HomeMy WebLinkAbout069-580-010f
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BEACH of 0vijle'
25 Herc es Ave
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069-58-0-010 93-2163 B,E
BEACHAMP7 BOB & JUDY
LES,,ROVILLE
25 HERCIJO CONTR
NORTH VALLEY
CONTR:
SWIMMING POOL
069-580-010 05-2958
BEACHAMP, BOBBY
25 HERCULES -AVE, OROVILLE,,_�
Cont: OWNER
'STOVE- INSTALLATION
A
tcii �i u� cam;
Butte Cou ty Department of Development Services. ouTre. "R�
N O T Er-' S 7 County Center Drive, Oroville, CA 95965
- (530) 538-7601 vnvw.bupecountynetidds aeOUNty�
RESIDENTIAL
069- 880-010 —
Owner. FBEACHAMP, BOBBY
25 HERCULES AVE; OROVILLE
Site Address: .COnt:.OWNER
STOVE- INSTALLATION - {
Contractor. _ � _ _
Type of Permit: .
SPECIAL CONDITIONS
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FIN E
SIGNATUR .
11F(Ly P-10(4,61
�r
=.OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE Lj PERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
DATE ID E C K S`C O V E R S•C A R P O R T S `G A R A G E S
1 Zoning -Setbacks -Easements
2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
s`
DATE JPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w15'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bones-Enclsrs-pnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr, Fencing -Alarms
13 Bonding, Diving board or Slide
40 1c
opo �41 oqv ds
Pool Drawing
= OK
0 = Not OK
RESIDENTIAL (Single & Duplex)
DATE JUNDERFLOOR
DATE PLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth '
56 Shwr Pan; Test, First fir -Tub Acc
5 Stemwalls Main; Steel -Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir -Tub, Acc
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
6a Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test
10 UF, Gas Pipe, Sz Anchrs-Sz Test
°e 0�
11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test
DATE IMECHANICAL
12 Elec Undrgrnd
61 AC Ducts Insultn & Support
13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn
14 Girders-Sills-Anchr Botts Joists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insulin
15 Acc & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16 Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
\c` c
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE IFINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
In Garage; abv-flr-Ducts-Mech Prtctn
22 Headers & Beams-Sz & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frplc Ties or Type A Flue-Frplc Throat Clrnc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Cimc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcis at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts.
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnls
83 Insultn-Foam-Looked in Attic
38 Ins ultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters ❑ Yes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clrnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntltn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Mer Certs
47 Subfeed Wire Sz ga ❑ CU or ❑AL
98 Address Posted
AC Wire Sz ga ❑ CU or ❑AL
99 Fire Sprinkler
48 Range Circ ga ❑ CU or ❑ AL
Oven Circ ga ❑ CU or ❑ AL
Insulated Neutral ❑Yes ❑No
a+`' 41
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
os' eT oma' o`
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP052958 -
R rt Pu01,1inn P.—it ni.iR_nd nn 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 10/27/2005 APN: 069-580-010-000
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
Site Address: 25 HERCULES AVE ORO
License Class : License Number:
Map Index:
Date: Contractor:
Description: INSTALL NEW PELLET STOVE
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: BEACHAMP BOBBY L & JUDY L
permit to construct, alter, improve, demolish, or repair any structure, prior
25 HERCULES
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
the Contractor's State License Law (Chapter 9 commencing with Section
95966
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom -and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars (8500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: BEACHAMP BOBBY L & JUDY L
Code: The Contractors' State License Law does not apply to an
25 HERCULES
owner of property who builds or improves thereon, and who does
OROVILLE, CA
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
95966
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.). .
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business an rofess s Code
Ip
Date: owner:
License #:
WORKERS' COMPENSATION DECLARATI
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to -self -insure for
workers' compensation, as provided for by. Section 3700 of the
Architect:
Labor Code, for the performance of the work for which this permit
is issued.
Engineer:
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Valuation: $0.00
Policy #:
Census Code:
I certify that in the performance of the work for which this permit is
' ` issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' co risation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
"����.✓ _ , / � � � � _�
CONSTRUCTION LENDING AGENCY
This permitthereby i sued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions k Indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
G 'U
By: Date: CJ
PERMIT
Address:
EXPIRE ON:
(Date)
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte to enter upon the mentioned property for inspection purposes.
County )above
0
Print Name: 4 UC]y 1 CJF1 A Yht(J Signature:
c`
Date:
XQwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
R rt Pu01,1inn P.—it ni.iR_nd nn 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
"PLEASE PRINT CLEARLY"
OWNER
Last Name G
irst Name $
Address a, s t 1 G U6 5 A v
CityO LL ar
StatC:R
zip 9 s �
Phone O
Fax
E-mail
APPLICANT SIGNATURE
X \
For office use only:
CONTRACTOR
Name N.
A �Dv
Address
SRA .1
City
No
State
Zip
Phone
Book
Fax
E-mail
Planner
Lic. # Class
APPLICANT SIGNATURE
X \
For office use only:
ARCHITECT/ENGINEER
Name
A �Dv
Address
SRA .1
City
No
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
X \
For office use only:
APPLICANT NAME
Name
A �Dv
Address
SRA .1
City
No
State
Tip
Phone
Book
Fax
E-mail
Planner
APPLICANT SIGNATURE
X \
For office use only:
Zoning
Property Address "-
15 Ahkciokk,65 AV�
Flood Zone
I
SRA .1
Yes I
No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:7ORMSMILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
PERMIT
NO.
65 a 9 1
BP
BIN #
LOCATION
AP# O —0 10 0
Property Address "-
15 Ahkciokk,65 AV�
City -
090VIGU5
Cross Street '
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name IV 0
-Address
Description or Scope of Work:
U
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by:
Receipt M
Amount: ) "J
�- Bldg
SRA
Sheriff
SMIP
Dater I',o-1 6_1!_� Other
I v Total
REV 6-16-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
for a permit: INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-si ng ed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
o - 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and_site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1.. 4 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3.. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSMILDING F0RMS1J3IdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary,
delay in processing and issuing your.building permit. No building permit will be issued until this
verification is received.
I . I personally plan to provide the major labor and material for construction of this proposed
property improvement: YES [ ] NO [ ].
2. - I HAVE [,k ] HAVE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
4. - I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work. indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
DATE: r� D 'J,
NOTE: This Owner -Builder verification is required by Section 1983.1 and -19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
Butte County Department of Development Services
ADMINISTRATION ° BUILDING' GIS' PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
OWNER -BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
state law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Scott Rutherford
Chief Building Inspector
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
c
RtSIDENTIAL
069 58-0-010 93-2163 B,E
BEACHAMP, BOB & JUDY
25 HERCULES, OROVILLE
CONTR: NORTH VALLEY CONTR
SWIMMING POOL 1�b
JOB FINALED (Oat
Signature
V=OK
O = Not OK
= Not ReadyabYe MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
S. Electricity; Location-Clearencea-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 HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test-Demand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs -Connectors
Shthg.-Rig.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOL ana OK except #'s
. etb ks-Easements
oils; Compaction -Structure Stability
3. of Structure; Steel -Connections -Thickness
Dead Men -Lining
Vic.; Receptacles and Lighting, Distances-GFI
ec.; Pool Lighting; 15 volts-GFI
EI c;Enclosures; Conduit Entries -Terminals -Listed
Elec;,Bonding; Metal w/5' -Circulating Equip. -Heater
ec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit
pertment Approval
.,y0 umb.; Cir. Test -Water Supply Test
��L
V=OK
O = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. 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
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nasi Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials 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. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
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 MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sits, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 1
41. Bearing Wells over Girders & Floor Nailing
42. Draft Stop in Walls (ret proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'a
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents-Clearence-Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. • Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No -
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone. 916.538-7541
APPLICATION ANb PERMIT
-PERMIT NO.
ASSESSOR PARCEL NUMBER ZONING1.11
069-580-010
AR -1
BUILDING PERMIT
OWNER
Bob & Judy Beecham
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
Hercules Ave. Oroville 95965
CONTRACTOR'S NAME
North Valle COntractin
TELEPHONE
533-9416
CONTRACTOR'S MAILI G ADDRESS
1275 Oro Dam Blvd West Oroville
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$15,900.00
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $142.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
20.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $177-9
PLUMBING PERMIT Filing Fee 15.00
9S Hiorrides Ave, Orovillp
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO /�
`//�/�' tl
SUBDIVISION NAME
PAROL MAe
7 `
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other P001
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
New ; Addition Lj Remodel �! Utilities ❑ Installation❑ Other ❑
Describe work: Swimming POOL
Master # 510-91
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
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 Professio s Code and my license is in full for e a d 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
Main service 20GATO1000A,
_37.50
NEW CONST.OR ADDNS. ( / ACC, BLDGS. DWELLING OCCUP.&) 3.6Q sq.f[.
NEW CONSTR MULTI -OUTLET @ 5 00
NON•R ESID BRANCH CIRC ITS
/POWER APPARATUS e
(POWER
OUTLET CIR. )
Ex. Occup(ouTLETs OR FIXTURES 20 764
FIXED APLNS.
EX. Occup. OUTLETS P(RESID IKEA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 1 15.00 15.00
Permit Fee $30.00
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
VI 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 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, judgmen costs, and ex a es hich may in any way accrue
against said oun c ra 'ng of this permit.
