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069-500-009
f F069-50-0-009,. 93-2072..BPEM R. i UDER, GEORGE' LARTAT LOOP, ,OROVILLE NEW • SP 069-50-0-009 93-2138 BPEM POWERS, ARTHUR 25 LARIAT LOOP,,OROVILLE�'- TRANSFER OWNER TO POWERS k �cfli Crjif LO ;o S "• RESIDENTIAL i 2 B PEM 93 - 069-50-0-009 ,.9 8 I„ POWERS, ARTHUR OROVILLE 25 ►LARIAT,.00P., . L NEW. SF SFER OWNER TO POWERS I IV4i �e- t 1� E` I OFFICE COPY i Address_L�s/ f�ti Z"y ELECTRIC 1{ Meter By. Date I �r i> r JOB FINALED (Oat*) L Signature \. V= OK C O = Not OK " -=Nt yable° ' MOBILE HOMES ' =NooRead Not Ready Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /'LPG 7. Well Clearance &Disconnect 8. Utility Clearance Date/Initials MOBILE 140ME 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 S. 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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORT% GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements •,t 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 G. 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/Initials 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.;Enclosuies; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit ( 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. FtgjCdatgd Soils-Steel-Elec rnd. , tg. Depth 4. FSg., Porches & Decks; Soils-Steel%g. Depth Stemwalls, Main; Steel-Blockouts- armed 7, , 6. StswAv , Garage; Steel-Blockouts-Wrapped 6a. Hold Downs. andSpecial Anchors 7. Slab; Steel -Wrapped iers-Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING Permit OK except #'s W tel Htr.; Vent -Access -Combustion Air -Baffle W 'r Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor-Naii Protection ..19 Shower Pan; Test, First Floor -Tub Access est Tub & Shower, Second Floor -Tub Access as Pipe; Size & Anchors Date/initis-ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfee Wire Size / / ga. Cu or .C. Wire Size / ga. Cu or&I7 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MEC NICAL Permit OK except #'s A.C. Ducts Insulation & Support _an; haust above insulation t, b Condensate Drain & Overflow; Size & Grade Jtl'Jf EWnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet Attic Acce_ss_&-platform if Furnance in Attic Date/Initials FRAMING G Plans OK except #'s 13 Si ,Proper Materiel &Anchors ells Studs -Nailing, Spacing & Bracing -Plates -Sound 1. Bearing Walls over Girders & Floor Nailing 42. Dr ft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4. Headers & Beam -Size & Bearing • Date/Initials FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. LAfF place Ties or Type A Flue -Fireplace Throat clearance 8. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Bdr-. Windows or Exiting Doors -Sill Hgt. & Dimensions LSe.Garage Fire Protection Framing Line Fiiewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story2 Exits kQ459- Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 5 . plywood on Roof Ovefhang-Attic Vents -Rafter Outriggers F55. -S At -Naffing- veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. S ar Walls; N ling -Bolts - aulation -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL Plana OK except #'a . Ext. Steps -Door & Sidelight Protection -Landings S oke Detector Furnace; Vents -Clearance -Comb. Air-Connector- In.Garage; Above Floor -Ducts -Mach. Protection Lp-jrrf.l. & D&W'Flxturea & Tub Access -Spa E rim panel; Breaker Sizes & Labels (&B,Fireplace or Stove; Clearances -Hearth �. . Elec. Outlets at Wood Panel; Int. & Ext. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance f-4-1 Elec. Outlets & Receptacles at Kit. Counter 1-Z Garage Fire Door, Swing -Landing -Closer n arage-Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. !P Garage; Above Floor -Mach. Protection Plb., Elec. & Mach. Equip. Listed for Location t-?6.,Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic ❑ Yes . Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive /�`� 13No; Walks CI Yes DIGPto; Planters 13Yes 0-40 Stucco; Brown -Finish 2. A.C. Unit; Disconnect, Electrical, Plumbing 3. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings star Well; Disconnect, Electrical, Plumbing .,Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation Throughout House lass Protection kleb Corrections from Previous Inspections 89. Gjks Test -Meters Tagged; Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval Enera Compliance Certificate -Other Certificates Comments FInal: 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 ER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date 8 Inspector/._ REV 1042 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 - Z/ -3Z PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please not' this office when correction of work is completed. If you have any questions pertaining to t s matter, or need additional explanation, please contact this office immediately. Date Inspector%%,�- REV 101;(2 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 z1.3 9 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the abo a address and should be corrected. Please notify this office when correction of work is co leted. If you have any questions pertaining to this matter, or need additional explanation, pie a contact this office immediately. �%%/% LP"_ . -/)o a. �/ -/ '£ CNiC.�t�iG /AV0�- �fH 3 4Y -S'S -4/Fi Af2_ J Date _ Inspector k (/.1' REV 10/ 2 COUNV OF BUTTE WILDING 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 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date 0 Inspector REV 10/9 e OWNER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT O� 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 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, plea a"contact this office immediately. Date Inspector REV 10/9 'x'41 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 PERMIT NO. A routre srspection 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 iscorr Aeted. Kyou ve any questions pertaining to this matter, or need additional explanation, office immediately. / lreI Date - �` �j Inspector P" low 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 A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please cont this office immediately. n Date Inspector REV 11092 ER t;-.• COUXTY OF BUTTE BUILDING DIVISION DEPAR EW & 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 9,3-2-/38 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please,pontact this office immediately. t . -, 411 11 t r It 4 i 9)f �� --vlIt— Date Inspector REV 10/ COUNTY OF BUTTE - DEPARTMENT OFDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovitle, Califurnia, 95965' - Telephone (916) 538-7541 PERMIT NO APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 069-500-009 ZONING rl BUILDING PERMIT f: OWNER TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6310 VERACREST DR LONG BEACH, 90815 64 R 34"56.00 CONTRACTOR'S NAME TELEPHONE W SOUDAN CONSTRUCTION 589--0799 -. CONTRACTOR'S MAILING ADDRESS 50 HASSLER CT OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 63.66 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 40 -QS Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 25 LARIOT LOOP OROVILLE PERMIT FEE $ 14 5, PLUMBING PERMIT Filing Fee 20'00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'SNAME PARCEL -MAP Each gas water heater or vent 15.00 USE OF STRUCTURE i SF] Duplex O Mobilehome ❑ Other SPEC IFV Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK ' New ❑ Addition Q( Remodel ❑ Utilities O Installation El Other C3 Describe Work: ADD ARCk XMNICM&W TO LIVIA RM PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 #93-2138 WRIG. 93-2072)-, f Main Service ( 600V OR 200AORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING CCUP. OR ADDNS. ( 8 ACC. BLDS. �) gO, 3.5C FT. r _ CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) J �1 I am a licensed under provisions of Chapter 9, Division 3 of the siness and Professions Code and my license is in full force and effect. a License No. �` r'f?+ i Classification % O 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. 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason 4 NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) &SINGLEOUTLETCIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 3 I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 15. 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 Certificate of Consent to Self -insure. ❑ I 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 $ 92. Z Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood Ventilation E65 PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. 1 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. 1 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 cons quence of the granting of this permit. X \.; 11 L.-•.,�._ Date Signature, 6flcant - ❑ Owner OContractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST TOTAL FEE $ 169.26 HAZ� FEE IMP F.1-000-1 f� C AR PO HD I u This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTO PUBLIC WORKS 7 1, By /` �n Date Z ?X) 3 PERMIT EXPIRES ON 91,2 (Date) ' 148597 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 11 JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RMIT NO. 7 County Center Drive - Orovil(e, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT--/—�."�l ASSESSOR PARCEL NUMBER 069-500-009 ZONIKG R-1 BUILDING PERMIT OWNER Arthur Powers TELEPHONE 430-1218 SQ. FT. OCC. BUILDING VALUATION -310 OWNER'S MAILING ADDRESS 6310 Vera Crest Dr., Long Beach 90815 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Feeff 15.00 25 t LOO Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 25 NAME iVillage Oaks Unit 2 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF B Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK Nem, AdditionL_ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Transfer B.P. #93-2072 to Owner Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20rATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for e. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.