8 in concrete raised floors.
150(i): Slab edge insulation - water absorption rate no greater
than 0.3%, water vapor transmission rate no greater than 2.0
perm/inch.
118: Insulation specified or installed meets CEC quality
standards. Indicate type and form.
116-17: Fenestration Products, Exterior Doors and Infiltration/
exfiltration controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label with
certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
150(g): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f): Special infiltration barrier installed to comply with
Sec. 151 meets CEC quality standards.
150(e): Installation of Fireplaces, Decorative Gas Appliances
and gas logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
'AJ C
_AJ r_
K.
. NA
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R
Project Title.......... Residence for Broderson Date........ 09/11/94
MICROPAS4 v4.02 File-BRODERSC Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
Design- Enforce-
er ment
110-13: HVAC equipment, water heaters, showerheads and faucets
certified by the CEC .
'
150(i): Setback thermostat on all applicable heating systems.
150(j): Pipe and Tank insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or
backup solar hot water tanks) have insulation blanket (R-12
or greater) or combined interior/exterior insulation (R-16
or greater).
2. First 5 feet of pipes closest to water heater tank, non -
recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating
sections of hot water system.
4. Cooling system piping below 55 degrees insulated.
5. Piping insulated between heating source and indirect
hot water tank.
IC_
-.*150(m): Ducts and Fans
1. Ducts constructed, installed and sealed to comply with UMC
sections 1002 and 1004; ducts insulated to a minimum
installed value of R-4.2 or ducts enclosed entirely within
conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually
operated dampers.
114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off
switch, weatherproof operating instructions, no electric
resistance heating and no pilot light.
2. System installed with:
a. At least 36 inches pipe between filter and heater for
future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation
pump time switch.
�)A
115: Gas-fired central furnace, pool heater, spa heater or
household cooking appliance have no continuously burning
pilot light (Exception: Non -electrical cooking appliance
< 150 Btu/hr.).
with pilot
LIGHTING MEASURES
Design- Enforce-
. er ment
150(k): 40 lumens/watt or greater for general lighting in
kitchens and rooms with water closets; and recessed ceiling
fixtures IC (insulation cover) approved. -AdK-
COMPUTER METHOD SUMMARY Page 6 C -2R
Project Title.......... Residence for Broderson Date........ 09/11/94
All # - 2 - 2
Project AAP
ress........ .. 069 0 5 00
Oroville
Documentation Author... Neal Kuopus
Company ................ CALCTECH
Telephone .............. (916) 589-4219
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Field Che—EChe—EW7 Date
MICROPAS4 v4.02 File-BRODERSC Wth-CTZllS92 Program -FORM C -2R
User#-MP1320 User-CALCTECH Run -Proposed Residence
MICROPAS4 ENERGY USE SUMMARY
Energy Use
Standard
Proposed
Compliance
(kBtu/sf-yr)
Design
Design
Margin
Space Heating..........
15.70
16.04
-0.34
Space Cooling..........
12.30
10.03
2.27
Water Heating..........
13.09
12.17
0.92
Total
41.09
38.24
2.85
*** Building complies with Computer Performance ***-
GENERAL INFORMATION
Conditioned Floor Area.....
Building Type ..............
Construction Type .........
Building Front Orientation.
Number of Dwelling Units...
Number of Building Stories.
Weather Data Type...........
Floor Construction Type....
Number of Building Zones...
Conditioned Volume.........
Footprint.Area.............
Ground Floor Area..........
Slab -On -Grade Area.........
Glazing Percentage.........
Average Ceiling Height......