_ - Date __ /k
719 -nature of A Applicant — Owner
pp ❑ Contractor ❑ Agent ❑
An OSHA
ion of strucurestoverr3gstoriesoin heigvhttions over 5't1" deep and demolition or construct-
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC CONST TYPE
TOTAL FEE $ 207.50
HAz
OFEES
IMP
FLOOD
CDF
PA
PD
HD
IS
This permit is hereby issued under the applicable provi
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees hav4bbeenaldd,.
0 OF UBLIC WORKReceipt
ByD
PERMIT EXPIRES Dat 2 If
No. 143553 __-]
WHITE-D.P.W.. YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
M
�.�.;..��.ti..,,,,�+�.-r+r^�4^..YvA.r�'LI""'....i`(Lr..-�^.�'*^'ral��"11.-:...rrk'�v�.J�-:.+T,('t.- w�r��t•..-.n.+""^r'��..1�"r�°Tt.�9.*r�r'ri'v"`"..a'�y i'�i �r r�`� �� `' �� '
t
4 �
COUNTYOF BUTTE -DEPARTMENT OFD�%O_ PMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER AOL 9l- (rl ALa A. P. o. 7 JffO (�
Proposed Building Use Buildin Inspector Date
At time of per it 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. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by :Calif is Engineer .................. .
14. Sanitation and plot plan approva(,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). .. .. . .
20. Pre -inspection for required. .. wild 9 �speao�-
(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. .... .
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 - and hold for pickup at (0 * office. Deliver with inspector.
Other
Parcel Creation /��
Acreage Applic 1j
_ 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 prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou ter 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
Ile k, c,-,,( /c,
W0rkManBblpl9hlW Be hi
lw' 'tll RacOgnized Good pj&ctlo.8 =4
I ; 1, PPGS0ribed.f,., th" SPedifted iiso
"11110 -I'M BujldJilg,,.P!'-,Wibing &.MWtMjW
_7 M4 thil KRUaiw ]$Iectri(w 0ou
Of wans
ma"' OJob,-t ftm
"'n
&liLkw all Wl tim
An ecatioristanti j,
00jM00j:, teratiobs 0.1 aaal2a 10
. br the
c4pop
o'covAr (rh X2),f iv),,
33c,59c
ALL ST
"UCTUMES AND EOLOP LID
OVERkANLIS MALL 13E CLEAR Of= INCL
F ALL tzAS
4, 'Wmr "'
SE -1 - F, *, hl��n t
P4 C,
C /0
'FROM THE SIDE AND
FT.
HEA4.i
FT. PROPERTY LINES AND
F:8 THE ROAD C8NTERL
o CLEAR OF I E SHA! t- BE-
CTURSS AN
FORA 2 FT. ' - I
a OVERHANth: �Wg,, 'hV&iii7rXL3' / /7/e
4
AMIC
L
I�llllillli�lll�llllllll _T----y�
J/
'for stroa-
See VIAOst'f plan on A e
J
r6
,60
t
RESIDENTIAL
r 069-58-0-010 - - - ----
BEACHAMP•, Bobby 93-02 BPEM
25 Hercules Ave, Oroville
new sf
/-i/- L?
-�1-
OFFICE COPY
Address
By Date
ELECTRIC G'
Meter By Dat
OFFICE COPY r
Address
r
GAS //'7�
����
Meter By Dat'5
E RIC /
JOB FINALED (Date) v
Signature
`J = OK
O = Not OK
Not ApPliReady
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch) .4
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector.
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card 13-1
Date
Card B-1 Date Card B-1
4
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit -
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1 .
Date Card B-1 Date Card B-1
'J OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOOR (Plans) OK except #'s
,,A -Setbacks -Easements -Flood- lope
tg., Main; Soils-Elec. Grnd.- Dep
3 g., Garage; Soils-Steel-Ele. Grnr Ftg. Depth
4. Ftg., Porches & Decks; Soils eel-/ /Ftg. Depth
t .Ste walls, Main; Steel-Blockouts-Wrapped
6 temwalls, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
ters-Fireplace Ftg.-Steel
.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors,;, and gas piping: size -t st
7 ly Water Pipe; Test chor Regulato)Service T
12. Electric; Underground
,.-Plenums & Ducts; Clearance -Material -Support -Ins.
4,,Wrders-Sills-Anchor Bolts -Joists -Vents -Cripples
5. Access & Ventilation
16. Insulation
Date b Card B-1 'tWDate Card B-1
Dat 1 4 Card B-1 Date Card B-1
Date r PLUMBING (Permit),OK except a's
Water Htr.: Vent -Access -Com bust io ir-Baffle
--------- ------ ------- —----------------------------- `
Water Pipe. Test & Anchor -Nail otection
--------- ------ - - ---------------------------
18. D.W.V.; Test -Fittings RrNn r- ail Protection
------------- - -- ------------------
19. Shower Pan: Test. First Floor -Tub Access
-------------------- ------------------------------
20. Zest Tub & Shower, Second Floor -Tub Access
-------_it-/-----------, Secon----
Gas Pipe: Size & Anchors
----- -----------------------------
-Date— -{-3_CaCard---B 1---4�____ Date------- Card-------- ---Card-B-1--------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except s's
22. Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -L ghts & Switches at Doors
------ --- -------------&------------- -- --------------------------------
-- _ � Size Boxes No. of Conductors -Stapled
��� � ----------------------------------------------
(La!Homex Installed Close to Edge of Studs & C.J. _
------------- - ------------------------
Or'lf
quip Ground made up w/Mech. Fastners-Bond Gas & Water
---- -------- -------- ------------------------------------------------------
IL✓'1 Appliance Circuts in Kitchen & Conductor Size/GFI
•----------------------- ------------ - --------
28. Subfeed Wire Size `n i ga. Cu or Aaa.C. Wire Size �a
Cu or Al _c.)-__ ------_
29. Range Circ. / ga. Cu o A - v Circ. / / ga. Cu or Al.
Insulated Neral es ❑ No
---------- 30. S wdc-P-Riser Conductors & Ground -Main Disconnect
------------------------------------------------
-------------
31. Equip_ Clearances Panel s-Motors_Mech_ Equip_
--------------
02!Clothes Closet Light -Shower Light -Spa Light
--- ---- ------------
Sm
-'oke Detector
------------------- Carr--- B-1------ - - -- -- - -- --- - --
Datd Date Card -B-1
----------
Date Card B-1 Date Card B-1
Date MECHA ICAL (Permit) OK except n's
34. D-------ucts Insulation & Support
-- ------------
----------------------------------------------------------
Vent Fan: Exhaust above insulation
------- ---- 36. den=ate Dram &Overflow Size & Grade -
-- ------ra---Overfl---------------------------- -----
^Ir Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
---------- --------------------------------------------------------------------
38 Attic Access & Platform if Furnance in Attic
-- -- ----- --------------------------------------
------------------------------ -- - ------------------------------------
Date CJ Card B-1 Date Card B_1 -
--- -- --- --- ------------------------------------------------
Card
------------- - -------
Date (_ Card B-1 Date Card B-1
Date FRA ING (Plans) OK except 4's
Is. Proper Material & Anchors
W sStuds-Nailing. Spacing & Bracing -Plates -Sound
------ -- - -- -
- ----- ------ --------------- ---- ---- - - ---- ----------
eanng Walls over Girders & Floor Nailing
----- ----- ------------------------------------------ ----
-------------------
D It Stop in Walls (rat proof)
-------------- - -- ----------------
4 Fire Stops: Furred Ceilings -Stairs -Chases -Tub
----------& Bea ------Bear----------------------- --------
4. Headers &Beam -Size &Bearing
tingle & Duplex)
i
Date 4FRAMING (Continued)
6,4K5e4iLngers-Post Caps -Anchors -Connectors
4 Ing. Joist-Rftr, ties-Purlin—roof BracTruss hthng.-Rfng.
ce ies or Type A Flue -Fireplace Throat clearance
JA&Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
--- -- _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
Property Line Firewall & Openings
--------------- -- ----
_ xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
- -- W_Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
— . plywood on Roof Overhang -Attic Vents -Rafter Outriggers
S57 -din ling Veneer
5 ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
_ 'Glazing Area -Glass Protection -Skylights- Plastic
58.-31.Ear.Walls: Nailing -Bolts
�.Z Insulatio eilings
60. Infiltration -Walls -Windows
ji/� Q Q Card B-1 Date Card B-1
DateCard B-1 Date Card B-1
Date FI L (Plans) OK except #'s
_Cor6. Ext. Steps -Door & Sidelight Protection -Landings
moke Detector
------------
urnace: Vents -Clearance -Comb. Air-Connector-
IriGacx}e: Above Floor -Ducts -Meth. Protection
� 4. Bedroom Exiting
Cat .JG_F.I_& Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel; Breaker Sizes & La els
-----------(---- - --- -
----- -- - -- -
--------------
Le
_ LjC6 Stairs & Rails------------
- - I-�_EILFixt.
r Stove: Clearances -Hearth
LeOutlets at Wood Pan0ll: Int. & Ext.