�\ OR ADONS. ACC. BLOGS. // 3.6Qsq.ft. NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 1@ 761 PREA.) Ex. OCCUp. OUTLETS FIXED (RESID.) I 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. call not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid Cou ty in cons qu ce of the granting of this permit. X ate ���-'� Signature of Applicant — Owner Contractor [I Agent EJ An OSHA permit is required for excavations over 5'0" deep and demo inion ar consrrucr- ion of structures over 3 stories in heig 11 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 60.00 HAz 1 OFEES I IMP I FLOOD I CDF PARCEL PD Ho Issu This permit is hereby issued under the of the Butte County Code and/or work indicated above for which fees O By EXPIRES Dat applicable provi- resolutions to do have been paid. WORKS D ePERMIT Receipt No. 143489 i WHITE-D.P.W., YELLOW -ASSESSOR, PI -INSPECTOR, GOLDENROD -APPLICANT Owner: Permit No. ENERGY CERT IF ICAT ION d Len lop /dC42 LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) 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 Material Thickness(inches) Brand Name Thermal Resistance (R Value.) Brand Name Thermal Resistance(R Value) 2c/ Brand Name Thermal Resistance(R Value) -,%A Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) iQ Brand Name 'Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above.insulati.on was installed in the above building in conformance with the State of California Energy Requirements. I&A IS FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURPVU.! ThSTALLATION APPLICATOR - 51y 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 materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) S.IGNATUJ OF rRAL CONTRACTOR/OWNER '123 a 9,15 STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1.984 PERMIT NO: 69-93 Lake OrovilleAreaPublic Utility District 1980 Erin 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: AUGUST 2Q, 1993 Applicant: Arthur F. Powers (Roger Soudan) Applicant Address: Applicant Phone No.: (50 Hassler C:t , . Ora ille, CA; (589-0799) Property Location (s): 25 Lariat Look, Oroville, CA 95966 Village Oaks Subdivision Unit #2 Lot #25 A. P. No. (s): 69-50-09 Fees due: $35.00 Connection Fee and $900.00 Sc'.-og RPg;on 1 Facility Charge for a total of $935.00 Application for service approved: LAKE PUBLIC Inspection(s) made and successful test(s) observed: Location: M MLLE AREA TY DISTRICT Date: Lake Oroville Area Public Utility District release to close permit: Date: By: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK -S 7 County Center Drive - Oroville, California 95965 - Teiephone 916 '538-7541 APPLICATION AND PERMIT PERMIT NO. 9,5--2 o �� ASSESSOR PARCEL NUoABER 06 `^ UU j( y� ZONING .'I BUILDING PERMIT OWNER JurAog Powees 3101935-121162 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S 4II,INC ADD ESS .. -(03/0 (i CONT,RA/Cw T,�nAo. ... .�^I TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS � Penalty $ BUILDING ADDRESS aS %ot o� Permit fee $ PLUMBING PERMIT Filing Fee 5.0 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SU�/qI V I/O3-N NAME PARCEL MAP - v r ��� Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF b� Duplex❑ Mobilehome❑ Other 'SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 015.00 TYPE OF WORK New `r�, Addition L✓ R model L_: Utilities ❑ Instal lati/o�n nCn-�µ-O.^ther ❑ Describe work: TC'^/V,PeI- 13i'"'� ?3-207' -V(D 6CA))J ?(-L— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee o0 Main service 200A OR LESS 18.50 Main service 20GATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.p\ OR ADDNS. ACC. BLDGS. 3.64sq.ft. NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 / POWER APPARATUS e \SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES 20 764 FIXED APLNS. Ex. Occup. OUTLETS PIRESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIIng Fee 1 0 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date < Z Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct• ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ �Q�� HAz 1 0FEES IMP I FLOOD COFPARCEL I Po I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Recei t No. / P J Z/S� WHITED.►.W., YELLOW-A3eL330R. PINK -INSPECTOR. GOLDENROD•AP►L I CANT VL (76W?6s &g -c j e th- wt-// 36- c -n-47 )a!3 s COUNrY OF BurrE BUILDRVG DEPT JUL 0 2 1993 LIST #1 LIST #3 CLASS 'A' ASSEMBLY CLASS 'B' ASSEMBLY .� CLASS 'A' PREPARED ROOFING BUILT -UIP ROOF PER 3203(e) CLASS A OR B PREPARED ROOFING LIST #2 .1 Q ASBESTOS CEMENT SHINGLES ' METAL ROOFING ❑ CONC. OR CLAY TILE (OTHER,FIRE RETARDANT ROOFING) Q SLATE SHINGLES LIST #4 (0'1'111?2 NON-CUMBUST1.11ki-, ROOFING) F] CI..,ASS 'C' 235# ASPHALT' SII-I.NG1,1' I IIEREI3Y CERTIFY, I INSTALLED ROOF COVERING AS INDICATED ON HE ABOVE BUILDING, TN CONFORMANCE WITH STATE AND LOCAL REQUIREMENTS. FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIG_ R JO,,F:LNALI:$ .INSPECTION APPROVAL. i"";,.I (, 1) j O January 1988 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER_ �G r 2 GENERAL ;0 ning requirements: (sideyards and number P! Valuation. 41" -Plans signed by designer. &11:roper description of work on application. 151�Existing violations on property. 8/91 Bldg. Permit # .2d-7 2— A.P. A.P. # - O Plan Chec erg j of permitted living units). tems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN omplete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. rading, fills, drainage. lood hazard. S ecial conditions on creation map, stible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). PT.nop PT ATT 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). GFCIs in baths, garage, kitchen, and exterior outlets (Article ir Light fixtures, switches, receptacles, and exterior receptacles tenance of mechanical equipment. r Locations of water heate �eatin` g and enl;ng eni�nmant o er or gas equipment. arage firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (sec. 3304 M. KA"ireplace and wood stove location, alcoves, and clearance. .Plumbing detectors (Sec. 1210). P. Plumbing fixtures, water closet clearances and shower size. RUCTURAL DETAILS 210-8). for -main - electrical 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 Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. Rafter ties or bearing ridge beam. Garage door or porch header sizes. ?-Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. � Special Inspection required. building 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). Brick or stone veneer (Chapter 30). Ixterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 6" halls and stairways. ' Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. o exits on three-story dwellings (sec. 3303 & see Mezannines -1716). is access and ventilation (Sec. 3205). . U erfloor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances - L.P.G. requirements. oise requirements on duplexes. E ergy design. . Flashing at all exterior openings. CDF responsible area requirements. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C.I!ifornia 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT,, PERMIT NO. 93-2072 ASSE'S'SOR PARCEL NUMBER 069-500-009 ZONING R1 BUILDING PERMIT OWNER GEORGE BAUDER TELEPHONE 533-2644 SQ. FT. OCC. BUILDING VALUATION R 86,022 OWNER'S MAILING ADDRESS 2470 QUINCY RD., OROVILLE CA 95965 528 M 9,504 CONTRACTOR'S NAME UNKNOWN TELEPHONE 200 C l 2,600 120 C 1,560 CONTRACTOR'S MAILING ADDRESS Fireplace I "All 1,500 CONSTRUCTION LENDER NONE UNKNOWN Total Valuation I $ 101,186 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 604.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 302.25 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 25 LARIOT LOOP, OROVILLE Permit fee $ 941.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 16 5.00 50.00 Solar or heat pump water heater 20.00 LOT NO. 25 SUBDIVISION NAME VILLAGE OAKS UNIT 2 PARCEL MAP 58-62-64 Water piping 7.00 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 1 Mobile Home S G W @ 15.00 TYPE OF WORK Newa! Addition U Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3RR Permit Fee $ 99.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v0 LESS 200A OR LESS 18.50 18.50 Main service 200ATO1000A) _ 37.50 74-95 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) (� I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, SLOGS. ) 3.64sq.ft. NEW CONSTR. ULT' -OUTLET NO N•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 SINGLE OUTLET CIR. ) Ex, OCcup(OUTLETS OR FIXTURES 20 76FIXED APLNS.d Ex. Occup. OUTLETS P(RESID.)REA.) I 3.00 Temporary service 15.00 --- Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ 107.75 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating 9.00 SPLIT SYSTEM Cooling g 9.00 Hood 6.50 6.50 Ventilation 4.50 permit Fee $ 44.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said unty in onsequence of the granting of this permit. X Date s0 j Si nature of licant - wner 9 PP ® 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 S Energy Inspection Fee $ 40.00 OCC CONST TYPE TOTAL FEE 1232.50 HAzDFEES - X IMP - FLOOD X COF X PARCEL X PD HD X X This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees F IC ByA PERMIT EXPIRES Da applicable provi- resolutions to do have been id. p WORKS D to 7 Receipt No. 143472-1227.25//1 48196-5.25 WHITE-D.P.W., YELLOW-ASSrSSOR, PINK-INSPECT4. GOLDENROD-APPL I CANT W14 MA (LING ADDR 0 O')IAt G :ONTR R•A FONT"A- OR•S MAILIN C0N31 R CTION LENDS LENPPrq ... MAILING AD 1 RCt1l T' _ OR ENGIN B COUNTY OF BUTTE - DEPARTME ' - Oroville. California 7 County Center Drive APPLICATION AN GINE,- R-5 TAILING AD ISION NAM t Z rWNli D T Z-00 N PARCEL MAP t),Al I T (- � �F P�UE,.�I/WORKS - Telephone: 911 7541 `M1 USE OF 5 SF I� Duplex❑ Mobilehome❑ Other SPECIFY �1P� TYPE OF WAR^ NARemodel[] utilities❑ Installation [J Other C1 I!1 Addition u P0 It, work: dd BUILDING PERMIT SO FT OCC BUILDING VAL r n -� Fireplace 1 1j41 f I IT NO. Total Valuation r $ NE W CONST. DWELLING OCCUP.ai) ( ACC.BLDG. LAWCONTRACTORS LICENSE AW .OR Filing Fee $ NON•RESID POWER APPARATUS 6\ (SINGLE OUTLET CIR• I Permit Fee .60 $ and Professions Classification Plan Checking Fee Q . $ e Energy Plan Checking Fee $ d Misc..Wiring $ Penalty $ for this reason Permit fee COMPENSATION INSURANCE MECHANICAL PERMIT PLUMBING PERMIT Filing Fee 111laolare under penalty of perjury. (check one): Heating 5.00 Each Trap Solar or heat pump water heater CDI have. placed on file with the County of Workmen's Compensation Insurance or. a Certificate 20.0 a Certificate of 7.00 Water piping C] I shall not employ any person 7,00. Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 15.00 Building sewer to115.00 Permit Fee Contractor ELECTRICAL PERMIT Filing Fee Main service 600VORLESS 18.50 200A OR LESS .37,50 ervice 20GATO1000A1 a NE W CONST. DWELLING OCCUP.ai) ( ACC.BLDG. LAWCONTRACTORS LICENSE AW .OR AC NS. NEW CONST R. ULTI.OUTLET BRANCH CIRC ITS' 1 00nre under penalty of perjury (check one): Div. 3 of the Business NON•RESID POWER APPARATUS 6\ (SINGLE OUTLET CIR• I 1:3I am licensed under provisions license tt. 9isin full force and effect. Code and my Ex. Occup(OUTLETS OR FIXTURES and Professions Classification FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.