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HomeMy WebLinkAbout069-500-00269-50-2 GORDON MASSAE r o f �SSu #4 Powers Ct O'roville � Con tr; Dolla.rhide, Alturas _ Perm' 963-85B,P,E,M(new single family_) 69-50702, 391-90B;,P,E,M BELZA Development.Corp:' #4 Powers Court;`=Oroville (new sf) ' q'i-00�5 a 0 � i i .. F 4 � . Ln r y � RESIDENTIAL 69-50-02 391-90B,P,E,M ` BELZA Development Corp. #4 Powers Court, Oroville. i (new sf ) Lo ®P y*meg fp, , :y y If .. Y„ i' C} Y .l ^ OFFICE COPY Address_r—.��� GAS ` ' Meter By Date �! ELECTRIC Date Meter By OFFICE COPY Address_ �- 3 � ' t Meter By Date ELECTRIC 2/_Gy 6' Meter By Date JOB FINALE Signature J=OK O = Not OK -=Not Applicable 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: / P'Uft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 , Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Pians) OK except #'s 1. Zoning Requirement$ -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 ElectricitK.T, gged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 MISCELLANEOUS Date' DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Sc'ls-Size-Depth-Spacing-Connectors-Steel, 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs' -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing \ t t 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-Pane Iboa rds-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 ✓=OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (S ' = Date UNDERFLOOR (Plans) OK except #'s Zoning -Setbacks -Easements food -Slope Ftg., Main; Soils-Elec. Gr . / /" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ -C Ftg. Depth 4. Ftg., Porches & Decks: Soils -Steel-/ /Ftg. Depth Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped L 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date and B-1 Date Card B-1 DateCard B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle aq'Uater Pipe; Test & Anchor -Nail Protection ti8.�W.V.; Test -Fittings & Anchor -Nail Protection 39- 4*ewer Pan; Test, First Floor -Tub Access Q—u-t-T Shower, Second Floor -Tub Access 24�-�as Pipe; Size & Anchors Date1 �U Card B-1 Date ''Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22r.Fk<re & Transformer Clearance -Ins. Protection �J 2$if*F ffeceptacles Spacing -Lights & Switches'at Doors 24, -Size -Boxes & No. of Conductors -Stapled ome Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fastners Bond Gas &Water DDliance Circuts in Kitchen & Conductor Size/GFI 2a^Sabfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 79r-Renge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. o hes Closet Light -Shower Light -Spa Light 39:'Smo cue Detector Date-1,-ISV Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 94"A.C. Ducts Insulation & Support ent Fan; Exhaust above insulation ondensate Drain & Overflow; Size & Grade urnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet is Access & Platform if Furnance in Attic Date 4 Z)Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 3 ils, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing raft top in Walls (rat proof) i ops; Furred Ceilings -Stairs -Chases -Tub 41r -Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) ¢ Hange�6st Caps -Anchors -Connectors n ist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Ring. irepl Ties or Type A Flue -Fireplace Throat clearance is Access; Size & Romex Protection -Draft •Stop -Ins. Baffles u-sdoh - indows or Exiting Doors -Sill Hgt. &,.Dimensions rage Fire Protection Framing ,61-PrapaLty- Line Firewall & Openings oors-One T -Check Garage -3rd Story, 2 Exits 5 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ood on Roof Overhang -Attic Vents -Rafter Outriggers %.-Nailing Veneer cco Mes Drip Screed -Fd. Vents-Underflr. Access ,ng Area -Glass Protection -Skylights -Plastic. ear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows _ Date . - Card B-1 Date Card B-1 Date and B-1 Date Card B-1 Date FINAL OK except #'s 6A4 -Ext. Steps -Door & Sidelight Protection -Landings moke for urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6 oom fling .I. & Bath Fixtures & Tub Access -Spa c. Trim & Subpanel; Breaker Sizes & Labels .6Z.-9taft rB " R ai is 8: ireplac tove; Clearances -Hearth Kq��c. Outlets at Wood Panel; Int. & Ext. 70_I4ir'Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance U_Elet­6 "s & Receptacles at Kit. Counter 7 rape Fire Door; Swing -Landing -Closer 74w* C. Duct . Garage -Damper 74 r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 7 lec &Mech. Equip. Listed for Location 76 c. Receptacles in Garage; (G.F.I.)