1699 sf
Single Family Detached
New
Front Facing 180 deg (S)
1
1
ReducedYear
Slab On Grade
1
15673 cf
1619 sf
1619 sf
1619 sf
15.9 % of FA
9.2 ft
BUILDING ZONE INFORMATION
(Package D)
Floor
# of
Vent
Special
Area
Volume Dwell Cond- Thermostat
Height
Vent Area
Zone Type (sf)
(cf) Units itioned Type
(ft)
(sf)
HOUSE
Residence 1699
15673 1.00 Yes Setback
2.0
n/a
COMPUTER METHOD SUMMARY Page 7 C -2R
Project Title.......... Residence for Broderson Date........ 09/11/94
MICROPAS4 v4.02 File-BRODERSC Wth-CTZ11S92 Program -FORM C -2R
User#-MP1320 User-CALCTECH Run -Proposed Residence
OPAQUE SURFACES
Area
U- Insul
Act
Solar
Form 3 Location/
Surface
(sf)
value R-val
Azm Tilt Gains
Reference Comments
HOUSE
1
Wall
153
0.062 R-19
180
90 Yes
MW.19.2X6.16 FRONT
2
Door
20
0.330 R-0
180
90 Yes
None FRONT ENTRY
3
Wall
158
0.063 R-19
180
90 No
GW.19.2X6.16 TO GARAGE
4
Door
18
0.330 R-0
180
90 No
None TO GARAGE
5
Wall
18
0.062 R-19
135
90 Yes
MW.19.2X6.16 FRONT BAY
6
Wall
18
0.062 R-19
225
90 Yes
MW.19.2X6.16 FRONT BAY
7
Wall
332
0.062 R-19
90
90 Yes
MW.19.2X6.16 RIGHT
8
Wall
26
0.062 R-19
45
90 Yes
MW.19.2X6.16 BACK BAY
9
Wall
26
0.062 R-19
315
90 Yes
MW.19.2X6.16 BACK BAY
10
Wall
236
0.062 R-19
0
90 Yes
MW.19.2X6.16 BACK
11
Wall
340
0.062 R-19
270.
90 Yes
MW.19.2X6.16 LEFT
12
Wall
292
0.066 R-19
180
90 Yes
AW.19.2X6.16 TO ATTIC
13
Roof
751
0.031 R-30
0
0 Yes
R.30.2X4.24 FLAT CEILING
14
Roof
176
0.031 R-30
270
14 Yes
R.30.2X4.24 TILT CEILING
15
Roof
145
0.031 R-30
90
14 Yes
R.30.2X4.24 TILT CEILING
16
Roof
185
0.031 R-30
180
14 Yes
R.30.2X4.24 TILT CEILING
17
Roof
442
0.031 R-30
0
14 Yes
R.30.2X4.24 TILT CEILING
PERIMETER
LOSSES
Length
F2
Insul Solar
Surface
(ft)
Factor
R-val Gains
Location/Comments
HOUSE
18 S1abEdge
44 0.900
R-0
No
SLAB EDGE
19 S1abEdge
124 0.720
R-0
No
SLAB EDGE
20 S1abEdge
6 0.550
R-0
No
SLAB EDGE
21 S1abEdge
16 0.500
R=0
No
SLAB EDGE
FENESTRATION
SURFACES
# of
Vent
Sc Sc Interior
Area Pan-
Frame
Open
U- Act
Glass Int Shading/
Surface
(sf) es
Type
Type
value Azm
Tlt Only Shade Description
HOUSE
1
Window
16.0 2
Vinyl
Slider
0.600 180
90 0.88 0.78 Drapes.Std
2
Window
6.3 2
Vinyl
Fixed
0.570 180
90 0.88 0.78 Drapes.Std
3
Window
7.5 2
Vinyl
Fixed
0.570 180
90 0.88 0.78 Drapes.Std
4
Window
6.0 2
Vinyl
Slider
0.600 135
90 0.88 0.78 Drapes.Std
5
Window
6.0 2
Vinyl
Slider
0.600 225
90 0.88 0.78 Drapes.Std
6
Window
50.0 2
Vinyl
Slider
0.600 90
90 0.88 0.78 Drapes.Std
7
Window
16.7 2
WoodDiv
Hinged
0.550 90
90 0.88 0.78 Drapes.Std
8
Window
8.0 2
Vinyl
Slider
0.600 45
90 0.88 0.78 Drapes.Std
9
Window
8.0 2
Vinyl
Slider
0.600 315
90 0.88 0.78 Drapes.Std