� License NO. I, as the owner, or my employees with wages as their sole compen- is not intended or offered Temporary sation, will do the work, and the structure MobileHom Facilities sale. (Sec. 7044): (� the owner, am exclusively contracting with licensed contract- Misc..Wiring I, as ors. (Sec. 7044) Business and Professions Code I am exempt under Sea___'� Permit Fee for this reason Contractor COMPENSATION INSURANCE MECHANICAL PERMIT WORKMEN'S 111laolare under penalty of perjury. (check one): Heating C] The permit is for $100.00 (valuation) or less. Butte Building Department CDI have. placed on file with the County of Workmen's Compensation Insurance or. a Certificate Cooling a Certificate of of Consent to Self-Insure.Hood in any manner so as to become subject C] I shall not employ any person Ventilation to the W. C. laws of California. uld ou becomebsuch this staou Notice to Applicant: If after making fit the W C provisions of the Labor Code, y must forthwith comply with Contractor 1 15.00 U 15.00 1 Oovlsions or this permit shall be deemed revok f l;ertify that I have read this application and state that the above information Mobile Home Installation Fee $ r 14 correct. I agree to comply to all County Ordinances and Stale.Laws relating Energy Inspection Fee 50 (f+ building construction, and hereby authorize representatives of the Countyot OCG CONST TYPE TOTAL FEE $ F iale to enter upon the above-mentioned property for inspection purposes. MA2 D FEES IMP FLOOD CDF PARCEL PD HD ISS' I m18o agree to save, indemnify and keep harmless the County of Butte against NII liabilities, judgments, costs, and expenses which may in any way accrue applicable provi M�einst said County In consequence of the granting of this per"t. This permit is hereby issued under the app X Date sions of the Butte County Code and/or resolutions to d Owner � Contractor ❑ Agent Q work indicated above for which fees have been paid. �Ignature of Applicant — DIRECTOR OF PUBLIC WORKS 0 n OSHA permit is required for excavations over 5'0" deep and demolition 4 By construct- Date 1„n of structures over 3 stories in height. _ PERMIT EXPIRES Date r Oovlsions or this permit shall be deemed revok f l;ertify that I have read this application and state that the above information Mobile Home Installation Fee $ r 14 correct. I agree to comply to all County Ordinances and Stale.Laws relating Energy Inspection Fee 50 (f+ building construction, and hereby authorize representatives of the Countyot OCG CONST TYPE TOTAL FEE $ F iale to enter upon the above-mentioned property for inspection purposes. MA2 D FEES IMP FLOOD CDF PARCEL PD HD ISS' I m18o agree to save, indemnify and keep harmless the County of Butte against NII liabilities, judgments, costs, and expenses which may in any way accrue applicable provi M�einst said County In consequence of the granting of this per"t. This permit is hereby issued under the app X Date sions of the Butte County Code and/or resolutions to d Owner � Contractor ❑ Agent Q work indicated above for which fees have been paid. �Ignature of Applicant — DIRECTOR OF PUBLIC WORKS 0 n OSHA permit is required for excavations over 5'0" deep and demolition 4 By construct- Date 1„n of structures over 3 stories in height. _ PERMIT EXPIRES Date / r COUNTY OF BUTTE - DEPARTMENT OF PUBC WORKS 7 County Center Drive - Oroville, Ca!ifornia 95965 - Telep ne: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESS R P =CEL NUMBER ZONINq� BUILDING PERMIT OWNERTELEPHONE Gc: &00 5 332��Y SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2 ?d Qiiouc CaOUN,5 CONTRA OR' AM D�J TELEPHONE G— CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ,U ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A R i/ / �1 / DQ jc— v G_ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 LD Each Trap 5.00 Solar or heat pump water heater 20.0 LOT NO. SUBDIVISI/O�N NAME '/ o I T% � PARCEL MAP sg q 6.Z�6Y G Water piping 7.00 ,00 Each qas water heater or vent 7.00 U U USE OF STRUCTURE SF�( Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New I Addition D Remodel [:1 Utilities ElInstallation❑ Other ❑ Descri work: _ —3)9VkW _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 16.00 Main service R LESS 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business(POWER and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP. e\ OR ADONS. ACC. BLOGS. / 3.6Q sq.ft. NEW CON5TR ULT' -OUTLET NON.RESID BRANCH CIRCUITS @ 5.00 APPARATUS5) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES\\ 20 @ 754 FIXED APLNS. Ex. OCCUp. OUTLETS PRESID )REA./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E]I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor — MECHANICAL PERMIT FiIingFee 15.00 Heating Q 19 Coolin 9 D Hood 6.50 VentilationS , Perrnit Fee $ ('J Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this per 't.— X Date Signature of Applicant — Owner❑ Contractor E]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 S Energy Inspection Fee $ TA)I T TOTAL FE $ , IIAZ DFEES IMP FLo D F PARCEL I PO I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- � resolutions to do have been paid. WORKS DatePERMIT Receipt No. 3 Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT bli --,,�,I- -V COUNTY BUTTE -DEPARTMENT OFD�ELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DT, VE= OROVILLE, CALIFORNIA'95965 -:TELEPHONE (916) 538-7541 - f PERMITSAPPLICATION DATA SHEET OWNER EOle r-,2 F� A. P. No. 6 `.Proposed Building Use Building Inspector - Date 6 l% At time of permit`application, I was advised the following data must be submitted prior to permit processing and/or issuance: p`` DATE RECEIVED BY 1. All items have been submitted. ....................... . 7., 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 . .................. 7,- Statement of Intent for Non -Heated and A/C Buildings. . 'C8. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and- manufacturer's installation instructions, 2 sets. . Fees of $ . ...... ... .......................... 6- 1. Impact fees as shown on attached sched leC.416.slr, �/........................ Z �F 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California -Engineer . ................. . 14. Sanitation and plot plan approval LIJA R) D Health Department . ............ 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: I$., -.Contact Land Development about (A) Improvements (B) Drainage. ......... . QV Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. e�i,�9 nspd e 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner , Mail to owner ) ............ Recorded copy of Agricultural Acknowledgement Statement . .................. 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 . ................. . 'A Ian check list. �— �' 33. i64A/ d� -34. When you. -issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone L A 1/[land hold for pickup at office. Deliver with inspector. Other s, Parcel Creation Acreage r _ �/ Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted p' i ew i checked above). 1. Index permit for above items No. awl 2. Additional items required: Contracto , ' s 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 Date Sets of plans on hold in File cabinet - AP folder /Vo —tirs >.0- "53 Copy - Department of Public Works Flom RE: Driveway Clearance owner location '0 - ,--o -,q �r AP # Driveway permit 9 %%C� (� �� has been issued for the above property. date Si ature Q,jC�*�'--� TCS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER 6�Ole&ei M(/DG PROPOSED BUILDING USE �7 `- School District Fees C9" t� L -TM A. P. N0. — 0 " v0 DATE 6) REC. # DATE REC (paid at District Office) ...................... Sheriff Fees (paid at Building Department) / Residential ..........,� _$� unit amt. Commercial(per sq.ft.) X. _$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) R =$ # units amt. Commerical(per sq.ft.) R _$ sq.ft.. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) ......... 6. Other 7. Other l`�3�7z 6 3vA?3 At time of permit application, I was advised the above fees are required to be paid prion to issuance of the permit. APPLICANT DATE 0t 3a 9 3 Y ..3.• , ,� .., r F. ��*������ ���' ^�' �eJ%r'i�d".'�`+'�f�la'"'.. n;�fr'�`�tHr!i„t',sw�pt4,3vhi5?tKti�7;r �';'+:f"��� If y BUTTE COUNTY SCHOOLS IMPACT FEE CERTWICATION FORM (One Form Per Building) r School District Building Department No. " 31 A.P. Numbej11`�G1 (1—Q0 9 Jurisdiction 0 City ® County Property Owner ('T��Q� /c7/4t�,t7E''Yl ANSEW Property Location/Address ZS 641z, A-/ C00% waw odle U4 qs-V6 o Subdivison Residential Development Commercial/Industrial No. of Living MHI Units 0 New Lot No. Sq. Footage / _Tg Addition (Group R) 0 Sq. Footage Addition (Floor Plans reviewed by School District Personnel) • `Y District Identification No. c (Including Exterior Roofed Areas) 1--3>df Date ��roJ , 1\e 1✓ �e.Vr e�.�-oiva School District certifies that Q (Applicant) S33 53 3 -- A (Street Address) (Phone Number) Oro v1,' �- `CPQ q5q ('(- (City) (State) (Zip Code) has complied with the requirements of Resolution No. 01i\_1 2 1 A ` by payment of $ representing 1 S °13 square feet. School District Rep Paid by Check Number Bank Number Paid by Cash �-:?a -q3 Date Remarks: 09 ofoq—50—h—yo°1 as 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) feeform.wkf (4/92) ALL-PURPOSE ACKNOWLEDGMENT y - b L I State of • I County of ©' before.'Bb / me, On ATE NAME, TITLE OF OFFICER - E.G., 'JANE DOE, NOTARY PUBLIC personally appeared 1?I 4jje -F, �a5 p y p NAMES) OF SIGNER(S) ❑ 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 OFFICIAL SEALauthorized capacity(ies), and that by Clay Brangh.tm his/her/their signature(s) on the instrument NOTARY PUBLIC - CALIFORNIA the person(s), or the entity upon behalf of FRESNO COUNTY which the person(s) acted, executed the of% My Comm, Expires Oct. 2o. 1995 instrument. ATTENTION NOTARY: Although the information requested below is OPTIONAL, it THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED AT RIGHT seal. No. 5179 CAPACITY CLAIMED BY SIGNER �. INDIVIDUAL ❑ CORPORATE OFFICER(S) TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(,.S OR ENTITY(IES) 44W Hau�tE RLJ)r__� prevent fraudulent attachment of this certificate to an unauthorized document. Title or Type of Document Number of Pages �_ Date of Document Signer(s) Other than Named Above EM OF DMUMENT ©1992 NATIONAL NOTARY ASSOCIATION - 8236 Remmet Ave., P.O. Box 7184 - Canoga Park, CA 91304.7184 Return to 4&a Qu �l�a % AGRICULTURAL STATEMENT OF ACIINOWLEDGEMENT 9 3 - 3 6 8 2 7 FOR RESIDENT AL' DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. .