-Romex Protection 7 sulation-Foam-Looked in Attic 0 Yes 7 and Rails & Deck Construction -Post Caps 79-6dri•Vents & Crawl Hole Door -Drainage & d -Earth Clearance Looked under Floor es aa-PetMwing instld.; Drive - 0 No; Walks es 0 No; Planters es EilTo al-Ortic-c-o; Brown -Finish 8 � niY nnect, Electrical, Plumbing 8 . is Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings �1k-Bisconnect, Electrical, Plumbing erior.Elec. Trim; G.F.I. Receptacle -Underground ation Throughout House Protec fion ections from Previous Inspections as Test -Meters Tagged; Gas -Electric W-ga_terier Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Datf— 1 �ard 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: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE X.:� ER / -'4;�c1 RMIT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. rt rve4 i L7 (,j,/ T H &A -T- 7 L) wT Date—!2- Date - fo Inspector wt COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE �L i NER SCJ A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. If%✓ GI �1 /1 / w I InspectorL&± Date � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 89.1-2751 4 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE VNER L'✓ PERMIT NI A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter or n ed additional explanation, please contact this office immediately. - -:1 •: CA/0 qq t'Olt n i J V Inspector J' Date l� -ter - Lr ENERGY INSTALLATION CERTIFICATE Building Owner: na4 U 12U Building Permit '# Building Location p(11, ]W 0-MV1- QAV S SL% `(). 006 . DESCRIPTION OF INSULATION ROOF SYL A1"m cue 0 - Material. Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material Thickness(inches) CEILING Batt or Blanket Type . Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material. Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Brand Name Thermal Resistance(R Value) Brand Name Thermal Resis.tance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name, Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Material. Brand=Name • Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation was 'installed in the above building, is consistent with--approved-building-•.depar-tment'-plans and attachments and con- forms with requirements of Chapter 2-53 of State'of California Energy Requirement FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, ands equipment, a,, shown on the approved Building Department plans and attachments have been `installed and -conform to the appli- ance standards and Chapter 2-53 of the State of California Energy Lequirements. BUILDING CONTRACTOR/OWNER (Please Print) (F RM NAME) ���� � z /u, z. GNATURE OF BUILDIN ONTRAC OR/OWNER °5q/q U 2 STATE CONTRACTOR'S LICENSE NO. %- 6- it) DATE' HVAC FIRM NAME/OWNER (Please'Print) STATE CONTRACTOR'S LICENSE NO. SIGNATUREOF HV C TRACTOR/OWNER DATE THIS CERTIFICATE ST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 -I - ENERGY CERTIFICATION LOCATION A. P. NO. I-i�b MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE (R VALUE) EXTERIOR WALL MATERIAL FIBEGLASS_ BRAND NAME CERTAINTEED- ERTAINTEED-THICKNESS _ THICKNESS(INCHES) THERMAL RESISTANCE (R VALUE)_ CEILING ___ BATT OR BLANKET TYPE FIBERGLASS. BRAND NAME CERTAINTEED THICKNESS THERMAL RESISTANCE (R VALUE�T LOOSE FILL TYPE_FIBERGLASS BRAND NAME CERTAINTEED MINIMUM THICKNESS (INCHES) NUMBER OF BAGS aPER BAG 25 LB AREA COVERED (SOFT)--" _WT THERMAL RESISTANCE (R VALUE)_ FLOOR, ELEVATED MATERIAL FIRER LASS BRAND NAME CERTAINTEED THICKNESS (INCHES)_ _ THERMAL RESISTANCE (R VALUE) FLOOR, SLAB MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) FOUNDATION WALL MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. HAWKINS INSULATION FIRM NAME/OWNER 379+07 STATE CONTRACTOR'S LICENSE NO. SIGNATURE DATE I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. ALL EQUIPMENT, DEVICES AND MERTIALS ARE OF THE QUALITY PRESCRIBED OR ARE SPECIFICALLY APPROVED BY THE STATE OF CALIFORNIA. FIRM NAME/OW14ER /'Z� /Z- "'e, /- GNATURE GEN. CONTR TOR/ NE STATE CONTRACTOR'S LICENSE NO. DATE -1- t`d'ay MEMO TO FIELD INSPECTOR Permit# A.P.N0. &'r- '60 To: Field Inspector: From: J.R. Henry, Plan Checker Subject: © 6-kt ffe71el-/� Slav Jr Date . hle4f�T A0 �a �� F :+ LAUGHLIN & CO. CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 (916) 671-1008 PROJECT BY C.--�`_ ."' DATE �2 JOB N0. SHEET OF� c� Sk,2- X00'' 90� G CE Qc .o 33 " IiU = 13Y33 - �2� (f. �2 i G,151D cl y o'- oG t o� LA'UGHLIN & Co. CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 (916) 671-1008 D PROJECT BY DAT� 9C) JOB NO. SHEET OF (o � I o' qv 32 + IPJ�6 -- 0"l6 5-1 �2- <- (I C) C-�) (c 'j4a(N,j 40000 0\ t4 51 C) :No)�ItA iva 1/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CAlifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. i1 ASSESSOR PARCEL NUMBER 69-50-02 ZONING - BUILDING PERMIT OWNER Belza Develo ment r TELEPHONE 671-3 5 SQ. FT. OCC.1 BUILDING VALUATION R-11 65990 OWNER'S MAILING A DRESS1649 1510 Poole Blvd Yuba City, CA 95991 sng M-1 7112 CONTRACTOR'S NAME Same TELEPHONE 84 rr)y L940 CONTRACTOR'S MAILING ADDRESS Fireplace iIIAII1�� CONSTRUCTION LENDER UNKNOWN Total Valuation $ 739 Filing Fee $ 10.00 LENDER'S MAILING ADDR SS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 177.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Powers Curt Permit fee $ 557.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 8 2.00 Orovillp Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 18 NAME IVillage Oaks #2 PARCEL MAP 5- Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 4 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ 46.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): IVd lye I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full f ce and effect. ;��7�%� License No.�, Classification Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. AOD'L 100 AMP 2.50 2.50 NEW CONST.