10
Window
10.0 2
Vinyl
Slider
0.600
0 90 0.88 0.78 Drapes.Std
11
Window
17.8 2
WoodDiv
Hinged
0.550
0 90 0.88 0.78 Drapes.Std
12
Window
32.0 2
Vinyl
Slider
0.600
0 90 0.88 0.78 Drapes.Std
13
Window
30.0 2
Vinyl
Slider
0.600
0 90 0.88 0.78 Drapes.Std
14
Window
33.4 2
Vinyl
Slider
0.550
0 90 0.88 0.78 Drapes.Std
COMPUTER METHOD SUMMARY Page 8 C -2R
Project Title.......... Residence for Broderson Date........ 09/11/94
MICROPAS4 v4.02 File-BRODERSC Wth-CTZ11S92 Program -FORM C -2R
User#-MP1320 User-CALCTECH Run -Proposed Residence
Surface
15 Window
16 Window
# of
Area Pan- Frame
(sf) es Type
16.0 2 Vinyl
6.3 2 Vinyl
FENESTRATION SURFACES
Vent SC SC Interior
Open U- Act Glass Int Shading/
Type value Azm Tlt Only Shade Description
Slider 0.600 270 90 0.88 0.78 Drapes.Std
Fixed 0.570 270 90 0.88 0.78 Drapes.Std
OVERHANGS AND SIDE FINS
Window- Overhang
Area Left Rght
Surface (sf),Hght Wdth Dpth Hght Ext Ext Ext
HOUSE
3 Window
7 Window
8 Window
9 Window
10 Window
11 Window
12 Window
13 Window
14 Window
Mass Type
7.5
5
1.5
8
16.7
4
2
4.5
8.0
4
2
4.5
8.0
6.7
2.5
14
10.0
5
2
2
17.8
6.7
2.7
2
32.0
4
4
2
30.0
5
3
8.5
33.4
6.7
5
8.5
HOUSE
1 S1abOnGrade
2 S1abOnGrade
3 InteriorVert
4 InteriorHorz
0.3
n/a
n/a
0.3
n/a
n/a
0.3
n/a
n/a
0
n/a
n/a
0.3
n/a
n/a
0.3
n/a
n/a
0.3
n/a
n/a
0.3
n/a
n/a
0.3
n/a
n/a
THERMAL MASS
Left Fin Right Fin-
Dpth Hght Ext Dpth Hght
n/a n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a n/a
Area Thick Heat Conduct- Surface
(sf) (in) Cap ivity R -value
409
3.5
28.0
1210
3.5
28.0
50
1.0
24.0
80
1.0
24.0
System Type
HOUSE
Furnace
ACSplit
Location/Comments
0.98 R-0.0 Exposed.
0.98 R-2.0 Covered
0.67 R-0.0 Tile Walls
0.67 R-0.0 Tile Floor
HVAC SYSTEMS
Minimum Duct Duct Duct
Efficiency Location. R -value Efficiency
0.780 AFUE Attic
10.00 SEER Attic
WATER HEATING SYSTEMS
Tank Type Heater Type Distribution Type
1 Storage Gas Standard
R-4.2 0.830
R-4.2 0.810
Number Tank
in Energy Size
System Factor (gal)
1 0.62 40
External
Insulation
R -value
.R- 0
COMPUTER METHOD SUMMARY Page 9 C -2R
Project Title.......... Residence for Broderson Date........ 09/11/94
MICROPAS4 v4.02 File-BRODERSC Wth-CTZ11S92 Program -FORM C -2R
User#-MP1320 User-CALCTECH Run -Proposed Residence
SPECIAL FEATURES/REMARKS
R-4.2 duct insulation required
R-19 floor insulation required per Form 3
R-19 wall insulation required per Form 3s
R-30 ceiling insulation required per Form 3
Vinyl -frame dual -pane clear glazing required
Glazing U -values per CEC DEFAULT TABLES - Mfr. unknown
FURN.78: CEC MIN. REQUIREMENT
AC.10.0: CEC MIN. REQUIREMENT
HWH: A.O.SMITH FGR -40 REQUIRED.