-- -- - --- - - - - "- 93-0368271 Rec The property described herein is adjacent Fee 8.00 to land or included within an area zoned I Check 8.00Recorded " for agricultural purposes, and residents I Official Records I Records �OUNiYOFBUTT� of this property may be subject to incon- County I BU�TYOFBU 3U LDING DEPT veniences or discomfort arising from the use of agricultural chemicals, including, Butte I t 0 1993 but not limited to herbicides, pesticides, Candace Grubbs 1 and fertilizers; and from the pursuit Recorder 1 of agricultural operations including, 2:49pm 26 -Aug -93 I PUBL XX 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that .real .:property:-. situate in the County of Butte, State of California, described as follows:�o-� 25-, as 3j iowlj oto C'Sar�A-W -mA p 0-AA41.9J '(U% 1IAce C)41CS CLi I'i i0a, w h Ck m,a p w s e--4�1Q_01-t cQ o -�hL (2ee�rd¢r- o -a 1,Q C'ouN j of &L -Pe , S+44e. a CA, I i Or i, i R N oro S bks (eI 1 'T T7 i n� (3� I� 58 0 m A p5 � PJ Date: % l9/` 3 PROPERTY OWNERS: i State of ) On this the day of 19 before me, the SS. undersigned Notary Public, personally appeared County of ) t C] Personally known to me. E] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) 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. 9 Present A.P. No`. j,q-�'j-DD9��� U Notary Public COUNTY OF BUTTE - DEPARTMEN t OF DEVELOPMENT SER BUILDING DIVISION 7 County Center Drive - OIFwhe, California 95965 -T ph . ne ( 16) 538-7541 PERMIT NO APPLICATION AND PER IT �13`12-5 � ASSESSOR PARCEL NUMBER 069-500-009 ZONING-' ' r1 BUILDING PERMIT OWNER —AR-TRUR—T0WP.RS-64 TELEPHONE SQ. FT. OCC. BUILDING VALUATION R 3456.00 OWNER'S MAILING ADDRESS 6310 VERACREST DR LONG BEACH, 90815 CONTRACTOR'S NAME TELEPHONE R069RSOUDAN CONSTRUCTION 589-0799 CONTRACTOR'S MAILING ADDRESS 50 HASSLER CT OROVILLE 5966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 63-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 25 LARIOT LOOP OROVILLE PERMIT FEE $ 146.95 PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition LX Remodel 1:1Utilities ❑ Installation ❑ Other O Describe Work: ADD AM TMONMR1 TO T,TVTNC, RM #93-2138 (ORIG. 93-2072) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main service I 211*11" LESS GOA ORLESS 1 23.00 Main Service I 200A TO 1000A ) 46.00 NEW CONST. I DWELLING OCCUP. OR ADONS. & ACC. BLDS. g0- 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) )kI am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code anq my license is in full forc�and effect. License No. Classification 17 ❑ 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 Code for this reason NEW CONST. MULTI -OUTLET NON.REslo. ( BRANCH CIRCUITS @7.50 I POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA2L @ 1.000 Ex. Occu FIXED APPLNS. OR Occup. I OUTLETS IRESID.I EA. 1 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): ❑ This permit is for $100.00 (valuation) or less. °6,1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 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 $ 22.25 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 C n con uence of the granting of this permit. �Z X Date `,Q Signaturelof Applicant - ❑ Owner )q Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONSy v (/ TOTAL FEE $ 169.2 HA2 F E IMP FL C F AR PD HD I U This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR OF PUBLIC WORKS BY /�� �" " PERMIT EXPIRES ON .� lDetel provisions to do work paid. Date ,Z ReceiptNo. 148597 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD ""CANT •"�`.''.' 1wYt-3„".�'Ytyr+.+'�+..-'s..�'.'V��,'' 1"'T►"-t..-.�z v+r --- �. -\=i*+'^'R'tFtFr'-Zvf'' •E�ra�-.�y,�•r"�t+,+--r:: . ���. �� COUNTYOF BUTTE - DEPARTMENT DEVic6pM- EN VI ES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF _RNIA9596 = TEL HONE (916) 538-7541 PERMIT APPLICATION DATASHEET A Proposed Building Use Building'Inspector No.6(1F I W-&1)6 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 . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 1 Nees of $ .......................................... 11. Impact fees as shown on attached schedule.�j. ,-t%04 ....................... 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood) bC I'fornia Engineer. . . L4-14. Sanitation and plot plan approval Q Health Department . ............ 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: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . ' Preanspec6on requ� 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _ )....... :... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ... T . 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. / 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone ��' �� `I and hold for pickupat �,ffice. Deliver with inspector. Other, 9/;2 ��' .a//,P�-3f- 'Acreag`e tc.1 y=/4Q. Applicant 11-b' - Date y- Z0, - Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be sub 1. Index permitlor above items 2. Additional items required:_ to permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail.1 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 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,-California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT - PERMIT NO. ASSESSOR PARCEL NUMBER 0 / ' Jj0 � `/�A ZONPGG �j BUILDING PERMIT OWNER /1 n O /n(/%^/V/,_ / //'j //LANG TELERIO/NGE— gQ, �, OCC. BUILDING VALUATION OWNE ADDRESS/�(//J'n �'(� 4i /V/ C ACT R'S N 6 � TELEPHONE CONTRA Ofl'S MA ING ADDR SS ear C Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $40 �. Energy Plan Checking Fee $ Z3 fir; ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPERMIT 12 /,oO� FEE $ ' PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New El Addition Remodel O Utilities ❑ Installation ElOther ElPERMIT Describe Work: / l D� / 1 C� !v 6 FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 3 Main Service ( SOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP OR AODNS. ( a ACC. BLOS. 3.50 F°; CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole 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) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50) ( POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2 @1:00 50 Professions Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the 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 S + Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation E PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to tenter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date �d 3 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" dee/and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ [ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES IMP I FLOOD I CDe PARC L PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON rDerel ` Receipt No. '{/f) WHITE-D.D.S.-B.D. CANARY' -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District 0 6)!2 Building Department No. A.P. Number (��—S(ap — O� Jurisdiction City ®, County Property Owner A�r� ��Q S Property Location/Address 25;- LA O-� (-Au 0 Subdivison lV�i ` (�t4 ICS Lot No. Residential Development Commercial/Industrial 0 0 [ef*'-Sq. Footage (p 4 No. of Living MHI Addition (Group R) Units 0 Sq. Footage New Addition r (Floor Plans reviewed by School District Personnel) Date District Identification No. chool District certifies that �i.g-tom (Applicant) (Street Address) (CRY) has complied with the requirements of Resolution No. representing (O square feet. Paid by Check Number Bank Number Paid by Cash (Including Exterior Roofed Areas) (Phone Number) (State) (Zip Code) 91� - ' 0 7 by payment of $ v /� 9/ Date Remarks: &� ,� If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District pis 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 mitiga ate its imact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkf (4/92) ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE COMPLIANCE Owner Climate Zone Permit # Floor Area The following data showing mandatory and required features shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. Climate Zones 11 and 16* Component <=100 sqft 101-499 500-999 >=1000 sqft Ceiling R-19 R-38 R-38 R-38 Ins. Wall Ins. R-13 R-13 R-13 R-19, 21 Floor Ins. R-13 R-19 R-19 R-19 Slab Edge NR NR, R-7 NR, R-7 NR, R-7 Ins. Glass (U) .75 •.`,75 .65, .60 .65, .60 Max. Glass 50 sq.ft. 16% + 16% + 16% Removed Removed Shading NR .66 .66 .66 Coeff(S&N) Shading NR .40, .66 .40, .66 .40, .66 Coeff(W&E) Thermal NR 5% Raised 5% Raised 5% Raised Mass 20% Slab 20% Slab 20% Slab Heat, Elect Not Allowed Not Allowed Not Allowed Not Allowed Resistance Heat, Gas AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Split Sys. Heat Pump HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Package Cooling - SEER 10.0 SEER 10.0 SEER 10.0: SEER 10.0 Split Sys. Cooling - SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Package - Increased # Allowed w/. Allowed w/ Allowed w/ I Allowed w/ of Wtr Htrs calculation calculation calculation calculation. * One entry/column = req both zones, 2nd entry = req zone 16. SPECIAL FEATURES/REMARKS LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10' LIGHTING KITCHEN & BATH NOT LESS THAN 40 LUMENS/WATT DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. ( t (Jan 93) SIGNAJYRE OT BUILDING DESIGNER OR APPLICANT Mandatory Measures Checklist: Residential MF -1 R NOTE: Lownse residential buildings subject to the Standards must contain tries® measures regardless of the compliance aporoacn used. Items marked with an asterisk (-) may be superseded by more sinngent 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 theMacum�.5 or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures - §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. - §150(c): Minimum R• 13 wall insulation in framed walls (does not apply to exterior mass walls). - §150(d): Minimum R•13 raised floor insulation in named floors; minimum R-8 in concrete raised floors. §150(q: Slab ecoe insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 oermrinch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116.17: Fenestration Products, Exterior Doors and InfiltratorvExfiltration Controls a. Doors ano windows between conditioned and unconditioned spaces desioned to limit air leakage. b. Manufactured fenestration products nave label with certified U -value. and infiltration certification. c. Exterior doors and windows weatnerstripped: all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(0: Sarri pecial infiltration bather installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a Closeable metal or glass door b. Outside air intake with damper and control c. Rue damper and control 2 No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC equipment water heaters. snowerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation I. Indirect hot water tanks (e.g., unfired storage tanks or badwo solar hot water tanks) have insulation blanket (8-12 or greater) or combined intenor/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°F insulated. 