( DWELLING OCCUP.&) New AMULTI-OUTLET h¢sgft 53.90 CONSTR. NON-RESID .BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occup p�OUTLETS OR FIXTURES 0050C j eALo3o 2ALO30 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 69-50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department -.,a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 6.00 6.00 Hood J 3.00 3.00 Ventilation 3 3.00 .00 Permit Fee $ 34.00 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 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, co , and expenses which may in any way accrue again i ounty '#n cons a the granting of this permit. X Date ��� Sign ure of Applicant - Owner ElContractorAgent dtvl�I An OSHA permit is required for excavations over Sff deep and demo ition or construct -LIC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ cc �3 DN E L FE TOTAL .00 $ 7 33.00 HAz�SCF CUA PA PAR D D I uE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC BY PER IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datea �_/ Receipt No. WHITE-D.P. YELLOW -A58! 8 R, PINK•INSPEC GOLDENROD-APPLIC NT COUNTY OF BUTTE - DEPARTMENT Oj PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFt3R`N[fA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLLCATIO14 DATA SHEET Permit No. OWNER ✓���_. A. P. No. `� ,j.�7Z Proposed Building Use - Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... -tatement of Intent for Non -Heated and AC Buildings .............. ngineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ........................................ ees of $� .�� ........................ 11. Chico Urban Area fees paid ....................................... 2. Park fees paid ... /4111, School District fees paid .............. aHealth Department City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 8. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... rtificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner0) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... �- �O -Qd 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone l�?IS and hold for pickup at 040_office. Deliver w/inspector. Other 1-71 Applicant Date .2 P" � E-? Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted rI r to permit issuan e: Ircle new item not checked above). 1. Index permit for above items No. - � ?� 2. Additional items required: LI -1 / (6. pe0 ,, 'car- Si7Q4<- AOHi� TAasSS C4(.o�, 0"44/0&0, Contracto igner, owner, was advised of above required data by hone_maiI—counter by ..date a Contractor, desigper,wner, was advised of above required data by—phone —ma II—counter by date Plans checked '66by —Date V-4',0 Plans approved by S45— Date Sets of plans on hold in . File cabinet AP folder Copy—DPW TO: Building Department FROM: jEncroachment Permit Sectio - n- j- -- , RE: Driveway Clearance 7-* 4. owner location �- 5-0-07— AP # Driveway permit. 0 - has been issued for the above property. date si ature PERMIT NO: 1p-90 Lake Oroville Area Public Utility District 1960 Elfin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BU I LDI NG 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: February 8, 1990 Applicant: BELZA DEVELOPMENT Applicant Address: Applicant Phone No.: Property Location (s): A. P. No. (s): Fees due: 1510 Poole Blvd., Yuba City, CA 95991 671-3505 4 POWERS COURT, OROVILLE, CA 95966 OAKS SUBD. #2, LOT 18 69-50-02 $20.0.00 LOAPUD Annexation Fee, $35-00 LOAPUD Connection Fee $900.00 SC -OR Regional Facility Charge Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: Lake Oroville Area Public Utility District release to close permit: Date: By: BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form._perms Building) 1 A.P. Number ��(� �UBuilding-Department No. School District el%_O. r.1F � City = County [;�]-"Jurisdiction Property Owner Project Location/Address /. // Subdivision �,,/ � % (cam ey, A?., -Lot Number I V Residential Development: p Sq. Footage # of Living MHI Addition' (Group R) 4 t Units Commercial/Industrial: a Sq. Footage { New Addition (Including Exterior Roofed Areas) -_Bu ldi 'DepaYtment Representative / date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that (Applicant Name) (Phone Number &- n �AU7,1d, ,./1,, 7/1 .XPi Street Address i V(City) ha 's complied with t+ by the payment of I It Schoo ' (State),. (Zip Code) the requirements of Resolution No. d to ,7-1)- 00 $ %a representing 16 square feet. - strict ,,,'�Representative eet.-strict�Representative Date PAID BY CHECK NO. REMARKS: ' C L (.( BANK NO / .3 r'i o �� 02 q PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) r, L MEMO TO FIELD INSPECTOR Permit# �` Date l l ft,/ i A.P.No. To:..Field Inspector: From: J.R. Henry, Plan Checker Subject:. C /611yCi.' 'W&(5� /lkG�T gnryA7. (1e& Sia 1. kma �ou►en� C�u2i �,a��s S��`o�J. AP r.IO . [ori 5o ., o 2 mkA CSW ell &L / ela LAuim LAUGHLIN Co. CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 (916) 671.1008 PROJECT L BY/-- ) - - DATE JOB NO. SHEET T OF cask W 13x33 " �2� /�T -2- �,t = G,� y o ` , �,�Y�Z Fog 7sl — ------------------ V;I D e;-tua ��- cj-,a 6-t L Lj AUGHLIN Co. Avd- CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD 'yUBACITY, CA9599, (916) 671-1008 ct PROJECT/ BY DAT_a6� JOB No.. SHEET 2 OF- r + � t7i Ge ecZ Z! 1.