& Appliance: Grnd.-Air Gap -Cooking Clearance
t lec. Outlets & Receptacles at Kit. Counter
7 €Garage Fire Door Swing -Landing -Closer
------------------------------------- - —
.. . uct in Garage -Damper
4. Wt . Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
Garage; Above Floor-Mech. Protection
Pleb.. Elec. & M_ech._Equip. Listed for Location
?ec_-Receptacles in Garage: (G.F.I.)-Romex Protection
sulation-Ega{rr Looked in Attic 0 Yes
---- -L,*87 Gu rd Rails &Deck Construction -Post Caps
7dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive es ❑ No: Walks Yes ❑ No;
Planters El Yes Cl No
titLr S ---
St o: Brown -Finish
------------
------ --
- (��/C Unit: Disconnect. Electrical, Plumbing
-9 sents Above Roof: Plbg -Appliance-Fireplace.-Clearance to
Openings
--_--_---- d' . ell; Disconnect, Electrical, Plumbing
Exterior Elec. Trim: G.F.I. Receptacle -Underground
Ventilation Throughout House
_ Glass Protection --------- ---_----
88. Corrections from Previous Inspections
---
----------
Ga Tagged: Gas -Electric
9 ater & Sewer Connected -C/O to Grade -HD Approval
1 Energy -Compliance Certificate -Other Certificates —
Date' _Card B-1 Date Card B-1
Date / Card -B-1 +_ Date Card B-1
�-
Date 1 Card B-1 Date Card�B-1
Comments at Final
�f'",2'�..-::r" '.%'`�.' •=� .�i.F---:tom r-.. �`,<� . � ,�t `,��`'�
COUNTY OF BUTTE
- - BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES a
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
A2 53
OWNER PERMIT NO.
Aroutineinpection 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
iscoQ,pleted lhyou have any questions pertaining to this matter, or need additional explanation,
please c9ntiiict this office immediately.
Date/ Inspector�-
REV 1
y
...... ,.. r•_•-•�..•i1.�'l'�t•-a�-....,..-+w{���.l.w:.w.--e'-✓.:+a,. �'.>"r .. .!•. �, r•-..-�.r<r�..--�. r:.::r`-:d
COUNTY OF BUTTE
BUILDING DIVISION
!DEPARTMENT OF DEVELOPMENT SERVICES
14,69 Humboldt Road, Chico, CA - (916) 891-2751
7 +County Center Drive, Oroville, CA - (916) 53&7541
747 Elliott Road, Paradise, CA - (916) 872-6307 a
O
CORRECTION NOTICE
PERMIT NO.,
Arautinei nspectionindicates that the following violations of Butte County Ordinances exist at
the abase address and should be corrected. Please notify this office when correction of work
iscon9ieted.3f youihave any questions pertaining to this matter, or need additional explanation,
!�v}Lzasea�2aoithis�offi%ce immediately.
I /`�\,!/� .iv / i Ali! f✓ 4 r � �/ L � r G / //f f� /.r� � /
1310"/4 ,,tet �4-t " ,-� /u� I; � " f -1,1'-� , J A
IIS / / Inspector
R" VIS 2
COUNTY OF BUTTE s
BUILDING DIVISION -
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Mott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
PERMIT NO. -
Araeis bzpecfi=k&=tes that the following violations of Butte County Ordinances exist at
tSeah a M" ccaodshould be corrected. Please notify this office when correction of work
iocovpsmad fivon, arMquestions pertainingto this matter. orneed additional explanation,
pfi� cmmwa thiia aM imnu diately.
D. ft Inspector
FW1
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
NER
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. y
� L i
�✓~f-a,S ,�lA�' �f/:) t� >./ nor 11cX1lOAl�✓n
J
Date 1- Inspector
REV 10/42
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
BC-1 Z) 3
OWNER I PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please copl&cAthis office immediately.
-2
Date,2/2L//,r, -2, Inspector
REV 10101
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Croville, 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. k
�'9 ""C , • . -� �+f. y-f.,a. �'L-lry. _�+`�'ti.r.'^''"1.v'•. . �� . 'ti "'s -`•,r•:. �7" �"'i _,.. '�' `+"Kj�: 'y;;t
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
PITPP►I:N.
-0
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,
Date % /!j -3 Inspector
REV 10/92
M
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
J V V y+
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 imrpr ediately.
/� �47y0,ov G
.4/j f R —V
fit7lffYf IAWN
Date Inspector
REV 1092
Owner:y(��
ENF.RCY CERTIFICAT.ION
Permit z3I!! �'L--
LOCATION
DESCRIPTION OF INSULATION
k00F
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
EXTERIOR WALL
MATERIAL Fiberglass BRAND NAME Certineed
THICKNESS �.� y THERMAL RES. / g
CEILING
BATT OR BLANKET TYPE—FIBERGLASS
THICKNESS Az H
LOOSE FILL INSULSAFE III
THICKNESS
FLOOR—ELEVATED •
MATERIAL Fiberglass
17ICINESS
FLOOR—SLAB
INTERIOR WALL
MATERIAL Fiberglass
THICKNESS 3/,.7
BRAND NAME Certineed
THERMAL RES. 3
BRAND NAME CERTAINTEED
THERMAL RES._ 3r-
BRAND NAME Certineed
THERMAL RES._ /
BRAND NAME Certineed
THERMAL RES.
I HEREBY CERTIFY THAT- THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
BUILDING. IN CONFORMANCE WITH THE STATE OF CALIF . ENERGY REQUIREMENTS.
HAWIIN I D.IN dba rWASTA INSULATION* LIC. 1650722
Ihereby 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 secificall approved by the State of Calif .
FIRH NAME/OWN PLEASE PRINT)
STATE CONT. LIC1
51CHATURE OF GENERAL CONT/OWNER�: DATE
This certIflrwt.. 1._ .... t, I_ ..,.L -
--
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 93-0002
APPLICATION: ASID PERMIT
ASSESSOR PARCEL NUMBER
069-580-010
ZgNING
AR1
-'f
BUILDING PERMIT
OWNER BOBBY BEACHAMP
534-O945 TELEPH
�
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2026 HARDNETT CT OROVILLE 95965
806
916 M
1
CONTRACTOR'S NAME
OWNER
TELEPHONE
0
CONTRACTOR'S MAILING ADDRESS
295 n
Fireplace
CONSTRUCTION LENDER
UNKNOWNI
Total Valuation
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 699-00
ARCHITECT OR ENGINEER
LNO.
Plan Checking Fee
$ 346-00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ 20.00
Penalty
$
BUILDINGADDRESS
HERCULES AVE OROVILLE
Permit fee
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
8 5.00 40.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
12
NAME
LAKERIDGE VILLAGE
PARC L MAP
85-�.2
Water piping
7.00 7.00
Each pas water heater or vent
7.00 7.0
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.001 5.00
Building sewer15.00
15.00
Mobile Home S IS W
015.001
TYPE OF WORK
New CSX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 3BDRM
Permit Fee
$ 89.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under
El p
provisions of Cha t. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
�f I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
ElI, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A,
37.50
NEW CONST. ( DWELLING Oc,G� l)
OR ADDNS, l ACC. BLDGS. L 11J/
3.64sq.ft. (�1 .20
NEW CONSTRULTI-OUTLET
NON.R ESID BRANCH CIRC ITS
^ 5.00
(POWER APPARATUS a)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES20
@ 764
FIXED APPLNS. OR
Ex. Occup. ourLETs (RESID.) EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
-15.00
Permit Fee
$ 124.70
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.
YL 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
FiIingFee 1 15.00
Heating SPLIT SYSTEM
.00
Cooling 32T
1 .50
Hood
6.50
Ventilation
Permit Fee
; 56-00
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 County in consequence of the granting of this permit.
X� Date 1 - �1 -5°i
Signoture of Applicant - Own K Contractor ❑ Agent
An OSHA permit is required for excavations over '0" d ep a de lit'o or canstrua
ion of structures over 3 stori in height.
Mobile Home Installation Fee S
Energy Inspecti n Fee $ 40.00
cc
-�
COAST PE
TOTAL FEE
$ 1382.70
HAz
,-,,,
DF
IMP
`
FL�
COP
v
PAR
Po
Is E
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
I ECTOR OF PUBLIC
By
PERES Date
*TE
applicable provi-
resolutions to do
have been paid.
WORKS
Date`
j�._
�T
Receipt No. 130190 3S'% _ el6,® 6 (�
WNIT[-D.P.W.. YELLo -
W A3i[ ���, PIAK-INSPECTOn, GOLDENROD PPLICANT
i
«� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/'538-7541
APPLICATION AND PERMIT
55,
ASSESSOR PARCEL NUMBER
lD S-gD D
ZONING
-%
BUILDING PERMIT
OWNER /
TELEPHONE
�s
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
a o2�
CONTRACT QR�X TELEPHONE
�0 8
--'Lrj 0 57S
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER -
UNKNOWN
Total Valuation $
/
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee
$ 15.00
Permit Fee
Plan Checking Fee
$ ,Z '00
S -5' 0. • p0
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ 0,o0
Penalty
$
BUILDING ADI SS
� �cules vE
Permit fee
$ 1075. 00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
g 5.001 -M
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME 1 I PARCEL MAP
�ve— va-
Water piping
7.00 _0,o
Each qas water heater or vent
7.00 _ 06
US OF STRUCTUFfE
SF Duplex❑-Mobilehome❑ Other
v� SPECIFY
Gas piping system 1 - 5 outlets
5.00 5•0
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK - .
New Adtlition❑ Remodel❑ Utilities❑ Installation Other
Describe work: Sr1-?�
Permit Fee
$ 01p
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50 18. 5a
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A1
37.50
NEW CONST, DWELLING oc }}JJ P.