5. Piping insulated between heating source and indirect hot water tank. - §150(ml: Ducts and Fans 1. Ducts constructed. insiailed and sexed to comply with UMC Sections 1002 and 1004: duan insulated to a minimum costa led value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust Ian systems nave oackdrah or automatic dampers 3. Gravity ventilating systems servino condifionea space have either automatic or readily accessible. manually operateo campers.. §114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermar efficiency, on -orf switch, weatherproof operating instructions, no eiecurc resistance neabna and no pilot light. 2 System is instaileo with: ' a. At least 36' cine oetween filter and heater for future solar heating. b. Cover for outccor pools or outdoor spa. 3. Pool system has c,rectionat inlets and a orculabon oumo time switch. §115: Gas-fired centrat furnace, poor heater, spa neater or Itousenold cookino appiiance nave no continuously during phot light. (Exception: Non-eiectricat cooking appliance corm pilot < 150 Btwhr.) Lighting Measures § 1501k): 40 lumenswar, or greater for general liahtino in kitchens and rooms wim water closets: and recessed cemno bxtures iC tinsuiauon coven approved. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to compy 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 belt in multiple orientations, any shading featltre that is varied is indicated in the Special Featums/Remarks section Designer or Owner (per Busineas a Professions code) Documentation Author. Name: Name: Tide/Firm: Tide/Firm: Address: Address: Telephone: Telephone: (signature) (date) ignature) (date) Enforcement Agency Name: Title: Agency: Telephone: (signaturwstamp) (oate) Certificate of Compliance: Residential Climate Zone 11 ProlectTlele ,1e_% 1=2'5 Nor BUILDING DATA Conditioned Floowr$rea3 Slab used rJJ [,I -Single Family Detached (SFD) [ ] Single Family Attached (SFA) [) Multi -Family (NM Buildin GcmitN melted By / Due Le Fntotsanent Agency Use Only Area % Number of Stories North O 144- Number of .Units _� East South , [ ] Addition Alone West [ ] Existing Building Skylight _ Existing -Plan -Addition Total 124L.5— ' B UILDING SHELL INSULATION Component Insulation Locaffonleamments Type R -Value (attic, to gterage, D/picCL eta) Roof ............. z7-L;11i Roof ............. Wall .............. Wall. ........ Floor ............: ' Floor ............. Slab Edge ....i FENESTRATION -Ee.nestration Area Shading Devices . Type interior Exterior Overhang Framing Type North ( ) /5o12 C -I` North ( ) East ( ) East ( ) South (' ) South West West West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed. tile, etc.) (so (inches) L.ocation/Descriation (kitchen, bath, etc.) w sS J HVAC SYSTEMS Minimum Type (furnace, air Efficiency conditioner. heetpuinD) (R.FU£,SE£R.HSPF) /D Duct Location Duct (attic, etc.) R -Value Thermostat Tyne Heat Pump (split or nkg) IIOT WATER SYSTEMS .La R Value System T (stora¢e >u: etc.) Capacity Number Ener>zy Factor Ext. Tank Tns_ .11' crr; t,,.r;.,n_ .S'O �_ o 7-73 _2N _ -5-7717D SPECIAL FEATURES/REMARKS Point System Summary: - Climate Zone 111 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor insulation Or U -value 10.0281 v � or U -value (0.0651 or U -value [0.0371 Point Scores 4. Slab Edge Insulation or R -value 101 F2 tactor 10.751 5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) (Yj S. Fenestration Heat Loss Type U -value (0.651 Total Fene . 1161 7. Fenestration Heat Gain % Fenestration SCShade open Eff. % Fenes. Shade Elf. Ratio North 9. �/ X -7) �(p East X = , South 25. X = , West t • X = Skylight /9- X = /� Overhangs? ( Y / N) / 8. Inteirior Thermal Mass or ! %Exp. Slab 1201 Int MasslCFA 9. Exterior Wail Mass Ext Wal! 10. Heating System - 7'T X F3 _ '61 AFUE or HSPF Duct Etfia. 11 story: Effective AFUE Zonal Control [78% or 6.81 0.83-.2+ sto, 0.661 ar H�PF Adiwament (0) 11. Cooling System Ad _-_ X . (� - Q • . SEER (10.01 Duet Effic. [1 story: Effective SEER Zonalconstal 0.81: 2+ story: 0.871 Adjustment 101 12 Water Heatln System 1 SL) Heater Type En y actor Ext Ins. R -value Auxiliary Input Distribution [SG501 (0.531 1121 [Nonei (STDi System 2 Heater Type (None( Energy Factor 1. Ceiling Insulation R -value Number of stones One Two Tliiee.. R-0 .74 .48 -27 R-19 -5 -4 .2 R-30 -1 -1 0 R-38 0 0 0 2. Wall Insulation -55 48 Insulation is Hoot Single- Single- Number of Stant •27 Famq Family WOW - Ext Ins. RwsuZu Auxrtiary Input Distribution Point Total: 4. Slab Edge Insulation -72 -57 Numoer at Stones R-11' R -value One Two Three R-0 0 0 0 R-5 6 4 2 R-7 7 4 2 6. Fenestration Heat Loss 0 0 R-0 -72 -57 -43 ' R-11' -7 -6 -4 R-13 -5 -4 •3 R-15 -4 .3 •2 R-19 0 0 0 R-21 1 1 1 3. Raised Floor Insulation -55 48 Insulation is Hoot -38 •34 Number of Stant •27 R -value One Two Three R-0 -14 -9 -5 R-11 -3 .2 -1 R-19 0 0 0 R-30 2 1 Su 1� 5. Infiltration (Duct Air Leakage) DuOas to Unconditioned Space 0 No Duets in Unconaatoned Space 3 Total 1.31 Percent or Fenestration more 1.21 to 130 1.11 to 1.20 1.01 to 1.10 .91 to 1.00 .81 to .90 .76 to .80 ll-vdus .71 .66 to to .75 70 .61 to 65 .56 to .60 .51 to .55 .46 to .50 .41 to 45 .36 to 40 .35 or teas 507. -100 •76 .69 -62 -55 48 -41 -38 •34 .31 •27 •24 .20 .17 *13 .10 91%. -77 -58 -52 -47 -41 -36 -30 -27 -25 -9 -19 -16 -13 -11 -8 •5 35% -66 49 -t4 -39 -34 -29 -25 -22 -20 •14 .15 •12 .10 -7 •5 -3 30% -54 -40 -36 -31 -27 -23 -19 -17 -15 . 1 -11 3 -6 -4 -2 0 287. -50 -36 -32 -28 -25 -21 •17 .15 .13 .11 9 .7 .5 .3 -1 1 267. .45 •33 -29 -25 -22 -18 -14 •13 •11 -9 -7 -5 -4 -2 0 2 24% 41 -29 -26 -22 -19 -16 -12 .11 -9 .7 -6 -4 -2 -1 1 3 22Y. -36 -25 -22 -19 -16 -13 • -10 3 .7 -5 -4 .2 -1 1 2 4 20% -31 -22 -19 -16 -13 -11 3 -6 -5 4 -2 -1 1 2 3 5 18% -27 -18 -16 -13 -11 -8 -6 -t -3 -2 -1 1 2 3 4 6 16% -22 -14 -12 -10 -8 -6 -3 -2 -1 0 1 2 3 4 6 7 14% •18 -11 -9 -7 -5 -3 -1 0 1 2 3 4 5 6 7 8 12% -13 -7 -6 .4 -2 -1 1 2 3 4 4 5 6 7 8 9 107: -8 4 -2 -1 1 2 3 4 5 5 6 7 8 8 9 10 87. -4 0 1 2 3 4 6 6 7 7 8 8 9 9 10 it 7. Fenestration Heat Gain (bases on Shoe Effectiveness Ratio) En Fen- antra• tion .87 or more North .67 .52 to to .86 .66 .51 or, less East .87 .67 .52 or to to more .86 .66 .51 or less South .87 .67 S2 or to to more .86 .66 .51 or less West .87 .67 .52 or to to more .86 .66 .51 or less Skylight .67 .66 or or more less 18% .5 -4 .3 -2 -21 -20 .15 .12 •26 -23 •16 -12 -36 -32 •23 -16 -75 •50 167. -4 -4 .2 -i -18 -16 -13 •10 -21 -19 -13 -9 •31 -27 •19 -14 .65 .44 14% .4 .3 .2 -1 a4 •13 •11 •8 -16 •14 -10 •7 •26 -23 -t6 -11 .55 -38 12% -3 -2 .1 -i -11 -10 -8 3 -12 -10 -7 -4 -21 .18 •13 -8 -46 •31 11% •2 -2 •1 0 -10 -9 .7 3 .10 -6 .5 •3 .19 .16 -11 -7 -41 -28 iM. -2 -2 .1 0 -8 -8 -6 •5 -8 •7 -4 •2 •16 .14 -9 -6 •37 -25 9% '-2 -1 -1 0 -7 -7 •5 -4 -6 -5 -3 -1 .14 -12 -8 -5 -32 -22 8% .1 .1 -1 0 -6 -5 -4 .4 .4 -4 •2 0 .11 •10 -6 .4 .28 -19 71Y. -1 -1 0 0 -5 .4 -4 •3 •3 •3 -i 0 -10 -8 -5 -3 -24 -17 6% •1 -1 0 0 -4 -4 •3 •2 -2 .2 •1 0 -8 -7 -4 -2 •20 .14 5% .1 0 0 0 -3 •3 -2 -2 -2 •1 0 0 -6 -5 -3 -1 -16 •12 4% 0 0 0 0 -2 -2 -1 -1 •1 -1 0 1 -4 -4 -2 0 -12 -10 3% 0 0 0 0 -1 -1 -1 0 0 0 0 1 -2 -2 0 1 •9 -7 2% 0 0 0 1 0 0 0 0 0 0 1 1 0 0 1 2 -6 -5 1% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 -3 •2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3 0 0 8. Interior Thermal Mass Method A (Station -grade Construction Only) perem One Two Three Exposed Story Stones Stones 0 0.00 -3 0 -2 0.20 -1 10 2 -2 7 .1 4 .1 20 8 0 0.80 0 10 0 30 14 1 9 1 17 1 . 40 1.40 3 14 2 1.60 1 50 13 4 23 3 14 2 60 19 5 4 3 100% 2 70 13 6 9 4 4 - 2 80 8 Eff SEER 5 38 3 90 IC, 9 Pckg 6 . -24 to 3 100 .6 to 10 Spin 6 -25 4 -14 -4 Method B AFUE HP Ira or Slo Floor to Raised Floor Mass or stones KVF KW less Stones -5 - 1CFA Orta Two Tire One Two Three 0.0 -11 -8 -6 -1 .1 0 0.1 -10 -7 -6 0 0 0 0.3 .9 3 -5 1 1 1 0.5 -8 -5 .4 2 2 2 1.0 -6 3 .1 4 4 5 1.5 -4 -1 1 6 6 6 2.0 -2 2 4 8 6 8 2.5 1 3 5 9 9 9 3.0 3 '6 . 5 11 10 10 4.0 4 1 7 13 13 13 5.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 11 18 17 17 9. Exterior WaU Thermal Mass Exterior Single. Single. Wail 'Family Family Mass Detained AlMened Muni Family 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 18 14 200 24 19 14 10. Heating -System Houses With Duets (R42) Sum of 1.6 Gas Spirt Pkg -25 -24 -14," .4 AFUE HP HP or to td to - HSPF NSPF less -15 ' -5 +5 +6 to +15 16 or more 787. 6.8 6.6 - 0 0 0 0 0 0 Sm. 7.0 6.8 1 1 1 1. 0 0 85% 7.4 7.2 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 95% 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 - 2 (SEER x duct efticieocy) Effective AFUE or HSPF Eff SEER ' 38 (AFUE or HSPF x duct eRideaey) IC, Effective Pckg -25 or -24 to Sum at 1.6 -4 10 .6 to Gas Spin Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or -23 KVF KW less -15 -5 - +5 +15 MOM One Story House -13 -9 -6 •2 0 7.0 33% 2.9 2.8 -62- -53 -44 -34 -25 -16 40% 3.5 3.4 -40 -34 -28 -22 -16 -10 W. 4.4 4.2 -19 -i6 -13 .10 .7 -5 60% 5.2 5.1 -4 -4 -3 -2 -2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 6 5 4 3 2 1 BOY. 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 i6 13 ii 8 5 100% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House 5.0 4.9 -35 33% 2.9 2.8 -69 -58 -48 -37 -26 -15 407. 3.5 3.4 -46 -39 -32 •24 -17 -10 50% 4.4 4.2 -24 -20 -16 -13 -9 .5 60% 5.2 5.1 -9 -8 -6 -5 -3 -2 697. 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 1 1 1 1 0 0 So% 7.0 6.8 9 8 6 5 3 2 90Y. 