� OWNER'S NAME: z �- lWvyy PERMIT NUMBER: _ cl "_ C) A . P . # : �c1 '� — C1?, DATE 4,4 ® RESIDENTIAL ❑ NON RESIDENTIAL RECEIVED BY L-(- TIME _____—— — — — — —— — — — — — — — — REQUIRED PRIOR TO PERMIT ISSUANCE ❑ .FROM DATA SHEET ❑ REQUESTED BY PLAN CHECKER ❑ OTHER REQUESTED BY CORRECTION NOTICE ❑ YES ❑ NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS:, WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) Mail to contractor (Name and Address) Call and hold for pickup at office. Deliver with next inspection. REVISED PLAN CHECK FEES PAID: $15.00 $30.00 Additional Fees Not Required N G /;U ICT [a] -L tAel( :2 Hi's IMMMURn 11UNNG k, PROVED ALP, "'MASWk� W 4� t C8M WT P-tV- OL- 71-5pp-l- -?-w-vpvp pvlp A - .69M CL PRAW -WUIV09- r-bmp U ki P I -s-tv iz -g� ADD LAUGHLIN Co. CIVIL ENGINEERS. lUUd LIVE OAK BOULEVARD YUBA CITY, CA95991 (916) 671.1008 .WAWQ -16 A:Z)cm N6 . S- SLI 15FA lot Win- 5 IMMMURn 11UNNG k, PROVED ALP, "'MASWk� W 4� t C8M WT P-tV- OL- 71-5pp-l- -?-w-vpvp pvlp A - .69M CL PRAW -WUIV09- r-bmp U ki P I -s-tv iz -g� ADD LAUGHLIN Co. CIVIL ENGINEERS. lUUd LIVE OAK BOULEVARD YUBA CITY, CA95991 (916) 671.1008 .WAWQ -16 0 i 41 to &CAAA.A ll\W'L \V/6 9�j e. I z --T t C> Q, Q.. -4-49 f3 " 0,C. N -.1y1�� G t2" � �� #- 4- TOTAL_ 6 a %2 Cut. I ,-Amo -ca Cst2AVuu PVV-,V-FILL. Al2eA to x '-rMt D Cl 12OU T. r-1 I-Lel> C-1 earn - Gsy- RA (-^ft- L 4p WATtM pmt= WAL-L5 6PAV EL PRAIM -tV '>j f U-tv 09- r-bmp ...-I IJSTAcLLATI006; \\ �....uN�IsTuRgt� �T�} o.c 7-5 11 �k -Tb EA12T71t*- I L Mt Anq 6° V-ev, \%/fAt:12e No LAUGHLIN 8c Co. CIVIL ENGINEERS — luut$ LIVE OAK BOULEVARD YUBA CITY, CA 95991 (916) 671-1008 7Z!— v 5 -47 .10 ,-Amo -ca Cst2AVuu PVV-,V-FILL. Al2eA to x '-rMt D Cl 12OU T. r-1 I-Lel> C-1 earn - Gsy- RA (-^ft- L 4p WATtM pmt= WAL-L5 6PAV EL PRAIM -tV '>j f U-tv 09- r-bmp ...-I IJSTAcLLATI006; \\ �....uN�IsTuRgt� �T�} o.c 7-5 11 �k -Tb EA12T71t*- I L Mt Anq 6° V-ev, \%/fAt:12e No LAUGHLIN 8c Co. CIVIL ENGINEERS — luut$ LIVE OAK BOULEVARD YUBA CITY, CA 95991 (916) 671-1008 m v rZ�A i m IPRa�rOF Gts rvrry LoCATCo.c/ OF RC -7-f MollAla q [N�j • CCAI� �NNt S�/6/!0 3; w aM9 a �/¢Ci i/OT ��i201/E�J /FSOf�O/CT�/�Yi GA�rC.4� e S;1646 OAJ4Y SuGI'OKT/NG E�-Tf/ � ' BC DC W4GC . 7V R� Job No. Job Name Com pgny is ROMS CML ENGINEERS Date Chico, California Page 2 of 4-5 By R 0 R E5U I L -DI NG' "A" 0 E!; -LOG NORTH i R. C. E.84.�M Reg. Expires 9-30-91 BY: t -,Job, DATE: -90 JOB NO: 4-3+S PAGE: I OF r7 S 4,0 iso. C34267 -,/, " A "— * `0® NorthStar Engineering Civil Engineers - Planners - Surveyors PI = 141440 120 P' T - 20 Declaration Drive Chico, CA 95926 (916) 893-1600 . so -I c' f -� p Gt%ti 4- I T ER- FT -(-i ISIQ jo-a y- p 7t 00ap 2.99 PS I J 6-F- Q—'P- W-- Z- p7-!5,00 tL- e�.9 4 .......... . . . so -I c' f -� p Gt%ti 4- I T ER- FT -(-i ISIQ jo-a y- p /, r 916 CL; 8 STATE OF CALIFORNIA (Acknowledgement) as. County of SUTTER On'this 1ST day of FEBRUARY intheyear'19 90,beforeme, N. WALTERS a Notary Public in and -for the said County and State,'residing therein, duly commissioned and sworn, personally appeared THOMAS I. BELZA personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s): INDIVIDUAL). Whose name is subscribed to this instrument, and acknowledged that he (she or they) ex ecuted It. (M CORPORATION) Who executed the within instrument as - presidentXU _'@HOHU�, on.behalf of the corporation therein named, and acknowledged to me that such corporation executed the within instrument pursuant to its articles and by-laws and a resolution of (0 PARTNERSHIP) its Board of Directors. That -executed the within instrument on behalf of the part- nership, and acknowledged to me that the partnership executed it. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, in and forsaid County and State_ thedayand ear first above written. - - - - - - - - - - - - - - - - - OFFICI:AL: SEAL LT 'L N. WALTERS _IC_C L NotaryPublic n and for said County and State of California NOTARY PUBLIG-CALIFORNIA OU N My commissil", expires: SUTTER COUNTY pireS J, 1] 9, My Commissian Expires Fn- 19,1992 FD -1 B b . NU OF DOCUMENT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT l90-052:57 Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded' rior to issuance of a building permit. �^ p I :, 90-005257 ; R e c Fee 5.00 The property described herein is adjacent ; Total 5.0'0 to land or included within an area zoned Recorded ; ,for agricultural purposes, and residents Official Records ; of this property may be subject to incon- County of ; veniences or discomfort arising from the Butte ; use of agricultural chemicals, including, Candace J. Grubbs ; but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 1:52pm 8 -Feb -90 CD 1 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ,o. 33516PE _ A,P. 00. (,q-s�o-02. DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Lots 13, 16, and 18, as shown -oh that certain Map entitled, "VILLAGE OAKS UNIT -NO. 2", which Map was filed in the office of V. th'e Recorder of the County of.Butte, State of California, on Sep- tember 6, 1977 in Book 58 of Maps, at pages 62, 