OR ADDNS. ( ACC. BLDGS.�(po�)
3.66sq.ft. 9 1• zo
NEW CONST R.ULT'-OUTLET
NON -R ESID BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
A20 75
FIXED APPLNS. OR
EX. DCCUp. OUTLETS IRESID.) EA.)
j 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
S r/
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
FiIingFee 15.00
Heating
Cooling t
.5b
Hood
6.50 (D.5 0 1
Ventilation
Z !�
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
$ignarure of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHAwork
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 $ L�0
rS�
co YPE
V
7
TOTAL FEE $
r,Az
DFEE
IMP
FLDDo
CDF
PAR L
PD
HD s
This permit is hereby issued under the
Bions of the Butte County Code and/or
indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 31,)/ /tO r �
WNITE•D.P.W., YELLOW-ASSE»OR, PINK -INSPECTOR. GOLDENROD -APPLICANT
z t 30 2
0
%� "� .,. `,y�_ _ .�.�.`q•i.�,�.,U4\.. ..... __.ft^. '.,.IOY .��...�-.j. ... �. �. .. .. .''t, i. �.��''•r'`�'y�'.r, e! .- •, ...r', ' avr-
� =-NTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
OWNER d�
Proposed Building Use .Si
PERMIT APPLICATION DATASHEET
a tihlt
A. P. No. L
Building Inspector 40
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
1.
All items have been submitted . ................................. .... .
DATE RECEIVED BY
2.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3.
Complete plans, 3/4 sets, signed by preparer of plans. .
/ 9-
A.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . ........................................... .
6.
Energy Design Compliance and supporting documentation . ..................
7. .
-Statement of Intent for Non-Heated.and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ...:
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
11.
Fees of $ ................. I ........................
........
Impact fees as shown on attached schedule. 5. col ,Eor•M , , , , . ,
12.
California Department of Forestry plan approval/fees.........................
13.
'14.
Flood elevation letter (100 year flood) by California Engineer . .................
)-OA-
-ve.K--
Sanitation and plot plan approval pUD 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.
19.
Contact Land Development about (A) Improvements (B) Drainage. ........
Driveway permit (construction approval required prior to occupancy).
20.
..
Pre -inspection for required. oB�ildn9 nspeator
(Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ..........................
23.
24.
Owner -Builder Verification (Given to owner , Mail to owner _)............
Recorded copy of Agricultural Acknowledgement Statement.
l 4
'Lt
25.
Letter of signature authorization . .........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road...... .
27.
Letter of intent on building use . ........................................ .
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ..................... :..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements.. .............. .
31.
Existing violations/expired permits . ......................................
32.
Plan check list . .....................................................
33.
34.
When you issue the permit, rocess as follows: Mail to owner. Mail to contractor.
l� Telephone ' and hold for pickup at U n.:>i %tG office. Deliver with inspector.
Other 2 0 b&Z lta6 F-R.S
Parcel Creation ) 1 g
Acreage 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 prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail unter by _ Date
Plans checked by Date Plans approved by A 4 9= 1� Date I
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Encroachment. -Permit Section
RE: Driveway Clearance
44 d4e4aLy
owner location AP #
Driveway permit 730,002- 57 has been issued for the above property.
1
' 1 _ 41—
si ature date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION
7 COUNTY CENTER DRIVE — OROVILLE,,CALIFORNIA 95965 — TELEPHONE (916)5387541
IROPOSED BUILDING USE S 3 2
3.
A. P. NO. (0 5 - " O/
DATE/!�Ag&
REC . : DATE_ REC
School Distric Fees
4��
(paid at District Office) ............................
She_Tiff Fees
(paid. at Building Department)
Residential
�-
X
unit.
amt.
Commercial(per sq.ft.)
R
=$
sq.ft.
amt.
Urban Area Fees
(paid at Building Department
Residential (per unit)
X
_$
ir units
amt.
Commerical(per sq.ft.)
X
_$
sq.ft.
amt.
4. Rec eation District Fees
(paid at District Office)
5. Drainage District Fees
(Contact Land Development)
6. Other
7. Other
=.t time of permit application, I was advised the above fees are required to be paid pr=--
to issuance of the permit.
APPLICANT DATE
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit # 1.3-02
OWNER_ Cao 68`/ B it hey c4hlP A.P. # 0441-5 SD -OI 8
GENERAL Plan Checker & 16 a OMS
oning requirements: (sideyards and number of permitted living units).
�! Valuation.
Plans signed by designer. `
�/_✓ Prooer description of work on application.
§- _ Existing violations on property.
96; Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
i"" Recorded notice of violation.
PLOT PLAN
e- Complete parcel size and dimensions.
Setbacks, sidevards, easements, etc.
3—. Other. buildings or structures.
'Grading, fills, drainage.
,,-,Flood hazard.
�/ Special conditions on creation map,
ustible, and foundations).
3�-.'FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
&:Building or utilities across lot lines (Record form).
FLOOR PLAN
Compl, to scale plan with dimensions. `
►2-,Required':windows for light and ventilation (Set. 1205)
., /.Required ,windows for second 'exi't (Sec. '-12d4).*
40', Skylights (Chapter 34 & Sec. 5207).
t Y Human. impact glass (Sec -.5406)':
1 Rea di; red room sizes,_ceiling heights" "(Sec. 1207).
GFCIs in baths,'garage, kitchen, and; exterior outlets (Article -210-8).
Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
or gas equipment.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
. 1 - 3'0" exterior exit door (sec. 3304 (f).
�rreplace and wood stove location, alcove's; and clearance.--
1
_ Smoke detectors (Sec. 1210).
7 Plumbing fixtures, water closet clearances and shower, size r
STRUCTURAL DETAILS ' ; ,r
d-�/ Standard bracing or engineered design (Table 25V)
@: Unusual shape, size, or split level house requiring lateral design.
.81- Clerestory requiring balloon framing and/or engineering.
-4- Three story building requiring engineered calculations and plans.
;/Foundation plan complete enough to construct building.
Floor construction, details complete enough to construct building.
7. Elevations and wall construction details complete enough to construct building
91"' Roof construction details complete enough to construct building.
T.---Flrepl.ace construction details and calcs if necessary.
V,`t'fter ties or bearing ridge beam.
ud
rage door or porch header sizes. heights.
+3, -Adobe soils - special foundation design.
Y�r.- Retaining walls requiring design.
1'S." -Special Inspection required.
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
y
Stairwadetails: landings, rise and run, head clearance, handrails
/ (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j).
�-- Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
Proper roof pitch for roof convering (Chapter 32).
6� Roof covering type - (fire hazard).
7. Foam insulation - protection.
8 36" halls and stairways.
$^ Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
l6:^Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
2' Attic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
&80.' -Combustion air for fuel burning appliances - L.P.G. requirements.
i"�"t^�Noise requirements on duplexes.
1►J. nergy design.
Flashing at all exterior openings.
3q-.—CDF responsible area requirements.
I- M C 4Gl FO(Z p G, s (AAPsanl
Av :7VO x ol<
3 �/8 X /CO '/2.
CA U Vc a wv i-2 y8 /Z� QH S r �n1G rh2_ �QG�2s
CALc- Ig Ac4 Ta A1V5WC(Z /a aavi GAN, asr-,awx
P e(1- �> A ue IZ.o G e"
C_ G -44 ea R_ CM
5'/b X' 12. GLIA
1-8-°13) 1z.00
LAm AT- G 9_q_4f- 2boyr N,
,� r c : �� E - ic�;'h KYr..r.c "ey ?„•trr'r�'� r Fy,} �e'. �r a:••4 r � -7�
l�
I
7.
BUTTE COUNTY SCHOOLS IMPACT. FEE CERTIFICATION FORM
(One Form Per Building)
School District OA00i (l E 616A Building Department No.
A.P. Number 00— 580-010
Property Owner 6 Ob L/
Property Location/Address Jr
Jdrisdiction,%4F,7-�.City`K c,-& County
r,
Subdivison ;...,,,Lot No., .
Residential Development 0 Sq. Footage
4,, Npr,of`Liwng MHI Addition
Units
Commercial/Industrial
Building Department
0 = Sq. Footage
New Addition
e4 (Floor Plans reviewed by School District Personnel)
.,
;Z0 EQ I p
(Group.R)
(Including Exterior
Roofed Areas)
kIdis9 0
District Identification No. /
School District certifies that
ar (Applicant)
(Street Address) < (Phone Number)
(City) (State)(Zip Code)
4-2-4
has complied with the requirements ofkResolution No. 91 _/2 —4 by payment of $
representing ,20J 9 squaFe feet.
School District Representative ,_
Y
Paid by Check Number
Bank Number
Paid by Cash
Date
Remarks: ��� rte -
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
,return to DPW AGRICULTURAL STATEMENT OF ACrJOWLEDGE`1E,`rr
,
FOR RESIDENTIAL DEVELOP.MSE.NT
Section 26-8.1 of .the Butte County Code
V, LL.A 6 g" �,.� is oil
M 4 p
requires this acknowledgement be recorded
-T)+a 8 C o ct.�b�. p�
prior to issuance of a building permit.4'
1)� )2
The property described herein is adjacent
93-000094'1, Rec Fee
I Cash
5.00
5.00
to land or included within an area zoned
Recorded I
for agricultural purposes, and residents
r
Official Records I
of this property may be subject to incon-
County of I
veniences or discomfort arising from the
Butte I
use of agricultural chemicals, including,
Candace J. Grubbs I
but not limited to herbicides, pesticides,
Recorder I
and fertilizers; and from the pursuit
11:26am 4 -Jan -93 I PUBL
XX 1
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte Countv 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.