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 14 11 8 4 10 6 Zonal Control Adjustment 0 15.0 System Type 20 16 11 7 3 0 Restsmnee 6 4 3 2 1 0 Other 3 3 2 1 1 0 11. Cooling System Houses with Ducts (R=4.2) SEER Sum of 7-9 Soln Pcxg -25 or •24 to .14 to -410 WAC - p.0 less .15 .5 +5 +6 to +15 16 or more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 12.0 11.6 8 6 5 3 1 0 13.0 126 11 9 6 4 2 0 14.0 13.6 13 it 8 5 2 0 15.0 14.6 16 12 9 6 2 0 0187 -20 Effective SEER -41 32 .19 (SEER x duct efticieocy) 0.83 Eff SEER ' 38 Sum of 7.9 -16 IC, Spirt Pckg -25 or -24 to -14 to -4 10 .6 to 16 or AC AC less -15 -5 +5 +15 more One Story House 1.80 4 7 5 -5 -1 5.0 4.9 -29 -23 -17 -11 -4 0 6.0 5.8 -16 -13 -9 -6 •2 0 7.0 6.8 -7 3 -4 •3 1 0 BA 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 5 3 1 0' 11.0 10.7 12 10 7 4 2 0 12.0 11.6 15 12 9 6 2 0 13.0 126 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House 5.0 4.9 -35 -27 -20 -13 -5 0 6.0 5.8 -21 -17 -12 -8 -3 0 7.0 6.8 -11 A -7 -4 •2 0 8.0 7.8 -4 -3 -2 -1 .1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 120 11.6 13 10 7 5 2 0 13.0 126 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 AdJus®ent for No Tunis tnrsuatioo f4umbilr d Weer Herrn Water Heater ivoe One Two SGSO -2 .5 SG75 •3 a SE .5 -0 HP .2 .4 I House Sim Adjustment Hage Size (Rz) Subtotal lass 1000 Waer►ismlg Oran to Pon Scare 1000 1499 30 47 .5 .25 -14 .4 -20 -11 -3 -15 -9 •3 -10 -6 ..2 . •5 .3 .1 0 0 0 5 3 1 to 6 2 15 13 20 11 3 25 14 4 House Sire Adjustmmt Hans sae (ftp subtotal 1500 2000 Water Hag 10 or Pont score 1999 more 30 0 3 ,25 a 2 .20 0 2 -15 a 1 .10 0 1 .5 0 0 0 0 0 5 0 0 10 0 4 15 0 •1 20 0 .2 25 0 -2 Zonal Control Adjustment All 6 5 4 2 1 0 12. Water Heating One weer Heirs - No Asocill >7 Czedm oimmtaton Sysism2 rias Sbstsms Water camasn Energy- -SM MM Pips No Tinier Darttd HewerTvoet Zones .F!M POU IRR do SG50 At a& 0 3 1 -9 .5 . 0 0.63ti 5 8 6 -4 0 5 0.73 _ice it 9 0 4 8 SG75 All 0.48 .2 1 -1 -12 -7 -2 0.511 3 6 5 -5 -1 4 466 7 10 8 -1 3 7 SE Ala 0187 -20 -12 -17 -41 32 .19 0.83 -17 -0 .13 38 -28 -16 IC, All 4030 2 5 3 IE Aa 099 -21 -12 MP 6.11.13.15 1.80 4 7 5 -5 -1 4 Two Watw Hnterz - No A=Mary Creditt SG50 M am .7 .4 -6 -17 -12 -7 am 1 5 3 3 -4 1 473 6 10 8 -2 2 7 SG75 All 0.48 -12 -0 -11 -22 -17 -12 am .1 3 0 -11 3 -1 0.68 6 0 7 -A 1 6 SE AB 0.87 .22 -14 -10 46 •35 -22 0.93 -16 -7 .12 -30 •28 -15 IG M 480 .4 •1 .3 1E AN 0.93 -21 -12 HP 6.11.13.15 1.80 .1 3 1 -10 .6 0 Mandatory Measures Checklist: Residential MF -1 R NOTE: Lownse resiaential buiiVIngs st*ect 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 corFponent performance specifications for the mandatory measures whether they are shown elsewhere in the documbrim or on this checklist only. DESCRIPTION Building Envelope Measures • §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. • §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). • §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(Q: Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 permiinch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116.17: Fenestration Products, Exterior Doors and InfiltradordExPotration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -vacua, and infiltration cartifiradon. Q 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(Q: Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. outside atr intake with damper and control a Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC equipment water heaters. showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation t. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined intenortextenor 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 ululated in recirculating sections of hot water system. 4. Cooling system piping below 55OF insulated. S. Pining insulated between heating source and indirect hot water tank • §150(m): Ducts and Fans 1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: ducts ululated to a minimum utstallea value of 8.4.2 at ducts enclosed entirely within conditioned space. 2. Exhaust tan systems nave backdraft or automatic dampers 3. Gravity venniadna systems serving condilioneo space have either automate or readily accessible. manually operated campers.. §114: Pool and Soa Heanno Systems and Equipment 1. System is cerafiea wim 78% thermal efficiency, on-oif switch, weatherproof operating instructions. no electric resistance neaung ane no Pilot light 2. System is installed with: a. At least 36'Poe oetween filter and heater for future solar heating. b. Cover for outcoor pools or outdoor spa 3. Pool system nas cirecdonai inlets ano a arculapon oumo dme switch. §115: Gas -vireo centrw turnace. pool heater, spa neater or household cooxino appliance have no conanuousiy bung plot light. (Exceppon: Non -electrical cooking appliance with pilot < 150 Stwhr.) Ughting Measures § 150( k): 40 lumens -war, cr greater for general lighting in kitchens and rooms with water closets: and recessed ceiling nxtures iC unsumoon coven approved. DESIGNER I ENFORCEMENT COMPLIANCE STATEMENT 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 therm. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building pian to be built in multiple oriemations, any shading feature that is varied is indicated in the Special FeatuuesfRemarks section. Designer or Owner (per eualne" a Protmalons code) Name: Tide/Finn: Addren: Telephone: Lia t: (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: Isignatureistamol (Patel Documentation Author Name: Tide/Finn: Addieea: Telephone: (signature) (date) Certificate of Compliance:-kysideniialk Climate Zone 11 Project Title 247 L.AFmt (MM LA=X>P0 Project Address Documentation Author Tekphone BUILDING DATA FEVISED q-20'43 Conditioned Floor Ar 5% Number of Stories - I SlabAWsed Floor Number of .Units [ ] Single Family Detached (SFD) [ ] Addition Alone (] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family 04F) [ l Existing-PIus-Addition B UILDING SHELL INSULATION Component Insulation LocaflotrXomme.-its Type R -Value (line, cc garage, mtdL epee) Roof........... Roof ...........» Wau.............. 1 •19 Wall ...........».' Floor..........„. �” ■ Floor ............. . Slab? Edge....: FENESTRATION ming Devices Building eMyrit 0 _ ZO Checked By / Due Enforcement Agency Use Only -Eenestration Area . Type Interior Exterior Ovetfiang Framing.Type Orientation (Sf) (single, double) (colla blind, etc.) (Shadesaeett. etc.) (yei/tto) (metaltwood) North North ( ) East ( ) — East ( ) South ( ) South ( ) i West ( ) I ' West ( ) Skylight....... Q_ THERMAL ibIASS rj TypelCoverirg Area Thickness (slab/exposed. file, etc.) s inches Locacion/Descn kite th. etc.) HVAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Location Duct Heat Pump Conditioner. hent DumD) (AFUE, SEER.HSPF) (attic, etc.) R -Value most ' (split t or pkg ) erllg 1J 17t, 4,2- A2 C IIOT IVATER SYSTEMS Tank R Value Svstem T (storage gas. etc.) Capacity Number Energy Factor Ext- Tanis Ins _, ni ctri hxxti rin S•- o c O.60 3 Pe- t SPECIAL FEATURES/REMARKS Area North East South West 7 Skylight Total -Eenestration Area . Type Interior Exterior Ovetfiang Framing.Type Orientation (Sf) (single, double) (colla blind, etc.) (Shadesaeett. etc.) (yei/tto) (metaltwood) North North ( ) East ( ) — East ( ) South ( ) South ( ) i West ( ) I ' West ( ) Skylight....... Q_ THERMAL ibIASS rj TypelCoverirg Area Thickness (slab/exposed. file, etc.) s inches Locacion/Descn kite th. etc.) HVAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Location Duct Heat Pump Conditioner. hent DumD) (AFUE, SEER.HSPF) (attic, etc.) R -Value most ' (split t or pkg ) erllg 1J 17t, 4,2- A2 C IIOT IVATER SYSTEMS Tank R Value Svstem T (storage gas. etc.) Capacity Number Energy Factor Ext- Tanis Ins _, ni ctri hxxti rin S•- o c O.60 3 Pe- t SPECIAL FEATURES/REMARKS Doint System Summary: Climate Zone 11 ��Vlseb 1. Ceiling Insulation - or - % Fenestration R-vaf J U -value 10.0281 Z. Wall Insulation 3 or East X South t X i4-valueJ U -value (0.0651 3. Raised Floor Insulation or HSPF or Skylight X R -value 1 J U -value [0.0371 S. Stab Edge Insulation Floor Insulation or Interior Thermal Mass R•value [01 F2 tac= (0.751 5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) [Y] 5. Fenestration Heat Loss 0.81: 2+ story: 0.871 171 Adjustment (01 y pe U -value 10.651 Total % Fenes.1161 Fenestration Heat Galrt - -43 % Fenestration •SCsftade open EH. % Fenes. North ► X �_ _ %r 0 East X South t X -4 -3 =071G;- = 2 t West X or HSPF = 3 tS Skylight X X = Overhangs? ( Y / N ) Floor Insulation -41 Interior Thermal Mass Ouct Eftic (1 story: or ZonalC4n0rw Sts Exp. Slab (201 Int Mass/CFA Exterior Wall Mass Ext Wad Maas Shade�Efff.. Ratio X -C�3 Point Scares a Suns 1-6 10. Heating System X -43 R-11 -7 -6 -t AFUE or HSPF Oua Etfie- It story: Effecave AFUE Zonal Control -4 -3 (78% or 6.81 0.83: 2+ story: 0.881 or HSPF Adjusinient (01 11. Cooling System X = 3. Raised Floor Insulation -41 SEER (10.01 Ouct Eftic (1 story: Eftecave SEER ZonalC4n0rw Num w at stones -20 0.81: 2+ story: 0.871 One Two Adjustment (01 12 Water Heating -14 -9 -5 R-11 -3 -2 System 1 S 616S 0 0 0 R-30 Heater Type Energy Factor Ext Ins. R-vatue Auxiliary Input Oismbucon (SG501 (0.531 (121 (None( (ST01 System 2 Heater Type (None( Energy Factor Ext Ins. R -value Auxiiiary Input Oistneucon 1. Ceiling Insulation Numow of stones PI -Value One Two TCre� R-0 •74 48 R-19 -5 - R•30 -1 -t1 Q� R-38 0 0 Z. Wail Insulation *fo' Single-- Single' . / Famay Family R-0 -72 -57 -43 R-11 -7 -6 -t R-13 -5 -4 -3 R-15 -4 -3 -2 R-19 0 0 0 R-21 1 1 1 3. Raised Floor Insulation -41 -38 Insulation in Floor -31 -27 Num w at stones -20 R -value One Two Three R-0 -14 -9 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 2 1 -13 Insulation Numoer at Stones q1 6 4 2 7 4 2 %fi:Fenestration Heat Loss Point Total: w 5. Infiltration (Duct Air Leakage) Outs to Uncanomoned Space 0 No Ducts in Unconantoneo Soave 3 Total 1.31 Percent or inesuman more 1.21 to 130. 