63 and 64. Date: q 0 PROPERTY OWNERS:' State of ) SS. County of ) On this the day of , 19 , before me, the undersigned Notary Public, personally appeared r E] Personally known to me. EJ Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public '" IL; I y � , i' 6-o ti A a el a � u pe -74' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM);R O ^ ZONIN BUILDING PERMIT w Or r.wqrk'n TE PHO e C SQ. FT. OCC. BUILDING VALUATION AILIN DR 55 I CONT ;A ` V OR•S N TELE HQN{�^ O"rl/V, }(J( CONqACTOR7 MAILING Dig Fireplace CON T U ION LEN R r UN NOWN Total Valuation 1 $ Filing Fee $ 10.1 LENDE 'S MAILING ADDRESS Permit Fee $ -00 ARC I, ECT OR ENGINEER II�Z%"14-y_ LICENSE No. Plan Checking Fee $ t% i n $ \ ARCHITECT ENGINEER'S MAILING ADDRESS Permit fee V I $ BUILDING ADylgESIA)L PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Oro U Water piping 5.00 �Q LOT N I{ SUBDIVISION NAME PARCEL MAP V l ©,I>'(!: �� Each qas water heater o e t 5,00 Gas piping system 1 - ou 5.00 USE OF STRUCTURE SFA Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI G W 10-00e TYPE OF WORK New Addition❑n fiemodei❑ Utilities❑ Installation❑ Other❑ Describe work: __ Permit Fee $ J0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 00 M 10. ` .00 Main service EA. ADD'L 100 AMP 2.50NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS.0 oe 21/20sgft ,a 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 ful force an effect. License No. IT ����C Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec.:7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. 2oes0e TS OR FIXTURES BAL®30 Ex. OcCUP. FIXED Ex. OCCUp. OUTLETS P(RESID )'EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. Heating ,Q Cooling Hood 3.00 , �© Ventilation f 3,Q permit Fee $ C14 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`a to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilitie , judgments, costs, and expenses which may in any way accrue against s ou , in con quen•, of he granting of this permit. X j Date AXSZ Signature of Applicant — Owner F1 Contractor Agent[ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 17 52 TOTAL ERMIT FE $ �� OCCUP, GROUP I TYPE OF CONST. PARC PD HD 65UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable pr�vi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. LLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIV .,- ,OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER_ =o, ,a,.., M A. P. No. _Gq- Sa - 2 - Proposed Building Use Permit Fee Based Upon: Complete Contract Price J,/ DPW Valuation Other (Explain) Building Inspector Date -V — At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED. APPROVED N, 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 5 4. Complete engineered plans and calcs. . . . . . . . . . J 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. V/ 8. Fees of $ 4 a 5� n . . . . . . . . �9. Letter of signature authorization. �,ea'Ith'Dep't.' 0.Sanitation approval from )_8) 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . , , 16. Mobilehome Installation Data. . . . . . . . • 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector (Date) _ 8. Recorded copy of Agricultural Acknowledgment Statement. �� o �� r_7 t Other c h��-- When you issue the permit, process as follows: Mail to owner. MaK to contractor. Telephone and hold for pickup at office. Deliver w. /inspector Other APPI icant ''�/., � �_. /, ..s -.�C Date ,._r c /�'" ` Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted,prior to permit issuance. (For required items not checked above at t' a ication, circle item.) 1. Index permit for above ltfms No. 2.,,AcAtional items requiP (Contractor, Designer,13#r'Viy )Wadvi Plans checked by Plans approved b) Other: Copy—DPW data by Telephone Mail Other - Date Date Date ' LAUGHLIN & CO. CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 (916) 671.1008 ;/,:I- I Orltya c- PROJECT BY DATE SHEET- OF- oil F'Q.. _...J LAUC I it OF G J • siiro J _. J vl RAO ��•6Lr��� V 1 Ste. 1? -C, d _' e,... i j k ' lar` o (ip, 11 -PA VA v- 4 ' I t. SUILDINd ©EPARiMEN7` 1 o t LAUGHLIN & CO. CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 (916) 671.1008 PROJECT K-11\119 1UG `041, BY DATE CHECK DATE SHEET OF _ Oo�o 7/0 y s • I b A- g 24.4 . Y 3 .�Y s� 3 . . PROJECT LAUGHLIN & CO. BY ,i.�. DATE E> CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA95991 CHECK DATE (916) 671-1008 SHEET OF VI,j1 �,. r 46(1 j • �/o ���-z . i IJ S (GTI �� �0 v E � h 12 +-kc 121" o� 1 T w,WIT , I LAUGHLIN & CO. CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YU13A CITY, FA 959-91 (916)671.1008 PR0J�ETJl—�_T_Al0flLYLj \v�( 7, BY —DATE CHECK —DATE SHEET OF � / — �' Y � ciylc��l> 2�v�� LAUGHLIN 8c CO. CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 (916) 671.1008 o ttoy-74115c-.7) 12Z (6'r -Eo 117 7. PROJECT IBY DATE n CHECK DATE SHEET OF /911— v ' LAUGHLIN & CO. CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 (916) 671-1008 - i r PROJECT IA( k)lon UA-i.�. BY D V4011 -114L' CHECK DATE SHEET OF W h t 1" Coin 1 Co4-%t- I (LIZ, 7 l c�)rix (Soo ),o ?_o L� — I E:` � [1/1 "Z (1 1 `� �,O-�.