11 that real property situate in the Countv of Butte, State of California, described as
follows:
°T >,
5 s+)0W o T)4oT
� ry
tT
V, LL.A 6 g" �,.� is oil
M 4 p
�
co p. D T )13
-T)+a 8 C o ct.�b�. p�
'f'%a �
ot
1)� )2
cf• I 1 Ol� � � N
� o�>� j'
p
iti SPS , AT QaG a(s)
COUNTY OF BUTTE
BUIIDINr. nr-pT
I AI u 6 1993
Date: PROPERTY OWNI ERS :
J� iff 44 c, � A
State of ) On this the _ day of Tel 19_52L, before me, the
(��}.Q- ) SS. undersigned Notary Public, personally appeared
County of ►ted -2 )
Personally known to me.DrProved to me -on the basis
OICIAL SEAL of�sa
FFtisfactory evidence.
CYNTHIA QUIGIEY to be the person(s) whose name(s) (�
NOTARY PuBUC•CALffORNIA
BUTTE COUNTY subscribed to the within instrument and acknowledged that
IF F MY Comm. Expires Sept 20. 1993; executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. 006 -5 'S 0 •-OI (
PERMIT NO: 1-93
Lake Oroville Area Public Utility District
1960 Elan street
OROVILLE, CALIFORNIA 95966
533-2000.
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BU I LDI NG SEWERS
This verification form must be submitted to the.Butte County. Department of Public
Works Building Department prior to issuance of a building or occupancy permit,
whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy
of this verification form, signed off by Lake Oroville Area Public Utility District, must
be submitted to Butte County.
Date: JANUARY 4, 1993
Applicant: Bobby Beachamp
Applicant Address:
2026 Hardnett Ct., Oroville, CA 95965
Applicant Phone No.: 534-6845
Property Location (s): 25 Hercules Ave., Oroville, CA 95966
Lakeridge Village Lot 12
A. P. No. (s): 69-58-10
Fees due: All fees paid. COL 1NTYOFBUM
JAN U h 1993
Application for service approved: �_Yx4wjo�C4
Or_AiE6,VVYDISTRICT AREA
PUBLIC UTI
Inspection(s) made and successful test(s) observed:
Location: Date:
By:
Lake Oroville Area Public Utility District release to close permit:
Date: By:
Certificate of Compliance: Residential Climate Zone 11
Project Tide 9,3 — 0?
7--S
Address
Documentation Author Telephone
BUILDING DATA _
Conditioned Floor Area c 08') Number of Stories I
Slab/Raised Floor '2 k t C5 Number of .Units —
�x] Single Family Detached (SFD) [ ] Addition Alone
[ ] Single Family Attached (SFA) [ ] Existing Building
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition
BUII,DING SHELL INSULATION
Component Insulation Locailnn/Comments
Type R -Value (at>dc, to garages, t;2isal, etc.)
Wall ..............
Wall .............
Roof ............. tZ _ ,� St
Roof .............
Floor ............. pl `ol
Floor .............
Slab Edge.....
GLAZING Shading Devices
Building Permit 1 e N
r'r t) — Q•6)
Checked By / Date
Enforcement Agency Use Only
Glazing Area Glass Type interior
Glass Area
North
1 R
East
4
South
'1417
West
PA
Skylight
t
Total
n
Glazing Area Glass Type interior
Exterior. Overhang Framing Type
Orientation (SO (single. double) (Jolla blind. eta.)
ohndescreen. etc.) (yes/no) (metal/wood)
North ( ) 1 h R 'h a $A n Ali;
North ( )
East ( ) L (► ► I
East
_
South ( ) 4 -7
Sourh ( )
West
West ( )
Skylight....... Z y I1 I 1
THERMAL MASS
Type/Coveting Area Thickness
(slab/exposed, tile, etc.) (SO (inches) L ocat on/Description (kitchen. bieh. etc.)
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location Duct
Output Manufacturer / Model #
conditioner, heat pump) (SE. SEER,HSPF) (attic, etc.) R -Value
(Btuh) (or approved equal)
Ft RI n t ;L I 12 A -rl t 1� '7
Maximum Fumace Heating Output: 6�� Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
S- a -04t* g- ("N - 1;D C..ht, Mfr ,
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standuds must contain these meastues regardless of Ute compliance
approach used. Ivens marked with an asterisk (•) may be superseded by morcitringent compliance requirements fisted
on the Certificate of Compliance. When Otis checklist is incorporated into the permit 1locaments, the features rated shall
be considered by all parties as binding minimum component performance specifications for the mardatory measure
whether they arc shown elsewhere in the documents or on this checklist only.
DESCR1PfION I DESIGNER 164FORCEMENT
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b): Loose fill insulation manufacturer's labeled R -Value.
• §2-5352(c): Minimum wall insulation in framed walls R-1 I weighted average (does not apply to
exterior mass walls).
§2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor
transmission rate no greater than 2.0 permlinch.
§2-5311: Insulation specified or installed meets California Energy Commission (CECT quality
standards. Indicate type and form.
§2-5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infiltration/Exfilt ation Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weatherstripped. all joints and penetrations caulked and sealed
§2-5352(e): Special infdtration barrier installed to comply with §2-5351 meets CEC quality
standards.
§2.5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have:
a. Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment sizing: attach cakulations.
§2-5352(h) and 2-5315: Setback dw nxmx on all applicable healing systems.
• §2-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
§2-5314(c): Gas -furl space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
i2.5352(i): Water heater insulation blanket (R.12 or greater) or combined interier/exterior
insulation (R- 16 or greater); fust 5 feu of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exception p: Pipe insulation on steam and steam condensate return & recirculating
piping.
§2-5318(d): Swimming Pool Heating
I. System has:
a. Onloff switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
§2-53520): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms.
§2.5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(a): Refrigerators, refrigerator -freezers. Immers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of r n pliance lists the building featt= and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20, Mptcr 2. Subchapter 4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner, who shall
retain a copy of it and transmit the certificate to any subsequent purclu r of the building.
Designer
BuiWng Owner
Name: Names
Titirffiam: T itkJFum
Address: Address:
Telephone:
Lic. 0:
(signature)
Documentation Author
Name:
TttWFum:
Addmss:
Telephone
•
�T �r -� c)
(date) (signature) (dale)
Enforcement Agency
Names:
Agency:
Tekownc
1. Ceiling Insulation
F2 factor
0.90
-4
Number of stories
0.80
R -value
One
Two
Three
R-0
-103
49
-02
R-19
-8
-4
.2
R-30
-2
-1
-1
R-38
0
0
0
U -value
-121
-53
-39
0.50
-176
-84
-54
0.30
-102
-49
-02
0.10
-26
-13
-8
0.08
-18
-9
.6
0.06
-11
-5
-4
0.04
-4
-2
.1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
-18
-10
.2
Single-
Single -
27
-52
Family
Family
Multi -
R -value
Detached Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
1
8
14
0:80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00
24
18
12
3. Raised Floor Insulation
-3
2
Insulation in Floor
12
16
17
Number of stories
-1
R -value
One
Two
Three
R-0
-17
-8
-5
R-11
-3
-2
-1
R-19
0
0
0
R-30
3
1
1
U -value
7
10
14
0.60
-144
-70
-46
0.50
-120
-58
-38
0.40
-95
-46
-30
0.30
-69
-34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawlspace
-4
-16
Number of stories
1
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-11
.2
-2
-2
R-19
-1
-2
-2
•4. Slab Edge Insulation
0 0 0 0
0
..