1.11 to 1.20 1.01 to 1.10 .91 to 1 00 .81 to 90 .76 to 80 I. slue .71 .66 to to 75 70 .61 to 65# .56 to 60 .51 to 55 .46 to .50 .41 to 45 501. -too -76 -69 -62 •55 48 -41 -38 -34 -31 -27 -24 -20 •17 .101. -77 -58 -52 -47 -41 -36 -30 -27 -25 -22 -19 -16 -13 -11 35% -66 -4 -t4 -39 -34 -29 -25 -22 -20 •17 -15 -12 -10 -7 301. -54 -40 -36 -31 -27 -23 -19 -17 .15 -13 -11 -8 -0 -s 281. -50 -36 -32 -28 •25 -21 -17 -15 -13 -11 -9 -7 -5 -3 261. -15 -33 -29 -25 -22 -18 -14 -13 -11 .9 -7 •5 -t .2 24% -41 -29 -26 -22 -19 -i6 -t2 -it -9 -7 -0 -4 -2 -1 221. -36 -Z5 -22 •19 -16 -13 -10 -6 -7 -5 -t .2 -I 1 20% -31 -22 -19 -16 -13 -11 d -6 -5, -t -2 -1 1 2 18% -27 -18 -16 -13 •11 -8 -6 -t -3 -• -2 -1 1 2 3 16% -22 -14 -12 -10 -8 -6 -3 -2 -1 0 1 2 3 4 14% -18 -11 -9 -7 .5 -3 -1 0 1 2 3 a 5 6 12% -13 -7 -6 -t -2 -1 1 2 3 4 4 5 6 7 10% -8 -t -2 -1 1 2 3 4 5 5 6 7 8 8 811. -t 0 1 2 3 4 6 6 7 7 8 8 9 9 .36 .35 to or 40 less -13 -10 -8 -5 -5 -3 -2 0 •1 1 0 2 1 3 2 4 3 5 4 6 6 7 7 8 8 9 9 10 10 11 7. Fenestration Heat Gain (based on Shade Ettectiveness Rate) Ell % Fen- wira• non .87 or more North .67 •52 to to .86 .66 .51 or less .87 or more East .67 .52 to to .86 .66 .51 or less .87 or more South .67 .52 to to .86 .66 .51 or less .87 or more West .67 .52 to to .86 .66 .51 or less Skylight .67 .66 or or more less 18% .5 -4 ' .3 -2 -21 -20 •15 -12 -26 -23 -16 •12 -36 -3'-13 1 t6 •75 •50 16% -4 -4 -2 •1 •18 -16 •13 =10 -21 -19 •13 -9 •31 -27 •19 -14 1 23 14% -4 •3 •2 -t -14 •13 •11 -8 •16 -14 -10 -7 -26 -23 •16 •11 .55 -38 121. -3 •2 1 -1 -11 -10 -8 -6 -12 -10 -7 -4 •21 •18 •13 -8 46 •31 11% -2 •2 1 0 •10 -9 -7 -6 -10 -8 -5 -3 •19 •16 •11 -7 -41 -28 10% -2 -2 -1 0 -8 -8 -0 -5 -0 -7 d •2 -16 -14 9 0.1 37 •ZS 9% '-2 -1 1 0 -7 •7 -5 •4 -6 -5 -3 -1 -14 .-12 -8 -5 -32 •22 811. -1 •1 1 0 -6 •5 •4 -4 -4 •4 •2 0 •11 •1 -6 •4 •28 •19 71. -1 1 0 0 •5 -4 .4 •3 •3 •3 -1 0 •10 -8 •5 -3 -24 •17 6% •1 -1 0 0 -4 -4 -3 -2 -2 •2 •1 0 •8 -7 -4 •2 -20 •14 5% •1 0 0 0 •3 -3 •2 -2 •2 •1 0 0 -6 •5 -3 -1 •16 •12 4% 0 0 0 0 -2 -2 -1 •1 •1 •1 0 1 -4 -4 -2 0 -12 -10 3% 0 0 0 0 -1 -1 -1 0 0 0 0 1 -2 -2 0 1 •9 •7 2% 0 0 0 1 0 0 0 0 0 5.8 1 1 0. 0 1 2 -a" •5 1% 1 1 1 11 0 1 1 1 0 0 0 0 1 1 2 2 •3 •2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3 0 0 8. Interior Thermal Mass Houses With Examor Method A (Slab -on -grade Construction Only) percent Family One Family Two Three Examed Sloe 0.00 Stone Stones 0 0.20 .3 3 .2 1 7 10 4 -2 9 •1 1 0.80 20 10 0 1.00 0 0 9 30 17 1 10 1 1 . 40 1.60 3 17 2 1 23 50 14 4 24 3 2 1 60 0 5 85% 3 2 5 70 3 6 2 4 2 7.8 80 8 8 5 5 3 1 90 8.3 9 11 6 3 5 100 2 10 8.7 6 4 11 9 7 Method B -410 +6 to Int AC Sio Floor less Raised Floor -5 Mass +15 Stories One Story House Sum at 1-6 Stones 10 8 1CFA One Two Three One Two Three 0.0 •11 -9 -6 -1 -1 0 0.1 -10 -7 -6 0 0 0 0.3 A -6 -5 1 1 1 0.5 -8 -5 -4 2 2 2 1.0 •6 -3 -1 4 4 5 1.5 •4 •1 1 6 6 6 20 -2 2 4 8 8 8 25 1 3 5 9 9 9 3.0 3 6 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 11 18 17 17 9. Exterior Wall Thermal Mass Houses With Examor Single- Single- mufti Wag Family Family Family Mass Detached Aracted -15 or 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 18 14 200 24 19 14 10. Heating -System Houses With Ducts (R-4.2) Sutttotal w SEER than to Houses With Ducts (R-42) Sum of 7.9 -30 -17 -5 Soln Pc1g -15 or -2410 Sum at 1.6 +6 to 16 or Gas Split Pkg •25 -24 •14 -4 +6 16 AFUE HP HP or to to to to or - NSPF NSFF less -15 -S +5 +15 mare 78% 6.8 6.6 - 0 0 0 0 0 0 801. 7.0 6.8 1 1. 1 1 0 0 85% 7.4 7.2 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 951, 8.3 8.0 11 9 7 5 4 2 10011. 8.7 8.5 13 11 9 7 4 2 -410 +6 to Effective AFUE or HSPF AC AC less (AFUE or HSPF x duct dfleieney) -5 Effeme +15 more One Story House Sum at 1-6 6 10 8 Gas Spirt Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or 7.0 NsaF HW less -15 -5 - +5 +15 more One Story House 8.0 7.8 -1 0 0 0 33% 29 28 -62 -53 4A -34 -25 -16 401. 3.5 3.4 -40 •34 -28- -22 -16 -10 50% 4.4 4.2 -19 -16 -13 •10 •7 -5 60% 52 5.1 -4 -4 -3 -2 -2 -1 64% 5.6 5.4 0 0 0 0 0 0 701. 6.1 5.9 6 5 4 3 2 1 80% 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 100% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House -12 -0 -3 0 33% 29 28 •69 -S8 -48 -37 -26 -15 401. 3.5 3.4 -46 -39 -32 -24 -17 -10 50% 4.4 4.2 -24 -20 -16 -13 -9 -5 60% 5.2 5.1 -9 -8 -0 -5 -3 -2 69% 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 1 1 1 1 0 0 801. 7.0 6.8 9 8 6 5 3 2 901. 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 14 11 8 4 Zonal Control Adjustment System Type Resistance 6 4 3 2 1 0 Other 3 3 2 1 1 0 11. Cooling System Adjustment for No Tatra Intatada s Numoer of Water Foam Water Heater Tvos One Two SGSO -2 •5 SG75 .3 -0 SE -5 -9 HP -2 1 A Hauge Skm Adl-ent Houses With Ducts (R-4.2) Sutttotal w SEER than to Poen Soon Sum of 7.9 -30 -17 -5 Soln Pc1g -15 or -2410 -14 to .4 to +6 to 16 or AC AC less -15 -5 +5 +15 more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 120 11.6 8 6 5 3 1 0 13.0 126 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 -21 -12 Effective SEER HP 6.11.13.15 (SEER x duct ettt ienq) 7 5 -5 Eft SEER 4 Two W ata Heaters - No Anzinary Credits Sum of 7.9 SG50 Split Pckg -25 or -2410 -14 to -410 +6 to 16 or AC AC less -15 -5 +5 +15 more One Story House 0.73 6 10 8 -2 2 5.0 4.9 -29 •23 -17 -11 -4 0 6.0 5.8 •16 -13 -9 -0 -2 0 7.0 6.8 •7 -0 -4 -3 -1 0 .. 8.0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 5 3 1 0 11.0 10.7 12 10 7 4 2 0 120 11.6 15 12 9 6 2 0 13.0 126 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House 5.0 4.9 -35 -27 -20 •13 -5 0 6.0 5.8 -21 -17 -12 -0 -3 0 7.0 6.8 -11 A -7 .4 -2 0 8.0 7.8 -4 -3 -2 -1 -1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 120 11.6 13 10 7 5 2 0 13.0 126 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 Adjustment for No Tatra Intatada s Numoer of Water Foam Water Heater Tvos One Two SGSO -2 •5 SG75 .3 -0 SE -5 -9 HP -2 1 A Hauge Skm Adl-ent SG50 Him Size (Its Sutttotal tete 1000 Water ihatirtg than to Poen Soon 1000 1499 -30 -17 -5 •25 14 -A •20 0 -15 A 3 -10 6 2. -20 0 0 0 0 S 3 1 10 B 2 tS 9 3 2D tt 3 25 14 4 House She AdJuatotent SG50 Al House Sae 111� suitto w 1500 moo wate►Httanng to or PC" Some 1999 more -30 0 3 -25 0 2 -20 0 2 -15 0 1 -10 0 1 .5 0 0 0 0 0 5 0 0 10 0 i 15 0 1 20 0 2 25 0 -2 Zonal Control Adjustment All 6_ 5 4 2 1 0 IZ Water Heating Ona Waw Hato - No AUXM=7 Crndbs atmtarmort smem2 Rene systaen water camatas Energy = MALAR Moo No Tlnw Oamd Heater TvoeI Tones Fa= POU Imul tit SG50 Al 0.53 0 3 1 -9 -5 0 0.63 5 8 6 -4 0. 5 0.73 8 11 9 0 4 8 SG73 Al 0.48 -2 1 -1 -12 -7 -2 (IS 3 6 5 -5 -1 4 098 7 10 6 -1 3 7 SE Al 0.87 -20 -12 -17 -41 .42 -19 0.93 •17 -9 -13 38 -28 -16 IG4 Al am 2 5 3 IE Al 093 -21 -12 HP 6.11.13.15 1.80 A 7 5 -5 -1 4 Two W ata Heaters - No Anzinary Credits SG50 Al 0.53 -7 .4 -6 •17 -12 -7 0.63 1 5 3 -0 -4 1 0.73 6 10 8 -2 2 7 SG -13 AS 0.48 •12 -0 -11 -22 •17 -12 ash •t 3 0 -11 -6 -1 0.68 6 9 7 -4 1 6 SE Al 0.87 -22 -14 •19 46 -33 -22 0.93 t6 •7 -12 -39 -28 -15 !G At 0.80 .4 -1 •3 IE All O.M -21 -12 HP &.11.13.15 1.80 -1 3 1 -10 -6 0 Mandatory Measures Checklist: Residential MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stnngent compliance requirements listed on the Certificate of Comoliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by ail partes as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or an this checklist only. DESCRIPTION Building Envelope Measures - §150(a): Minimum R-19 ceiling insulation. §150(b): loose fill insulation manutacturer's labeled R -Value. • §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). - §15o(d): Minimum R-13 raised floor insuwtion in framed floors; minirmon R-8 in concrete raised floors. §150(n: Stab edge insulation - water atuorption rate no greater than 031%. water vapor transmission rate no greater than Z.0 eemvinch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116.17: Fenestration Products, Exterior Doors and InfltraCONEAtraoon Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Manufactured fenestration products nave label with certified U -value, and infiltrapon certification. c. Exterior doors and windows weatherstripped; a8 joints and penetrations caWked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150()): Special infiltration barrier installed to comply with §151 meets Commission quality stanawds. §1 Sole): Installation of Fireplaces, Decorative Gas Appliances and Gas logs 1. Masonry and factory -built freclaoes have: a Closeable metal or glass door b. Outside air intake with damper and control c Flue damper and control Z. No continuous burning gas pilots allowed Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC equipment. water heaters, snowerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §150(j): Pine and Tank Insulation 1. Indirect not water tants Ie.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or comoined intenouexterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank non-reciratadng systems. insulated (R-4 or greater). 3. Ali buried or exposed piping ululated in recirculating sections of hot water system. 4. Cooling system piping oelow 55OF insulated. S. Piping uhsutated between heating source and indirect hot water tank §150(m): Ducts and Fans I. Ducts constructed. installed and seared 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 tan systems nave cackdraft or automatic dampers 3. Gravity venmating systems serving conditioned space have either automatic or readily accessible. manually operated c=oers.. §114: Pool and Spa Heattng Systems and Equipment 1. System is certified witn 78% thermal efficiency, on-off switch, weatherproof operating uhstrucaam. no etecmc reststance neatino and no allot light. 2. System is installed witn: a. At least 36' ;ape oetween filter and heater for future solar heating. b. Cover for outcoor pools or outdoor sox 3. Pool system nas cire trona) inlets and a circulation oumo time switch. §115: Gas -urea cents rurnace. pool nearer, spa neater or household cootdno aop_lce nave no continuously During pact ugrn. ( Exception: Non*recu= cooking appliance YAM pilot < 150 8turhr.) Lighting Measures §150(kl: 40 lumenswart cr Greater tot general fighting in kitchens and rooms with water dosets: and recessed ceuing natures iC i insutation coven approved. DESIGNER I ENFORCEMENT COMPLIANCE STATEMENT Thfs certificate of compliance lists the building features and performance spedfications needed to comply with rifle 24, Parts t and 6, of Ifhe Catitair a Code of Regulations, and the administrative regttlations 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 bull in Multiple oneftl2b=. any shading leature that is varied is indicated in the Special FeawreslRemarks section. Designer or Owner tiger Business a Proreeeione code) Name: r1dwFirm: Address: Telephone: Lic, r. (signature) (date) Enforcement Agency Name: Title: Ag-cV: Teleonone: i signaaoe/stam o f i nate t Documentation Author Name: riite/F.m: Address: Telepnorle: (signature) (date) ..A I Certificate of Compliance: - Residential, Climate Zone 11 'P© W E'iZ C Q Project-TideA =7Z I 2S LARinrr Building it PrejectAddress C heclwd H y / Date Documentation Author Telephone Fltfotoanent Agency Use Only runttsiscuil iii KEVI O BUILDING DATA MVI -01E1> 9-20 Q3 Area % Conditioned Floor Ar 5%� Number of Stories ( North /141 SIab/Raised Floor Number of .Units �_ Stns [ ] Single Family Detached (SFD) [ ] Addition Alone West 7 [ ] Single Family Attached (SFA) [ ] Existing Building Skylight 4� [ ]Multi Family (h'ff) [ ]Existing -Plus -Addison Total 111191 C; BUILDING SHELL INSULATION Component Itlsulation Locatiotr/Oatt mere Type R -Value (tulle, to scurage. My !Z , etc.) Roof ......... - � Roof........ »_. Wau.............. - FIo�or........»»: Floor ............. Slab Edge.._: FENESTRATION ming Devices -Fenestration Area Type anterior Exterior Overhang Framing.Type Orientation (Sf) (single. double) (roger blind eta) (duidescreaa. etc.) (yeW to) (metallwood) North ( ) . LAS r) RL iv1TL NorEh ( ) East ( ) East ( ) South South ( ) West ( )Ike West ( ) Skylight....... � _"""""-'+ THERMAL I MASS�� Type/Covering At+ea Thickness (slab/exposed, tile, etc.) (so . (inches) Location/DCScriodon (kitchen. bath. etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Heat Pump condidoner.hemputnta) (AFUEiSEER.HSPF) (auic,etc.) R -Value Thermostat Tyne (sgl t or nkg) 0 1706 i IIOT NVATER SYSTEMS Tank R Value `;vstem T (stornee gas. etc.) Capacity Number Energy Factor Ext- Tank Tns_ Th qt -r -i h.•t; rn S• 570 t 0.Tz- cZ SPECIAL FEATURESIREMARKS ,oint System Summary: Climate Zone 11�� Ceiling Insulation or R-11 FI-val I U -value (0.028( Wali Insulation or North 9if x R -value ) 1.1 -value (0.0651 :. Raised Floor Insulation or -27 R -value [ J Wralue [0.0371 .. Slab Edge Insulation or = 3 rs R-velue 101 F2 tactor 10.751 Infiltration Any Ducts in Unconditioned Space? ( Y / N) [Yl :. Fenestration Heat Loss R-38 0 _1 Type 10.651 Total % Fens& 1161 Fenestration Heat Gairt - R-11 % Fenestration - SCShads open Elf. % Fenes. North 9if x R -0 '%r O East x South C X -27 -1 G�_ o 2 r Z/' West x d = 3 rs Skylight x •1 -t Overhangs? ( Y / N ) R-38 0 Int6lor Thermal Mass 0 or -34 % Exp. Slab (201 Int Mass7CFA Point Scares a Sum 1.6 Shade Elf. Ratti V� T ?. Exterior Wall Mass Ext Wall Maas 0.'Heating System x = AFUE or HSPF Duct Effie. (1 story: Eflectrve AFUE (78% or 6.81 0.83:2+ story: 0.881 or HSPF 1. Cooling System x = SEER (10.01 Duct Ellie; (1 story: Effecave SEER 0.81: 2+ story: 0.871 2 Water Heating rr System 1 6. jos Heater Type Energy Factor Ext Ins. R -value Aumhary Input (Scsol531 (121• - (None( ..•J: f tri` ` .3 System 2 i . i,,-1...� Heater Type (None( Energy Fa=r Ext Ins. R -varus , Auxakaty Input 1. Ceiling Insulation R-0 Numoer of stones R-11 R -value One Two Three - R -0 -74 •48 -27 R-19 -5 d •2 R-30 •1 -t 0 R-38 0 0 0 2. Wail Insulation -34 -31 -27 -24 50910- Sin91e- -13 .10 Fariny Famay Mulld- R-0 -72 57 R-11 -7 0 R-13 .5 -4 R-15 .4 -3 R-19 0 0 R-21 1 1 3. Raised Floor Insulation Adj+ fa,adation in Floor Oistnouoon Numner of stones R•0 -14 -9 R-11 -3 -2 a-19 0 0 R-3 2 11 -43 .3 .2 0 1 -5 -1 0 Point Total: 0 Numoer of Stones R -value One Two Three R-0 0 0 0 Sum 7-9 2 d Zonal Control 6. Fenestration Heat Lass Ad justrnent 101 .46 to 50 Caat(001 .36 to 40 Adj+ S0% Oistnouoon •i6 ISTDi S Distnoution -48 Point Total: 0 Numoer of Stones R -value One Two Three R-0 0 0 0 R-5 6 4 2 R-7 7 4 2 6. Fenestration Heat Lass .51 to 55 5. Infiltration (Duct Air Leakage) Du= In Unconarttorled Stlace 0 No Dual in Un=natttoneo SoW8 3 Total 1.31 Percent or nestraaon more 1.21 to 130 1.11 to 1.20 1.01 to 1.10 .91 to 100 .81 to 90 .76 to 90 U-rdue .71 .66 to 10 75 70 .61 to 651 .56 to 60 .51 to 55 .46 to 50 .41 to 45 .36 to 40 .35 or less S0% -100 •i6 a9 -62 -55 -48 -ti -38 -34 -31 -27 -24 •20 -17 -13 .10 40%. -7 -S8 -52 -47 -ti •36 .30 -27 •25 Z2 -19 -16 •13 -11 3 •5 35% -66 -4 -t4 -39 -34 -29 -25 -22 -20 -17 -15 -12 •10 -7 .5 •3 307. -54 -40 -36 •31 -27 -23 -19 -17 -15 -13 -it A -0 -4 •2 0 287. -50 -36 -32 -28 -25 -21 .17 •15 -13 -11 -9 -7 -5 •3 -1 1 267. -4 -33 -29 -Z5 -22 -18 -14 -13 -11 -9 •7 .5 -t -2 0 2 24% -41 -29 -26 -22 -19 -16 -12 -11 -9 .7 -6 -t •2 •1 1 3 22% -36 -25 -22 -19 -16 -13 -10 -8 -7 -5 -1 .2 .1 1 2 4 20% •31 •22 •19 -16 •13 •11 .8 •6 .5 -i •2 .1 1 2 3 5 18% -27 -18 -16 -13 -11 -8 -6 .4 -3 .2 -1 1 2 3 4 6 16% -Z2 -14 -12 -10 -8 -6 -3 -2 -1 0 1 2 3 4 6 7 14% -18 -11 -9 -7 -5 -3 -1 0 1 2 3 4 5 6 7 8 12% •13 •% -0 -4 -2 -I 1 2 3 4 4 5 6 7 8 9 107: -a -J -2 -1 1 2 3 4 5 5 6 7 a 8 9 10 9•J. -J a 1 2 3 4 6 6 7 7 8 8 9 9 10 11 7. Fenestratioti Heat Gain (basso on Shape Enecuveness Ratio) Eff North EastSouth ' '-3 -2 •21 Weld -i3 Skylight % .87 .67 32 .51- I .87 .67 .52 .51 .87 .67 S2 Imam .Si .87 .67 .52 .51 .67 .66 Fen- . or 10 to or or to to or or to to or or to to or or or tsna- mom .86 .66 less more .86 .66 less .86 .66 less more .86 .66 less more less 18% •5 -4 ' '-3 -2 •21 -20 -i3 •12 -26 -23 •16 .12 -36 32 -23 16 -75 •50 16% -4 -4 .2 .1 •18 •16 •13 -10 21 .19 .13 •9 •31 -27 •19 •14 45 -A4 14:. -4 -3 .2 .1 -14 -13 -11 -8 •16 •14 -10 -7 -26 -23 -16 -11 •S5 •38 1201. •3 •2 .1 •1 -11 .10 -8 -6 -12 -10 -7 -4 •21 •18 -13 -0 46 •31 11% -2 -2 •1 0 -10 •9 -7 -6 •10 -8 -5 •3 •19 -16 -11 -7 -41 •28 107. -2 •2 -1 0 -8 -8 -6 -5 3 -7 •4 .2 -16 •14 •9 -6 •37 •25 9% '-2 -1 .1 0 -7 -7 -5 -4 -6 -5 -3 -i .14 .1 -8 •5 -32 •22 87. -1 -1 .1 0 -6 •5 -4 -4 -4 -4 •2 0 •11 •1 -6 -4 •28 •19 7% •1 .1 0 0 -5 -0 -0 .3 •3 .3 •1 0 .10 -8 •5 -3 •24 .17 6% .1 •1 g 0 .4 -0 •3 •2 -2 -2 •1 0 -8 -7 -4 •2 •20 .14 5% -1 0 0 0 -3 •3 -2 -2 •2' •1 0 0 4 -5 •3 -1 -16 •12 47. 0 0 0 0 •2 •2 •1 -1 -1 -t 0 1 -4 -4 -2 0 •12 -10 3%0000-1-1-100001-2-201-9-7 -7 •4 .2 0 33% 2.9 Z8 -69 -58 -48 -37 -26 -15 407. 3.5 3.4 -46 -39 2% 0 0 0 1 0 0 0 0 0 •13 1 1 0. 0 1 2 -6 •5 1% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 -3 •2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3 0 0 S. Interior Thermal Mass was Exterior Method A (Stab -on -grade Construction Only) Peteers Wall one Family Two Three Exposed Ston 16 or Stones Stories 0 0 .3 3 .2 2 -1 10 5 •2 0.60 .1 8 .1 20 12 0 7 0 1d 0 30 1.20 1 13 1 1.40 1 . 40 11 3 21 2 13 1 50 18 4 200 3 19 2 60 1 5 0 3 7.4 2 70 4 6 2 4 1 2 8o 7.6 8 7 5 4 3 90 95% 9 8.0 6 9 3 100 4 10 100% 6 8.5 4 11 9 Method B 2 -5 Ira Effective AFUE or HSPF Stab Floor One Story House Raised Floor Masa HSPF x duct eSidency) Stories Effective 5.0 Stones 29 1CFA One Two Three One Two Three 0.0 -11 -a -6 .1 .1 0 0.1 -10 -7 -6 0 0 0 0.3 A -6 •5 1 1 1 0.5 -8 -5 .4 2 2 2 1.0 -6 -3 .1 4 4 5 1.5 -4 .1 1 6 6 6 2.0 -2 2 4 8 8 8 2.5 1 3 5 9 9 9 3.0 3 .6 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 it 18 17 17 9. Exterior Wail Thermal Mass was Exterior Single- Single- Mufti Wall Family Family Farmly Mass Ntarned AtIllmed 16 or 0.00 0 0 0 020 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1,00 1d 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 18 14 200 24 19 14 10. Heating -System was 1000 Sum of 7.9 dtarn to Sols Houses With Duets (R-42) •25 or •2410 •14 to .4 to .610 16 or AC Sum of 1.6 -15 •5 Gas Split Pkg -25 -24 -14 .4 .6 16 AFUE HP HP or to to to to or . WO HSPF less -15 -5 .5 .15 more 78% 6.8 6.6 - 0 0 0 0 0 0 607. 7.0 6.8 1 1 1 1 0 0 85% 7.4 7.2 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 95% 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 2 -5 •5 Effective AFUE or HSPF more One Story House AD (AFUE or HSPF x duct eSidency) -12 -17 Effective 5.0 4.9 29 Sum of 1.6 •17 -11 Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or 8.0 KSPF KSF less -15 -5 - .5 .15 mote One Story House 8.1 7.9 0 0 0 0 33% 2.9 Z8 -62' -S3 -t -34 -25 -16 40% 3.5 3.4 -40 •34 -28 -22 -16 -10 507. 4.4 4.2 -19 -16 -13 -10 -7 -5 60% 5.2 5.1 -4 -4 -3 -2 -2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 6 5 4 3 2 1 80% 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 1017% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House -7 •4 .2 0 33% 2.9 Z8 -69 -58 -48 -37 -26 -15 407. 3.5 3.4 -46 -39 -32 -24 -17 -10 50% 4.4 4.2 -24 -20 -16 •13 .9 •5 60% 5.2 5.1 •9 -8 -6 -5 -3 -2 69% 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 . 1 1 1 1 0 0 80% 7.0 6.8 9 8 6 5 3 2 907. 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 14 11 8 4 Zonal Contra Adiustmem System Type Resistance 6 a 3 2 1 0 Other 3 3 2 1 1 0 1.1. Cooling System Houses With Ducts (R-4.2) SEER was 1000 Sum of 7.9 dtarn to Sols i ckg •25 or •2410 •14 to .4 to .610 16 or AC AC less -15 •5 .5 .15 more . 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 120 11.6 8 6 5 3 1 0 13.0 12.6 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 Effective SEER 8 11 9 0 4 (SEER x duet a fidencY) SG73 All Elf SEER -2 1 -1 Sum of 7.9 -7 -2 Said Pc4 -25 or -24 to -14 to -4 to .6 to 16 or AC AC less -15 -5 •5 .15 more One Story House AD 0.87 -20 -12 -17 .41 5.0 4.9 29 •23 •17 -11 .4 0 6.0 5.8 t6 -13 A -6 -2 0 7.0 6.8 •7 .6 .4 •3 .1 0 , 8.0 7.8 -t 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 5 3 1 0 11.0 10.7 12 10 7 4 2 0 12.0 11.6 15 12 9 6 2 0 13.0 12.6 18 14 10 6 3 0 14.0 13.6 20 i6 11 7 3 0 15.0 14.6 22 17 12 .8 3 0 Two or Three Story House am .16 -7 -12 -39 5.0 4.9 •35 -27 -20 -13 •5 0 6.0 5.8 -21 -17 •12 -8 •3 0 7.0 6.8 -11 -9 -7 •4 .2 0 8.0 7.8 -t •3 -2 •1 •1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 12.0 11.6 13 10 7 5 2 0 13.0 12.6 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 Ad justzeeot ror He Talon t--doo Number of WSW t b=ats WaierHeser Tvoe One T.. SGSO •2 S SG75 •3 a SE •5 e HP .2 1 Hoare Sba Ad jusmeot Haas Size (r) Subtotal was 1000 V111011 H6111211 dtarn to Poen Scare 1000 1499 •30 -17 -S .25 •14 .4 .20 -11 -3 .15 -9 •3 .10 -6 •2 . .5 3 .1 0 0 0 s 3 1 10 6 2 13 9 3 m 11 3 25 14 0 House Ske Ad juummt Ham Size fit) Subtotal 1506 8100 waim Hanna to or Poet Score 1999 came 30 0 3 .25 0 2 •20 0 2 -15 0 1 .10 0 t 5 0 0 0 0 0 5 0 0 10 0 1 15 0 1 20 0 .2 25 0 •2 Zonal Control Adjustment All 6 5 4 2 1 0 12. Water Heating Ow Wager Hester - No AtuzMwy CnW Ma Oimta ti n system2 PA=c Svotems water t LM" Enelpy STD HWR Pipe No Timer Osmii Heater Tvoet Zones Fa= Pot) Insar t2111 SG50 All 033 0 3 1 -0 -5 0 M63sO 8 6 .4 a.- 5 0.73 8 11 9 0 4 8 SG73 All 0.48 -2 1 -1 -12 -7 -2 038 3 6 5 -5 -1 4 am 7 10 8 -1 3 7 SE AD 0.87 -20 -12 -17 .41 32 -19 0.93 -17 -0 -13 3s -2s •i6 IC Al am 2 5 3 IE Al 033 -21 -12 " HP 6.11.13.15 180 4 7 5 -5 .1 4 Two Water Hestaa - No AmdIIary Cz dMs SG50 Al am -7 -0 -6 -17 -12 -7 0.63 1 5 3 -0 -4 1 Q.M 6 10 8 -2 2 7 SG75 Ala 0.48 a2 -0 -11 -22 •17 -12 am .1 3 0 -it -0 -1 0.68 6 9 7 .4 1 8 SE Al 037 -22 -14 -19 48 •35 -22 am .16 -7 -12 -39 -23 -15 'G Al 0.80 .4 .1 -3 IE Aa 093 -21 -12 HP 6-11.13.15 1.80 .1 3 1 .10 -6 0