� 'Z- (r�ll!f�'• �"C? 7 , G7 1 Z� c. _> ^[I 33.1 r ) c F20 M S z77-1 ---:. - �) L- P z Z G Z01' • ��-� .. vim. `~LAUGHLIN 8c CO. CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 (916) 671.1008 PROJECT r ATE lQiv. i�4� �- CHECK DATE SHEET OF �- i Certificate of Compliance: Residential Climate Zone 11 -Mandatory Measures Checklist: Residential MF -IR Project Tltl¢ NOTF- Lo-Lo-r=residcnrial buildings subject to Lie Standards mustcontain tleu mctn.u•es rcg dkm of the =mpiian¢ Pio I /! approach used Items marked with m asmruk (') maybe superdco by more string=t r-omplun¢ ncqumtzmnts LnW R. Building Permit M on use Cwfieue of Compliance- when taus c.Neeklia is ircor-torated into the permit documents. the features need stun / C be considered by all partr_t as binding minimum component performance sxafreasioru f« use matria�y measuresk Project Address A� -S / Whe:hcr they are shown tlserhere in the documents or on ois chocust only. ZS_c ed By f Date Doeumentsdon Author Telephone Enforcement Agency Use only 0FSCt1PnoN I DESICNU LNPORCE.NEMr Building Envtlope Measures G 9=ca • BUILDING DATA � •§t•slsz(a): Minimirn ceiling insulation R•19..eighttd avenge_ i --���� North 42.5352(bY• Loose fill insulasias marwfacwrcr's labeled R•Viluc. Conditioned -=roc Area Number of Stories �_ East S ' 42.3352(c): Minimum wall insulation in framed walls R•I I wcighted avciagc (dost n« apply to a Sia§ sed F Number of .Units I South '�' 352( fuss wan,)' ul .0 §2-53sz(k): slab edge iruation-water absorption rate no grcaru than O.J. ward wap« [ ] Single Family Detached (SFD) [ 1 Addition Alone tnnsmrssiOn rate no gro a wit z.a p m+/vnch. West (] Single FamilyAt:ached(SFA) (] Existing Building Skylight Q §2.5311:lruuliuonspettaedorinstalled meetsCalifomiaEncr%7Commi:a«,(CEQquality / standards Indicate type and form. [ ] Multi -Family (MF) [ 7 Existing-Plus-Addidon Total 33 %1/. 42.5352(r): vapor banters mu+datory in ClimateZons 14 and 16 only. �i— 12-5117: lnfilum6on/Eafiltntion Conrols } BUILDING SHELL LNSULATION a. Doors and endows between conditioned and unconditioned spaces dcsipxd to limit air i • ... .,•, .. • - - .. b. Doors and windows eueified. Component Insulation I ccatilon Comments c Doors and windows wthersaippea au joints and pts+ CXU caulked and snk4 _ Type ` R -Value (atric, to ganger :'J�ice—'etc.) 12.5352(c): SpcjcW infiloration barrier installed to comply with 42-5351 mocus CBC quality standards. Wall .............. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built rvcptaces have Wall .............. a Tight fitting. closeable rncW or glass door Roof ............. 3b b. Outside air intake with damps and created R- C* Flue damps and control .:. 2 No continuous burning gas pilon allowed, Roof ............. Floor ............. HVAC and Plumbing System Measures Floor ............. 12-5352(g) and 2-5303: Space conditioning equipment suing: atoch aindations. Slab Edge..... §2.5352(11) and 2.5315: Setback thermoux on ill applicable heating ayaems- • 42.5316(a): Ducts constructed, installed and insulated per C1lapta 10, 1976 UMC GLAZING Shading Devices J2.5316(bk Exhaust system have damper canirolc §2-5314(c)r Gas- furdspaccheatingequipmenthasinternicerttignitiondevices Glazing Area Glass Type Interior Eterior Overhmg Framing Type 52.5314: )f V AC equipment, water heaters, she wcrhrsds and rauats certified by the C<C- Orientadon (Sf) _ (single, double) (Toller blind, etc.) (sh screen etc.) es/no) (mefaUwood) §2.5352(il: Watahcata instdationDLvnlen(R-)2«greatu)orcombineAinteriorkstuior . .. " ... _— ^ •- insulation (R.16 a gsnterr fust 5 feet of pipes closest to tank insulated (R-3 or greatu). -- .- . -. -No f•[iy,) ( •) _([-- '1_ L - t _ � §2.5312(Esccption Ir Pipc insufadon onstam and susm cordcnsue rctum & rccirculuing Nott' 1 piping. .. .. East ( ) i 12-5318(dr swimming Pool Hosting (�J 1. System has: a. On/off switch on hotcr. East ( ) b. Weatherproof instruction plate oa heater. SOIL Ch ( ) �_ _ e. Plumbed to allow f« solar. 2. 75 percent thermal cfriciency. SOU t.h ( ) 3. Pool cover. r West ( ) V ) d. Time clock. . I S. Directional water inlet West ( ) - . _ _ Lighting and Appliance hleanures •• . Skylight....... �_ ! i §2-53320): Lighting - 25 tumens/v. an or penis for genre( lighting in kitehw and bathrooms. THERMAL MASS ! §2.5314(e): Gas fired appliances equipped with intermittent ignition devices. Type/Covering Area Thickness 42-5314(a): Rcfrigcnters,rcfrigirator-freaers•freeaersand lluoruantlamp billutscertified (slab/exposed. tile, etc.) (Sf) (inches) Locadon/Descriocion(kitchen, bath, etc.) i brthe CEC.Indicate make and model number. COMPLIANCE STATEMENT This ctrD ficate of compliance lists the building feamr= and performance specifications needed to comply with Jul I Title 24, Chapter 2-53 and Title 20, Liaptt: 2, Subd3aer Q, Article I of the California Administrative code- This crtrtificat.e has beat signed by the individual -*rich overall dcsip rmWnsibtlity and the building owner. who shall HVAC SYSTEMS Minimum Duct retain a copy of it and transmit the ocrd icste to my subsequent purchaser of the building. Type (furnace, air Efficiency Location Duct - Output Manufacturer / Model # conditioner, heat vamp) (SE, SEER,HSPM rotri,- 't,- l R -Value (Btuh) (Or a0 roved a all I Dt:signer Building Owner • ----Al:!