Number of Stories
5 5 4 3
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
0.90
-4
-3 .1
0.80
-1
-1 0
0.70
2
2 1
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
5. Infiltration (Air Leakage)
Spedification Points
Standard 0
h 6. Glass Heat Loss
'
SC
Interior
Total
Mass
%Glass North
East
South
U -value
Skylight
Percent
5
1
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26
-14
-0
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
.2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
Effective Percent Glass
(percent glass x SC)
Effective
% Glass
SC
Interior
Slab Floor Raised Floor
Mass
%Glass North
East
South
West
Skylight
18
5
1
4
1
na
16
4
2
5
1
na
14
4
2
5
1
na
12
3
3
5
2
na
11
3
3
5
2
na
10
2
3
5
2
1
9
2
3
5
2
2
8
2
3
5
2
2
7
1
3
4
2
2
6
1
3
4
2
3
5
1
2
4
2
3
4
0
2
3
1
3
3
0
1
2
1
3
2
0
0
1
0
3
1
-1
-1
-1
-1
2
0
-1
-2
-4
-2
0
na = not allowed
HWR
-18
Wall
Famiy Family
IB. Shading (Shade Closed)
-6
Mass
Effective Percent Glass
Family
0.00
. (percent
glee x SC)
+610
EffecM
3 2
1
-15 4
0.40
5 4
Glau
North
Est
South
West Skyfght
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21
-56
7
-4
-14
-19
-18
-47
6
-3
-11
.15
-14
-38
5
.2
-9
-11
-10
-30
4
.1
-6
-8
-7
-23
3
0
-4
-5
-4
-16
2
1
-1
.2
-1
-9
1
1
1
1
1
-4
0
2
3
4
3
0
na . not allowed
-10 -9 -8 -7
-5
-4
0.56 5.13
9. Interior Thermal Mass
% Glass
SC
Interior
Slab Floor Raised Floor
Mass
Stories
Stories
-5
/CFA One
Two Three One
Two Three
0.0 -8
-5 -4 -2
.1
-1
0.1 -8
-5 -0 -1
0
0
0.3 -7
-4 -2 0
1
1
0.5 -6
-3 -1 1
1
2
0.7 -5
-2 -1 1
2
2
0.9 -5
-1 0 2
3
3
1.1 -4
-1 1 3
4
4
1.3 -3
0 2 3
4
5
1.5 -3
1 2 4
5
5
2.0 -1
2 4 5
6
7
2.5 0
3 5 7
7
8
3.0 1
4 6 8
8
9
3.5 2
5 7 9
9
10
4.0 3
6 8 . 9
10
10
4.5 3
7 8 10
11
11
5.0 4
7 9 11
12
12
5.5 5
8 9 11
12
12
6.0 5
8 10 12
13
13
6.5 6
9 10 12
13
13
7.0 6
9 11 13
13
14
7.5 6
10 11 13
14
14
8.0 7
10 11 13
14
14
8.5 7
10 12 13
14
15
10. Exterior Wall Thermal Mass
0
Exterior
Single- Single -
HWR
-18
Wall
Famiy Family
Multi
-6
Mass
Detached Attached
Family
0.00
0 0
0
+610
0.20
3 2
1
-15 4
0.40
5 4
3
5.0
0.60
8 6
4
-13
0.80
10 8
5
-11. -9
1.00
13 10
7
6.6
1.20
13 12
8
-2
1.40
12 13
9
0 0
1.60
10 13
11
8.0
1.80
10 12
12
4
2.00
10 11
13
14 12
11. Heating System
7
5
10.0
SE or HSPF
19 16
13
(assumes duets In attic)
7
11.0
Sum of 14
23 19
15
12
-25 or .24 to -14 to -4 to +6 to
16 or
SE HSPF
less -15 -5 +5
+15
more
0.72 6.60
0 0 0 0
0
0
0.75 6.88
3 3 3 2
2
1
0.80 7.33
8 7 6 5
4
3
0.85 7.79
13 11 10 8
7
5
0.90 8.25
17 15 13 11
9
7
0.95 8.71
20 18 15 13
11
8
0
Effective SE or HSPF
0
0
(SE or HSPF x duct efTiciency)
Solar
Effective -25 or -24 to -1410 -4 to
+610 16 or
SE HSPF less -15 -5 +5
+15 more
3
0.30 2.75
-73 -64 -56 -47
-38
-30
na 3.41
-45 -39 -34 -29
-24
-18
0.40 3.67
-34 -30 -26 -22
-18
-14
0.50 4.58
-10 -9 -8 -7
-5
-4
0.56 5.13
0 0 0 0
0
0
0.60 5.50
5 5 4 3
3
2
0.70 6.42
17 15 13 11
9
7
0.80 7.33
25 22 19 16
13
10
0.90 8.25
32 28 24 20
17
13
1.00 9.17
37 32 28 24
19
15
Zonal Control Adjustment
-5
5.8
System Type
-25
-13
-8
Resistance
10 9 7 6
4
3
Other
6 5 4 3
2
2
No Coolln:; System Installed
Stories
% Glass
SC
Eff. % Glass
a. North
12. Cooling Systfm
One
-5
-4
-4
-3
EER
-2
Two +
3
3
2
(assumei duets
to stdc)
1
x
=
Stm of 7-10
1
e. Skylight
1 , l x
_
-2S or -24 to '14 to
-4 to
+6 to
16 or
SEER
lest
-15 4
+5
+15
more
8.0
-14
-12 -10
-8
.6
-4
8.5
-9
-7 -6
-5
-4
-3
8.9
-5
-4 •• -4
-3
-2
-2
9.0
-4
-3 .3
-2
-2
-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
12.0
15
13 11
9
7
5
13.0
20
17 14
12
9
6
-15
-12
0.2
Solar
-1
-1
-1
0
EffIve SEER
1.6
HWR
-18
(SEER xeluct eRiclency)
-9
-7
-6
Sim of 7-10
WSB
-25
-16
Effective -25 or -24 to -1410
-410
+610
16 or
SEER
lest
-15 4
+5
+15
more
5.0
-30
-25 -21
-17
-13
-9
6.0
-12
-11. -9
-7
-6
-4
6.6
-5
-4 -4
-3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
Heater
Zonal
Control Adjustment
b
to
10
8 7
6
4
3
No Coolln:; System Installed
Stories
% Glass
SC
Eff. % Glass
a. North
'
One
-5
-4
-4
-3
-2
-2
Two +
3
3
2
2
2
1
x
=
(T m- *
1
e. Skylight
1 , l x
_
Single -Family
letached
i
and
Attached
,
Unit Size (sQ
1 TYPE
Water
(UIMC & 4.2.
le:
12(?^
1700
2200
2700
Heater
U-9dit
or
b
to
to
or
Type
Type
less
1699
2199
2699
more
SG
None
0
0
0
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
1.3
WSB
5
3
3
2
2
2.7
POU
8
5
43
3.8
3
SE
None
-37
-24
-18
-15
-12
0.2
Solar
-1
-1
-1
0
0
1.6
HWR
-18
-12
-9
-7
-6
9.1
WSB
-25
-16
-12
-10
-8
4.6
POU_
-18
_-12
-9
-7
-6
IG
None
-5
-3
-2
-2
-2
2
Solar
7
5
4
3
2
3.5
POU
3
_ 2_
1
1
1
IE
None
-28
-19
-14
-11
-9
0.9
Solar
8
5
4
3
3
24
POU
-10
-6
-5
-4
-3
3.9
Multi-Famih
(Individual
4.5
units)
4.9
5.1
5.3
I Unit Size (sQ
40%.
Water
0.9
699
700
1200
1700
2200
Heater
Credit
or
b
to
to
or
Type
Type
less
1199
1699
2199
more
SG
None
0
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
4
WSB
9
4
3
2
2
5.5
POU
9
5
3
2
2
SE
None
45
-23
-15
-11
-9
28
Solar
2
1
1
0
0
4.3
HWR
-23
-12
-8
-6
-5
5.8
WSB
-25
-13
-8
-6
-5
1.7
POU
-23
---12
_-8
-6
-5
n
None
-8
-4
.3
.2
; .2
4.6
Solar
6
3
2
1
1
6.1
POU
1
0
i-15
0
0
0
IE
None
-30
2.6
-10
-8
-6
3.4
Solar
18
9
6
4
4
4.9
POU
-8
-4
-3
-2
-2
lnteriorMass/CFA
% T1v1 2 MSS
% Glass
SC
Eff. % Glass
a. North
'
7- =
H.00 U
O
b. East
x
=
I I's i
n
c. South
x
=
I , 4014
d. West
x
=
(T m- *
e. Skylight
1 , l x
U. 74USHC•4. 21
(carpeted .1_b)
8. Shading (Shade Closed)
,
1 TYPE
1 MASS
(UIMC & 4.2.
le:
exposed
-�-
slab)
--
- �n(1 =
3 , q 3Z
b. East
? _ 1 x
>
c. South
0%
5%
10%
16%
20%
2S%
30%
35%'
40%
45%
50%
55%
60%
60A
70%
75%
80%
85%
90%
95%
tool'. 105% 1104'. its . 120% 125•
OY.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
2.1
.23
2.5
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5 3
10%
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
2.1
23
2.5
2.7
2.9
9.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
5
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
24
27
29
3.1
3.3
3.5
3x7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
5 6
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
2.2
24
26
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
40%.
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.S
50%
0.9
1.1
1.3
1.5
1.7
1.9
21
23
25
27
3
9.2
3.4
3.6
3.8
4
41
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1 1
5S%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.5
28
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
61
60%
11.2
1.4
1.7
1.9
21
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.1
5.9
6.1
64
M.
1.2
1.4
1.6
1.8
2
2.2
2.5
21
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
56
58
6
6.2
64
75%
1.3
1.5
1.7
1.9
21
2.3
25
2.1
3
3.2
9.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
801
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.1
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66
85%
1.4
1.7
1.9
'2.1
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
52
54
5.6
5.9
6.1
63
65
67
90Y.