CONSTRUCTION ASSEMBLY Page 10 3R
Project Title.......... Residence for Broderson Date........ 09/11/94
MICROPAS4 v4.02 File-BRODERSC Wth-CTZ11S92 Program -FORM 3R
User#-MP1320 User-CALCTECH Run -Proposed Residence
Reference Name . MW.19.2X6.16
Description .... Wall R-19 2x6 16oc
Type ........... Wall
R -Value ........ 19 sf-F/Btuh
Framing
Material ..... FIR.2X6
Spacing ...... 16 inches on center
Fraction ..... 0.15
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
FRAMING ADJUSTMENT CALCULATION
Cavity
Total Unadjusted,R-Values
Framing
Cavity Frame
R -Value R -Value
0.17
Material
0.82
0.82
.Name
Description
0.
FILM.EX
Exterior air film: winter value
1.
PART.BD.0.63
0.625 in particle board
2.
BLDG.PAPER
Building paper (felt)
3c.
BATT.R19
R-19 batt insul (cavity = 5.5 in)
3f.
FIR.2X6
2x6 in fir framing
4.
GYP.0.50
0.50 in gypsum or plaster board
I.
FILM.IN.WLL
Inside air film: heat sideways
FRAMING ADJUSTMENT CALCULATION
Cavity
Total Unadjusted,R-Values
Framing
Cavity Frame
R -Value R -Value
0.17
0.17
0.82
0.82
0.06
0.06
17.80
--
--
5.45
0.45
0.45
0.68
0.68
19.98 7.62
Total
U -Value: (1 / 19.98 x 0.85) + (1 / 7.62 x 0.15) = 0.062 Btuh/sf-F
Total R -Value: 1 / 0.062 = 16.07 sf-F/Btuh
CONSTRUCTION ASSEMBLY Page 11 3R
Project Title.......... Residence for Broderson Date........ 09/11/94
MICROPAS4 v4.02 File-BRODERSC Wth-CTZ11S92 Program -FORM 3R
User#-MP1320 User-CALCTECH Run -Proposed Residence
Reference Name . GW.19.2X6.16
Description .... Wall R-19 2x6 16oc
Type ........... Wall
R -Value ........ 19 sf-F/Btuh
Framing
Material ..... FIR.2X6
Spacing ...... 16 inches on center
Fraction ..... 0.15
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Material
Name Description
O. FILM.EX Exterior air film: winter value
1. GYP.0.63 0.625 in gypsum or plaster board
2. BLDG.PAPER Building paper (felt)
3c. BATT.R19 R-19 batt insul (cavity = 5.5 in)
3f. FIR.2X6 2x6 in fir framing
4. GYP.0.50 0.50 in gypsum or plaster board
I. FILM.IN.WLL Inside air film: heat sideways
Total Unadjusted R -Values
FRAMING ADJUSTMENT CALCULATION
Cavity
U -Value: (1 /
19.78 x 0.85) + (1 /
Framing
Cavity Frame
R -Value R -Value
0.17
0.17
0.62
0.62
0.06
0.06
17.80
--
--
5.45
0.45
0.45
0.68
0.68
IV.7ti 7.42
Total
7.42 x 0.15) = 0.063 Btuh/sf-F
Total R -Value: 1 / 0.063 = 15.83 sf-F/Btuh
CONSTRUCTION ASSEMBLY Page 12 3R
Project Title.......... Residence for Broderson Date........ 09/11/94
MICROPAS4 v4.02 File-BRODERSC Wth-CTZ11S92 Program -FORM 3R
User#-MP1320 User-CALCTECH Run -Proposed Residence
Reference Name . AW.19.2X6.16
Description .... Wall R-19 2x6 16oc
Type ........... Wall
R -Value ........ 19 sf-F/Btuh
Framing
Material ..... FIR.2X6
Spacing ...... 16 inches on 'center
Fraction ..... 0.15
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Material
Cavity
Frame
Name Description