/ lL • Jy K ��Y �j�� Name: Name A M01t C41MJIA�/ollt =1�3� ' TukJF-tern: TitkJFrm: • Address: Address: LUD owdle OYl T`tepiso"C ?/- 3.f Maximum Furnace Heating Output:J Btuh _.. ., ; Uc HOT WATER SYSTEMS Tank Manufacturer/Model # : ;. System T (storave as. etc.) Capacityor aclroved equal) ate Fe ac „, (lis^, ) ;: (dale) (1i ) (date) Documentation Author Enforcement Agencjr. _ .: -. ' SPECIAL FEAT UR (Add extra sheets if necessary) � ... - .mss .. Narrlc TitklF-Com' - :.. _ . • •i 1. Ceiling Insulation 2. Wall Insulation Number of stories Interior R -value One Two Three R-0 _11C3 -19 32 R-19 -8 -t -2 R-30 -2 -1 _1 R38 0 0 0 U -value 2 1 R-19 0.50 -176 -&t -54 0.30 -102 -49 32 0.10 -26 -13 -8 O.C8 -18 -9 b . O.C6 -11 -5 -4 O.C4 -t -2 -i O.C2 4 2 1 O.Co 11 5 3 2. Wall Insulation Interior Single- Singte- % Glass North Famiiy Family Multi - R -value De(acted Attac;.ed Famliy R-0 -68 51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 90 37 25 0,80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 _"6 -24 0.10 0 0 0 0.08 4 3 2 US .. 9 7 5 0.04 14 ill 7 0.02 19 .14 10 0.00 24 18 12 6 13 26 -:9 3. Raised Floor Insulation -8 -1 Insulation In Floor 14 25 Number of stories -7 R -value One Two Three R-0 -17 -8 .5 R-11 -3- 2 1 R-19 0 0 0 R-30 3 1 1 U -value 3 9 15 -- 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 34 -22 0.20 -l3 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 .2 0.04 -1 0 0 0.02 4 2 i 0:00 10 5 3 Controlled Ventilation Crawispace 10 Number of stories 17 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 _ R-19 -1 -2 - 2 4. Slab Edge.Insulation - 5 7 - Number bf Stories 13 R -value, One Two Three ' R-0 0 . 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 2 12 14 0.90 -4 3 -1 0.80 .1 •1 0 0.70 2 - 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S.Infiltra6on (Air Leakage) Sgeafiration Points Standard 0 6. Glass Heat Loss Interior Total Mass % Glass North East U -value West Percent 18 5 .51 b .41 to .31 0 0.30 or Mass Single Double .EO ,50 .40 less 50 -121 -53 -39 .24 -10 4 40 90 37 25 -14 3 8 35 -75 •29 -19 -9 1 10 30 -61 -21 -13 -t 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 10 -2 5 13 27 •52 -17 -9 -2 6 13 26 -:9 -15 -8 -1 7 14 25 -16 -14 -7 0 7 14 24 =3 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 -3 3 9 15 21 -34 •7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 _17 _. -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 ....-17 nor 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 5 7 10 13 16 19 10 3 9 11 14 17 19 9 .1 10 13 15 17 20 8 2 12 14 16 18 20 7.•Shading (Shade Open) Effective Ptrcertt Class (Pa-eent Plus x SC) Effective Interior Slab Floor Rarsed Floor Mass % Glass North East South West Skyright 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na ' 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 .. 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 .1 -1 .1 .1 2 0 •1 -2 -4 -2 0 na - not allowed -4b +6 to Wall Family Family & Shading (Shade Closed) Mass Detected A tacked Etreetive Peg ca Class 0.00 0 0 4Krctnt g ass x SC) 0.20 EAectivs 1 6.0 0.40 5 4 3 %Glass North . Eiat Satth West aught 18 -14 -48 -69 .-64 na 16 -12 -42 -59 -55 na It 14 '-10 35 -50 -46 nor 12 -8 -- -29 -40 37 na 11 -7 .26 36 33 na 10 3 .23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 more -14 -19 -18 -47 6 3 -i1 -15 -14 38 5 -2 -9 -11 -10 -30 4 - -1 -6 -8 -7 -23 3 0 .. -4 -5 -4 -16 2 1 -1 -2 -1 79 1 1 1 1 1 -4 0 2 3 4 3, 0 na . not diced 0.50 4.58. -10 -9 -8 -7 -5 -4 9. Interior Thermal Mass Interior Slab Floor Rarsed Floor Mass Sbries Sbries iCFA One Two 'Three One Two Three 0.0 -a -5 -t •2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 .3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -i 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1- 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 it 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 ii 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8,5 7 10 12 ' 13 14 15 10. Exterior Wall Thermal Mass 5 Exterior Single- Single - -4b +6 to Wall Family Family Mute Mass Detected A tacked Family 0.00 0 0 0 -25 -21 0.20 3 2 1 6.0 0.40 5 4 3 ,. 0.50 8 6 4 -t -4 0.80 10 8 5 7.0 1.00 13 10 7 0 120 13 12 8 8 6 1.40 12 13 9 9.0 1.60 10 13 11 7 1.80 10 12 12 19 16 zoo 10 11 - 13 11.0 26 23 19 15 11. Heating System 8 120 30 SE or RSPF 18 14 (assumes ducts In attic) . 13.0 " Saxe of 15 20 15 -25 or -24 to -14 b 4 to +6 to 16 or SE HSPF less -15 5 +5 ' +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 •7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 •23 Etrective SE or HSPF -11 -9 (SE or HSPF x dud etTldency) -2 Eflerive -25 or -24 to -14 b -4 to +6 to 16 or SE HSPF leu -15 -5 +5 +15 more 0.30 275 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 34 30 -26 -22 -18 -14 0.50 4.58. -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 it 9 7 0.80 7.33 25 22 19 i6 13 10 0.90 815 32 28 24 ' 20 17 13 1.00. 9.17. 