1.5
1.7
2
2.2
24
26
2.8
3
3.2
3.4
3.6
3.6
4.1
4.3
4.5
4.7
4.9
S.1
53
5.5
5.7
5.9
6.2
6.4
66
6 8
95%
1.6
1.8
2
2.2
2.5
27
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
S
5.2
5.4
5.6
5.8
6
6.2
6.4
67
69
100%
1.7
1.9
21
2.3
2.5
28
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5,5
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.8
2
2.2
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
56
5.8
6
6.2
6.4
6.6
6 8
7
110%
1.9
2.1
2.3
2.5
27
29
9.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.S
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
72
120%
2
2.3
2.5
2.7
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
7.3
M%
2.1
2.3
2.5
2.8
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11
SCORE CARD
Measures
1. Ceiling Insulation R - 3 A or
R -value [381 U -value [0.030]
2. Wall Insulation F, lgl or
R -value [11] U -value [0.098]
3. Raised Floor Insulation_ or
R-value[191 U -value [0.037]
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
or
R -value [01 F2 factor [0.77]
Standard
,�Rlr_ 1yIs_
Type [double] U -value [0.65] % Total. Glass [ 161
Point Scores
Q
0
% Glass
SC
Eff. % Glass
a. North
C�. x
7- =
H.00 U
O
b. East
x
=
I I's i
n
c. South
x
=
I , 4014
d. West
x
=
(T m- *
e. Skylight
1 , l x
8. Shading (Shade Closed)
,
% Glass
SC
Eff. % Glass
a. North
5. x
- �n(1 =
3 , q 3Z
b. East
? _ 1 x
c. South
P _ Z x
d. West
_ R x
1 =
2, S QR
-?
e. Skylight
1 , 1 x
_ _
. R 147
�.3
9. Interior Thermal Mass
(
TYPE 1 MASS AREA = %
�-
InteriorW-ss/CFA
CONE. FLOOR
TYPE 2 MASS
AREA
AREA
10. Exterior Wall Mass
= e
Exterior Wall Mass
C ND. L R
AREA
Sum 7.10
11. Heating System
,1 ?. x
Zonal Control? ( Y / N)
SE or HSPF
Duct Efficiency 10.781
Effective SE or
[0.7216.61
HSPF [0.56/5.151
_7
12. Cooling System
.99 _ x
, 92
= , zq 8 -
Zonal Control? ( Y / N)
SEER [9.5]
Duct Efficiency 10.74]
Effective SEER 17.03]
13. Water Heating
Type [SGJ
Credit [none]
Point Total:
1. Ceiling Insulation
2. Wall Insulation
Single-
Number of stories
Number of stories
R -value
One
Two
Three
R-0
-103
-49
32
R-19'
-8
-4
-2
R-30
-2
-1
.1
R38
0
0
0
U -value
8
6
4
0.50
-1.76
-84
-54
0.30
-102
-49
32
0.10
-26
-13
-8
0.08
-18
-9
-6 . -
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
3. Raised Floor Insulation
Single-
Single -
Number of stories
.R -value
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
37
R -value
..0.60
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00
24
18
2 -
3. Raised Floor Insulation
Controlled Ventilation Crawlspace
Insulation in Floor
-48
Number of stories
.R -value
Number of stories
Two
R -value
One
Two
Three
R-0
-17
-8
-5
R-11
-3
-2
-1
R-19
0
0
0
R-30
3
1
1
U -value
Numfier of Stories
37
R -value
..0.60
-144
-70
-46
0.50
-120
-58 -
38
0.40.
-95
-46
30
0.30
-69
34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
- � -4
A06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawlspace
-14
-48
Number of stories
.R -value
One
Two
Three
R-0
-11
-7..
-5
R-5
-4
-4
3
R-11
-2
` 2
-2
- R-19
-1
_
, -2
-2
4. Slab Edge Insulation -
-10
-
40
Numfier of Stories
37
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
•2.
R-7
8
6
.3
F2 factor
12
29
-58
0.90
-4
3
-1
.0.80
.1
-1
0
0.70
2
2
1
0.60
6
4
2-
0.50
6
13
3
0.40
2
8
4
S. Inriltration (Air Leakage)
Specification Points
Standard 0
1' '6. Glass Heat Loss
' Total
-14
-48
-69
-64
U -value
East
(Percent
:West
Skylight
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
37
-26
-14
-3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
- EtTeedve Pes t Glass
(P" Cent Slags x SC)
Effective
-14
-48
-69
-64
%Glass North
East
South
:West
Skylight
18 5
1
4
1
na
16 ' 4
2
5
1
na
14 4
2
5
1
na.
12 3
3
5
2
na
11 3
3
5
2
:na
10 2
3
5
2
1
9 2
3
5
2
2
8 2
3
5
2
2
7 1
3
4
2
2
6- 1
3
4
2
3
5 1
2
4
2
3
4 0
2
3
1
3
3 0
1
2
1
3
2. 0
0
1
0
3
1. .1.
-1
-1
-1
2-
-0
0 -1
-2
-4
-2
0
na - not allowed
2
3
4
3
& Shading (Shade Closed)
Effective Peremt Glass
(Percent Slam x SC)
61166 NoM Ese South West Slftl
18
-14
-48
-69
-64
na '
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na -
11
-7
-26
36
-33
na
10
-6
-23
31
-29
74-1
-74-
19.
-5
-20
-27
-25
-65
1 8
-5
-17
-23
-21..
-56
7
-4
-14
-19
-18
-41-
6.
3
-11
-15
-14
-38
j5
.2
-9
-11
-10
-30_.
I 4
-1
.6
-8
-7
43
3
0
.-4
-5
-4
-16
2
1
-1
-2
-1.
-9
1
1
1
1
1
-4 .
0
2
3
4
3
0
ne - not a0owed
4
6
8
8
9. Interior Thermal Mass
Interior
Exterior
Slab Floor
Raised Floor
Mass
Wall
Stories
Family
Multi
Stories
Detached
/CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
-4
-2
-1
-1
0.1
-8
-5
3
-1
0
0
0.3
-7
4
-2
0
1
1
0.5
-6
-3
-1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
.1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
2-5
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior
Single-
S"Vie-
SE or 13SPF
Wall
Fam11y
Family
Multi
Mass
Detached
Attached
Family
0.00
0.20
0
3
0
2
0
1
0.40
0.60
5
8
4
6
3
4
0.80
1.00
10
13
8
10
5
7
1.20
1.40
13
12
12
13
8
9
1.60
1.80
10
10
13
12
11 .
12
2.00
10
11
13
11. Heating System
No Coolin System Installed
SEER
!-Stories
SE or 13SPF
South
d.
West
(assumes ducts In attic)
in attic)
.2
-2
Sum of 1.6
Stm of 7-10
-
1
-25 or -24 to -14 to -4 to
+6 to
16 or
SE
HSPF less -15 -5 . +5
+15
more
0.72
6.60 0 0 0 0
0
0
0.75
:6.88 3 3 3 2
2
1
0.80
7.33 8 7 6 5
4
.3
0.85
7.79 13 11' 10 8
7
5
0.90
8.25 17 15 13 11
9
-7
t 0.95
8.71_20_ 18=-15 13.
11
8
I -
Effective SE or HSPF
-
-1
(SE or HSPF x duct efficiency)
0
Effective -25 or -2410 -14 b -4 to +6 to 16 or
SE HSPF less -15 -6 +5
+15 more
0.30
2.75 -73 34 -56 -47
4
-30
na
3.4f -45 -39 -34 -29
-24
-18
0.40
3.67 -34 = -30 -26 -22
-18
-14
0.50
4.58 -10, -9 .8 -7
-5
-4.' •
0.56
5.13 0 0 0 0
0
0
0.60
5.50 5 5 4 3
3
2-
0.70
6.42 -17 15 13 11
9
7
i 0.80
7.33 25 22 19 16
13
10
0.90
-8.25 32 -28 24- 20
17
-13
- 1.00
.9.17 37 32 28 24_
19
15 =
--
- Zonal Control Adjustment
-14
System Type ..
Effective -25 or -24 to -14 b
-410
Resistance 10 9 7 6
.4_
3
Other
6 5 4 3
2
2
12. Cooling System
Zonal Control Adjustment
10 8 7 6 4 3
i
No Coolin System Installed
SEER
!-Stories
c.
South
d.
West
(assume; ducts
in attic)
.2
-2
Two + 3 3 :, 2
Stm of 7-10
-
1
Single -Family #,etached and Attached
-25 or -24 to r1410
-4 to
+6 to
16 or
SEER
less
-15 I .6
f5
+15
more
8.0
-14
-12 -10
-8
.6
-4
8.5
-9
-7 -6
-5
-4
-3
7' 8.9
-5
-4 -4
-3
-2
.2
9.0
-4
3 -3
-2
-2
-1
9.5
0
0 0
0
0
0
' 10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
= . 12.0
15
13 11
9
7
5
,13.0
20
17 .1 14
12
9
6
Solar- Z --:.r- -
°4
Effective SEER
2
100% 105% 110% 115Y. °120% 125`,
POU 3' _2 2
(SEER xduct efficiency)
1
1
0.6
Stan of 7-10
-14
-11
Effective -25 or -24 to -14 b
-410
+SID
16 or
SEER
less
-15 .6
+5
+15
more
5.0
-30
-25 -21
-17
-13
-9
6.0
-12
-11. -9
-7
-6
-4
6.6
-5
-4 -4
3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
1
10.0
22
19 16
13
10
7
1
11.0
26
23 19
15
12
8
WSB .-25 •-13
12.0
30
26 22
18
14
9
' ---5
13.0
33
29 24
20
15
10
Zonal Control Adjustment
10 8 7 6 4 3
i
No Coolin System Installed
b.
!-Stories
c.
South
d.
West
One -5 -4 -4
-3
.2
-2
Two + 3 3 :, 2
2
2
1
Single -Family #,etached and Attached
S Unit size (so
<
West
Water ;199 120r!"
'1700
2200
2700
Heater U-9dit . or .1 b
to
to
;W ..
Type Type less.11699
2199
2699
more
SG None 0 0
0..