R -Value
R -Value
0. FILM.EX Exterior air film: winter value
0.17
0.17
1. BLDG.PAPER Building paper (felt)
0.06
0.06
2c. BATT.R19 R-19 batt insul (cavity = 5.5 in)
17.80
--
2f. FIR.2X6 2x6 in fir framing
--
5.45
3. GYP.0.50 0.50 in gypsum or plaster board
0.45
0.45
I. FILM.IN.WLL Inside air film: heat sideways
0.68
0.68
Total Unadjusted R -Values
19.16
6.80
FRAMING ADJUSTMENT CALCULATION
Cavity Framing Total
U -Value: (1 / 19.16 x 0.85) + (1 / 6.80 x 0.15) = 0.066
Btuh/sf-F
Total R -Value: 1 / 0.066 = 15.06
sf-F/Btuh
CONSTRUCTION ASSEMBLY Page 13 3R
Project Title.......... Residence for Broderson Date........ 09/11/94
MICROPAS4 v4.02 File-BRODERSC Wth-CTZllS92 Program -FORM 3R
User#-MP1320 User-CALCTECH' Run -Proposed Residence
Reference Name . R.30.2X4.24
Description Roof R-30 2x4 24oc
Type ........... Roof
R -Value ........ 30 sf-F/Btuh
Framing
Material ..... FIR.2X4
Spacing ...... 24 inches on center
Fraction ..... 0.07
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Material
Cavity
Frame
Name
Description
R -Value
R -Value
O.
FILM.EX
Exterior air film: winter value
0.17
0.17
1.
SHNGL.ASPHLT
Asphault shingle roofing
0.44
0.44
2.
BLDG.PAPER
Building paper (felt)
0.06
0.06
3.
PLY.0.50
0.50 in plywood
0.62
0.62
4.
AIR.RF.3.50
3.5 in & greater air space: heat flow up
0.80
0.80
5.
BATT.RI9.0
R-19 batt insul (cavity > 5.5 in)
19.00
19.00
6c.
BATT.RII.0
R-11 batt insul (cavity > 3.5 in)
11.00
--
6f.
FIR..2X4
2x4 in fir framing
--
3.46
7.
GYP.0.50
0.50 in gypsum or plaster board
0.45
0.45.
I.
FILM.IN.RF
Inside air film: heat flow straight up
0.61
0.61
Total Unadjusted R -Values
33.15
25.62
FRAMING
ADJUSTMENT
CALCULATION
Cavity Framing Total
U -Value:
(1 / 33.15 x 0.93) + (1 / 25.62 x 0.07)' = 0.031
Btuh/sf-F
Total
R -Value:
1 / 0.031 = 32.48
sf-F/Btuh
HVAC SIZING Page 14 HVAC
Project Title.......... Residence for Broderson Date........ 09/11/94
Project Address........ A.P.#069-025-002
Oroville
Documentation Author... Neal Kuopus
Company ................ CALCTECH
Telephone............... (916) 589-4219
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Field Check/ Date
MICROPAS4 v4.02 File-BRODERSC Wth-CTZ11S92 Program -HVAC SIZING
User#-MP1320 User-CALCTECH Run -Proposed Residence
GENERAL INFORMATION
FloorArea .................
Volume.. .... ............
Front Orientation..........
Sizing -Location ...........
Latitude... .. ........
Winter Outside Design......
Winter Inside Design.......
Summer Outside Design......
Summer Inside Design........
SummerRange..... .....
Interior Shading Used
Exterior Shading Used......
Overhang Shading Used......
Latent Load Fraction.......
Description
1699 sf
15673 cf
Front Facing
OROVILLE RS
39.5 degrees
30 F
70 F
104 F
78 F
37 F
No
No
No
0.20
HEATING AND COOLING LOAD SUMMARY
Opaque Conduction and Solar......