37 .32 28 24 19 15 t Zonal Control Adjustment -15 .4,-;--8 System Type 12 'Solar 18 Resistottce 10 9 7 6 4 3 Other 6 5 -4 3 2 2 12. Cooling System Unit Size (sQ 11200 Water SEER 1199 1700 2200 2700 (Assumei ducts In attic) or • . to to to Sam of 7.10 Type Type less 1699 -25 or -24 to -14 to -4 to +6 to 16 or SEER Sess -15 5 +5 +15 more 8.0 -14 -12 -10 -a -6 -4 8.5 -9 -7 -6 •5 -t 3 8.9 -5 -t -i 3 -2 -2 9.0 -1 -3 -3 -2 •2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6- 4 3 - 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -9 -7 EResive SEER n None -5 (SEER xdud efficiency) -2 -2 •2 Sam of 7-10 Solar 7 5 Eitec ve-25 or -24 to -1410 -4b +6 to 16 or SEER fess -15 5 +5 +15 more 5.0 30 -25 -21 •17 .13 -9 6.0 -12 .11 -9 -7 -6 -4 6.6 -5 -t -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 , 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Solar Zonal Control Adjustment 5 l 10 8 7 6 4 3 3 No Cooling System Installed ; Stories One , -5 -4 -i 3 -2 -2 Two + 3 3. 2 2 2 1 Single-Famny Detached and Attached Interior Maus/CFA � rm r Iws Unit Size (sQ 11200 Water 1199 1700 2200 2700 Healer 'Credit or • . to to to or Type Type less 1699 2199 2699 more SG None 0 0 0. 0 - 0 or Soiar 12 ' ' 8 6 5 4 HP HWR 8 5 4 3 3 WS8 5 3 3 2 2 POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 Soiar -1 -1 .1 0 0 SX HWA -18 -12 -9 -7 5 40X WS8 . -25 -16 -12 -10' -8 75% POU -18 _.12 -9 -7 -6 n None -5 -3 -2 -2 •2 1.5 Solar 7 5 4 3 2 2.9 POU 3 2 1 1 1 lE None -28 7_9'-14 10'. -11 -9 0.6 Solar 8 5 4 3 3 21 POU -10 -6 -5 -4 -3 3.5 Multi -Family (individual units) 4.4 46 48 5 nil Size {sQ 2M 03 Water 0.6 699 700 1 1700 2or Heater Creurt or b 29 b 3.3 Type Type less 1199 1699 2199 mom SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WS8 9 4 3 = 2 2 POU 9 e'5 "' 3".; 2 ._: ._: 2. SE. None -4S •23 -15 -11 -9 14 Solar -2 t' 1 0 0 4.7 Hwa •23-12 53 a 5 5 - WS8 -25 . -13 3 . - eQU . -23 -12 •.8_._ 5 -5 IG None -3 -t -3 _2 • f _2 4.4 Solar ti 3+f 2 1' i _ POU 1 _0 0 -L 0 g '. IE None 30 -15 .4,-;--8 3 12 'Solar 18 9 6 41 4 - 4.7 POU -8 -4 -3 -2 2 Interior Maus/CFA � rm r Iws te.ewl.e .l_el t ttPC 1 MSS (UTAC b 4.1, le: eaooscd ■lab) 0X SX 1Q% isX 207: 25x 33x 35% 40X 457. SOX 55x 60% bit lax 75% 6ax 657. 9C% 95% 1007 105: 110: 115y. 1' O: 0 0.2 0.4 0.6 0,11 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.1 3.4 38 3.8 4 4.2 44 4.6 48 10'. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.8 1.9 21 23 25 27 2.9 11 3.3 3.5 17 4 4.2 4.4 46 48 5 5 2M 03 06 0.6 1 1.2 1.4 1.6 1.6 2 22 24 27 29 3.1 3.3 l5 17 3.9 4.1 43 4.5 •48 S 52 5 5- 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 38 3 32 32 IS 3.7 50% 0.9 1.1 1.3 iS 1.7 1.9 21 13 25 21 3 31 14 3.4 18 3S 16 3.5 4 49 42 4.3 45 4.7 4.9 511 53 5.5 5' 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5 55% 0.9 1.1 1.4 1.6 1.6 2 22 24 26 28 3 12 35 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 S6 58 60% My. 1 1.1 1.2 1.3 1.4 1.5 1.7 1.9 7-1 23 25 2.7 29 11 13 35 3.8 4 4.2 4.4 4.5 4 8 ' 5 52 5.4 56 5.9 6 6 1 70% 1.2 1.4 1.6 1.1 1.8 1.9 2 22 22 24 25 26 21 28 29 3 1t 3.2 13 14 3.5 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 61 75% 1.3 13 1.7 1.9 21 23 25 27 3 12 3.4 16 17 3.8 3.9 4 4.1 4.2 4.3 4.4 4.6 4.6 4.8 5 52 5.4 S6 58 6 6: . 4.8 5.1 5.3 S.S 5.7 5.9 6.t 6 80: 857 1.4 1,4 1.6 1.8 2 22 2.4 2S 2.8 3 33 35 37 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 58 6 62 4 907' 1.5 1.7 1.7 1.9 2 2.1 2.2 2.3 24 25 25 2.1 23 29 3 3.t 33 3.5 33 4 42 44 46 16 5 52 S4 56 59 61 63 6 65 "Y. 1.6 1.8 2 12 25 27 29 3.1 32 33 14 3.5 3.8 17 31 3.9 4.1 4.3 4.5 4.7 49 S.1 53 5S 5.7 59 62 64 66 1007: 1.7 1.9 21 2.3 25 28 3 31 14 3.8 18 4 4.1 4.2 43 4.4 4.6 4.6 48 4.9 5 5.2 5.4 5.6 58 66.2 6.4 6; 5.1 5.3 5S 5.7 5.9 6.1 6.3 6.5 6.7 1CS% 1.8 2 22 2.4 2.6 28 3 13 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 58 6 6.2 6! 66 6 63 8 110:: 115 7 1.9 2 21 21 2.3 24 2.5 2.6 27 28 29 3 11 3.2 1 3 14 36 38 4 4.2 4.4 !.6 4.8 S S1 5.l 5.7 S.9• 6.1 6.3 6.5 6.7 120% 2 2.3 2.5 21 29 3.1 3.3 3.S 3.6 3.7 3.8 3.9 4.1 4.1 4.3 4.4 4.5 4.7 4.9 5.1 S.J 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 125% 21 27 25 t6 3 3.2 14 le 3.8 4 41 4.4 4.8 l e 4.6 4.9 5 5.1 52 . 5.3 5.4 5.5 5.8 5.7 S 8 6 62 6.5 . 6.7 6.9 7.t 5.9 6.1 !U 6.5 6.7 7 7.2 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation F 30 or R -value 138 U -value (0.030) 2. Wall Insulation Fz or R-value(11) U -value (0.098) _ 3. Raised Floor Insulation or R-valaell'I U-value(0.037) 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading -(Shade Open) or R-vatuc(01 F2 factor (0.771 Standard (doubkl U -value (0.651 Point Scores O • p Ll 96 Total Glass (161 Sum 5'o Glass SC- Eff. 'y Gi a. North x c� J� b. East x _ - 40 c. 'South -- • x =�- d. West 4 x = �_ e. Skylight G x = d 8. Shading (Shade CIosed) - % Glass SIC - Eff. % Glass a. North X _ �• b. East -�--� c. South �T x _ S d. West p x = 0 r e. Skylight _ 0 x _7 9. Interior Thermal Mass TYPE 1 MASS AREA ; _a InaeriorNvuCFA GOND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 -MASS 'AREA e -� ND.tLOR AREA -EacriorWall Mass Sum 11. Heating System = TX - . Zonal Control? (Y / N) SE or MPF ata aliclalry 10.781 Effective SE or - (0.72156] HSPF (0.36/5.151 12. Cooling System x ;L Zonal Control? ( Y / N) _ ., fUMsj ata Efficiency (0.741 Effective SEER (7.031 ;'13..Water Heating_ - ...._. ... ._.. - - .. ...: Type ISGI-..- � . '.Credit (Done) - •.. : , .. `/