0
0
or Solar . 12 8
6
5
4
HP -HWR 8 5
4
3
3
WSB 5 3
3
2
2
POU _8 5
4
3
.3
SE None 37 -24
18
-15
-12
exposed Slab)
-�-
Solar -1 -1
1
0
0
HWR -18- -12
-9
-7
3
0%
WSB-. -25 -16
-12
-10'
-8
25%
POU . _1!3__12.-.
-9
-7
-6
50%
IG None"' :-5 - -3 :
-2'
-2
.2
75%
Solar- Z --:.r- -
°4
3
2
100% 105% 110% 115Y. °120% 125`,
POU 3' _2 2
1
1
1
0.6
IE None -28 19
-14
-11
-9 "
1.7
- Solar 8 5.
4
3
3
2.7
POU -10 -6
-5
-4
-3
Multi -Family (Individual units)
4
Unit Size (so
4.4
4.6
Water 699 700 .
12M
1700
-2200
Heater (kedit or t0 "
to
to
or
Type Type less 1199
Im
zoo
more
SG None 0 0
0
0
0
or_ Solar 14 7
5
4
3
HP HWR 9, ;
-
3
2
2
„5
{ WSB 9 4
3
'2
2
POU 9 5
3
2
2
�. SE None `45 . -23
-15
-11
-9
Solar .. 2 1
1
0
0
HWR - -23' -12
-8
3"
'-5
WSB .-25 •-13
-8'
66
-5
J Nom _ 12
8
6
' ---5
�. IG I -4 ..-.-3
2
-2 '.
,.i Solar; -,6. 3
2
1
•1 _
0.7
POU : -.1 0._ _ 0
0
0 _
1.6
IE None 30 . -15
-10
-8
-6
26
Solar: 18 9
6
4
4
3.7
POU ; _ -8 t -4
•3
-2
-2
r--
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
5. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a.
North
b.
East
c.
South
d.
West
e.
Skylight
8. Shading (Shade Closed)
.a.
North
InteriorMasslCFA
East
c.
South' -
d.
West
e.
Skylight
9. Interior Thermal
t TA6 2 MASS
10. Exterior Wall Mass
(1.160214C.4.2)
Iutp1.0 .1_bl
1 TYPE I MASS
(U2MC • 4.2,
ie:
exposed Slab)
-�-
.
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
80%
693 6
70%
75%
80%
85%
90%
95%
100% 105% 110% 115Y. °120% 125`,
OY.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
2.1
2.3
2.5
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.3
10Y.
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
2.1
2.3
25
2.7
2.9
9.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
5
5.2
5.4
20%
0.3
0.6
0.6
1
1.2
1.4
1.6
1.8
2
2.2
24
27
29
3.1
3.3
3.S
3.7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.2
3.S
3.7
89
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
40Y.
0.7'
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5.
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50%
0.9
1.1
1.3
1.5
1.7
1.9
21
23
25
27
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
3.2
3.5
3.7
3.9
4.1
4.9
43
4.7
4.9
5.1
5.3
5.6
5.8.
6
6.2
60%
1
1.2
1.4
1.7
1.8
21
23
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
6,3
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.1
64
70%
1.2
1.4
1.6
1.8
2
22
25
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
S
5.2
5.4
5.6
68
6
6.2
64
75%
1.3
1.5
1.7
1.9.
21
2.3
2.5
2.7
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.6
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
BOY.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.S
3.7
3.9
4.1
4.3
4.5
4.1
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66
85Y.
1.4
1.7
1.9
2.12.3
2S
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
54
5.6
5.9
6.1
6.3
65
67
90Y.'
1.5
1.7.
2
2.2
2.4
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
68
95Y.
1.6
1.8
2
2.2
2.5
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
.6
.6.2
6.4
6.7
6.9
100%
1.7
1.9
21
2.3
2.S
28
3
3.2
3.4
3.6
9.8
4
4.2
4.4
4.6
4.9
5.1
5.3
SS
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.8
2
2.2
2.4
2.6
28
3
3.3
3.S
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
S.8
6
6.2
6.4
6.6
so
7
110Y.
1.9
2.1
2.3
23
27
29
3.1
3.3
3.6
3.6
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
6.9
6.1
6.3
6.5
6.7
6.9
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
8.6
6.8
7
7.2
120%
2
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
6.6
50
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
2.1
2.3
25
2.8
3
3.2
SA
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
5. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a.
North
b.
East
c.
South
d.
West
e.
Skylight
8. Shading (Shade Closed)
.a.
North
b.
East
c.
South' -
d.
West
e.
Skylight
9. Interior Thermal
Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y / N )
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
Measures
51? or
R -value [38
U -value [0.030]
or
� X
R -value [11]
U -value [0.098]
or
R -value [ 191
Duct Efficiency [0.74]
U -value [0.037]
Or
R -value [0]
F2 factor [0.77]
Credit [none]
14- r
Type [double] U -value [0.65] % Total Glass [ 16]
% Glass Sc Eff. % Glass
$, Z.- X 4, E>
-7 R . x = Z.
Z/ Z X
Z 2/ X /
x -4-
= O
Point Scores
cQ
b
0
-� Su
% Glass SC Eff. % Glass
Z .Z x�-
f./ x X77 = 69
TYPE 1 MASS AREA a 8
Interiorhl s A COND. FLOOR AREA
TYPE 2 MASS AREA
ND. L R AREA
Exterior Wall Mass
,-7Z- x
SE or HSPF
[0. .6]
1 3 =
Duct Efficiency [0.78)
oto.
Effective SE or
HSPF [0.5415.151
� X
SEER 9.5]
Duct Efficiency [0.74]
Effects e�031
S C�
Type [SG]
Credit [none]
Point Total:
Certificate of Compliance: Residential
Addren
BUILDING DATA
Conditioned Floor Area0 Number of Stories
Slab/Raised Floor Number of -Units
Single Family Detached (SFD) [ ] AdditionAlone
] Single Family Attached (SFA) [ ] Existing Building
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition
BUILDING SHELL INSULATION
Component Insulation Looaflori/Cammem
Tuve R -Value (aide, .to awake. r_+t'irol.
Climate Zone 11
43 OZ
BuIlins Permit #
Checiced By / Date
Enforcanent AReney Use Only
Glass Area % Glass
North 57i Z
Wall .............
Roof.............
East
_342
South ?_. pi
West ilei
Skylight
Total
Wall ..............
Wall .............
Roof.............
Roof .............
Floor .............
Slab Edge .....
_
GLAZING
Shadinjg Devices
Glazing
Area Glass Type Interior Exterior
Overhang Framing Type
Orientation
(sf) (single. double) (colla blind. etc.) (aiadescretsn. etc.)
(y A111o) (mael wood)
North
North ( )
East
East
South ( )
South ( )
West ( )
West ( )
Skylight.......
THERMAL MASS
Type/Covering
Area Thickness
HVAC SYSTEMS Minimum Duct
Type (furnace, air -Efficiency Location Duct Output - Manufacturer / Model #
conditioner, heat plunp) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
uNTY
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model # A P p DO v E D
QvctPm Qnnni01 ti'in�fi.role
S.C. .M"
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
W
Mandatory Measures Checklist: Residential MF -1R
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 stri V=t compliance requirements listed
on the Certificate of Compliance. When this checklist is incorporated into the Permit documents. the features noted shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNU ENFORCFMENT
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average.
62.5352(b): Loose fin insulation manufacuaer's labeled R -Value.
§2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does riot apply 10
exterior mass walls).
12-5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor
transmission rate no greater than 2.0 perm/inch.
12-5311: Insulation specified or installed meets California Energy Commission (CECT quality
standards. Indicate type and form.
62-5352((): Vapor barriers mandatory in Climate Tones 14 and 16 only.
§2.5317: Infiltration/Exfmltration Controls
a Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows cirtifined.
e. Doors and windows weatherstripped: all joints and pertearatiau caulked and staled
12-5352(e): Special infiltration barrier installed to comply with 12-5351 menu CEC quality
sranaards.
12-5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have:
a Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
12-5352(g) and 2-5303: Space conditioning equipment siring: attach calculations.
62-5352(h) and 2-5315: Setback thermostat on all applicable beating systemt.
• §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
12-5316(b): Exhaust systems have damper controls.
62.5314(c): Gas -rued space heating equipment has intermittent ignition devices.
12-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
42-5352(i): Water hrster insulation blanket (R-12 or greats) or combined iniedw)r .nierior
insulation (R-16 or grater): fust 5 feu of pipes closest to tank insulated (R-3 or grow).
§2-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2.5318(d): Swimming Pool Heating
1. System has:
a. Or4off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
_ 2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
62-5352(1): Lighting - 25 lumens watt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STAB
This cerdfiCM of oompltanoe lists the building feint and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20.2. Snbchapter4. Article l of the California Administrative code. This
``--a- it timed by the ivv is th OVaall design rrsporlsibility and the building owner. who shall
any sha&V leatlae that is is w„ •. •m om ptrrdtaser of the building.
Designer or Owner (per Bualneee a Protmaiona cod
Nam.: Building Owner
Toda/Firm: Name:
TeNphone• Addn=:
Lie. r• -
s -9 Teko orta
(signatu)K (dare
Enforcement Agency y
Name: (sijrlatum) (date)
Tine:
Agency:
Telephone: Enforcement Agency
Name:
(srgnaturerstamp) (date Agcy.
Tekpttone:
a