Glazing Conduction.. .............
Glazing Solar ....................
Infiltration .....................
InternalGain............ .....
Ducts ............................
Sensible Load ....................
Heating
(Btuh)
12226
6320
n/a
8915
n/a
2746
30207
Latent Load ...................... n/a
Minimum Total Load 30207
180 deg (S)
Cooling
(Btuh)
5007
4108
7237
3660
2100
2211
24323
4865
Mitlh
Note: The loads shown are only one of the criteria affecting the selection
of HVAC equipment. Other relevant design factors such as air flow
requirements, outdoor design temperatures, coil sizing, availability of
equipment, oversizing safety margin, etc., must also be considered. It is
the HVAC designer's responsibility to consider all factors when selecting
the HVAC equipment.
3 : COMM uO BUTTE
NG`
�Btltii"6OUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM OCT 3 1 1994
(One Form Per Building)
t:
,'School_ District '.,::% , �%'.�-f7 � . l Building Department No. ,
A.P. Number �(} �Q -=Q Jurisdiction City County r `
-6� ,
Property Owner
Property Location/Address S A TrPsi c u re it Ar pit r��rdy" ll e d ij S-C9�O
i'
t• '
Subdivison Lot No.
Residential Development F 0 0 Sq. Footage
No. of Living . MHI Addition. (Group R)
t Units
x.
Commercial/Industrial 5 = Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Z/ApAtive'-
B ildi g Departme epre-s t Date
(Floor Plans reviewed by School District Personnel)
District Identification No. 9 ��
f J6�U✓i ��Ci [ e v✓� • School District certifies that / ' n /� f�rU GPe �s LTV -7
(Applicant)
(Street Address) ` j (Phone Number)•.
C4.
(City) (State) " f- (Zip Code)
has complied with the requirements of Resolution No. 1'•j 7 - 9 / y by payment of $ 0 g
representing _1697—square feet.
School
719
Date
Paid by Check Number ( Remarks: !o 6 1ESt / t�- Yav n 6 -
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County. Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this.project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
at
White (applicant), Yellow (building department),. Pink (school district) feeform.wkl (4/92)
,F
Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
Building Division FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this
acknowledgement be recorded prior to issuance of a building --- -- - — --- - -
permit. 94 —04518 1 21
9 A 5
4
Rec Fee 9.00
The property described herein is adjacent to land or included I Check 9.00
within an area zoned for agricultural purposes, and residents Recorded I
of this property may be subject to inconveniences or Official Record's I
discomfort arising from the use of agricultural chemicals, County of I
including, but not limited to herbicides, pesticides, and i Butte I
fertilizers; and from the pursuit of agricultural operations 'Candace J. Grubbs I
including, but not limited to cultivation, plowing, spraying, Recorder
pruning, and harvesting which occasionally generate I 2 : 14 p m 27 -Oct -94 I P U BL XX 2 "
dust,smoke, noise, and odor. Butte County has established - - - - - - - -- -- -
agricultural zones which have as a priority use for productive
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
�-Q o,
'Foa 0 -
c�AA�-k,eJ,
Date: l O � ^ *
JeSClS��
PROPERTY OWNERS:
i
f
S -e -e
State of California
County of -� ) i �'``'° 0001E HULA
On / 0 - 0q(1-! 9 before me, \ 1t� �J 1-- \ �� �4 NOTARY PCU
ct
\Tam way
personally appeared �
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument. -
WITNESS nXl-a-ilyl andcial se., FAULT
Signature
A.P. # , � [ —
x r;
+q NOTARY PUBUGGAL1FORNiA tv
0Seal: to MY Commission l3FeA. 3, iS95 V
DESCRIPTION
94-45182
ORDER NO. BU -144547-3
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
LOT 205, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE
ESTATES UNIT 4B", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER
10, 1977, IN BOOK 58 OF MAPS, AT PAGE(S) 73, 74, 75, 76 AND 77.
PAGE 5
END OF DOCUMENT